Jun 30, 2025
Contributor: Alec Coston, MD
Educational Pearls:
For patients presenting to the emergency room with hypertension, clinicians should determine if it is isolated and uncomplicated, or involves comorbidities with more complex underlying pathophysiology.
For uncomplicated and isolated hypertension, first-line treatment is...
Jun 23, 2025
Contributor: Taylor Lynch, MD
Educational Pearls:
How do we risk-stratify chest-pain patients?
- One option is the HEART score
- This score predicts a patient’s 6-week risk of a major adverse
cardiac event.
- Ex. Cath procedure, CABG, PCI, death
- This score predicts a patient’s 6-week risk of a major adverse
cardiac event.
- H stands for History
- Ask 1) Was the patient diaphoretic? 2) Did they...
Jun 16, 2025
Contributor: Aaron Lessen, MD
Educational Pearls:
- A prospective study at the Mayo Clinic Rochester was conducted to examine whether patients actively using their phones on initial assessment in the ED was associated with higher discharge rates
- The study included 292 patients, and only about 15% of patients were on...
Jun 9, 2025
Contributor: Travis Barlock MD
Educational Pearls
- Frank’s sign is a curious physical exam finding first described
in the literature in 1973
- Bilateral earlobe creases are recognized as a marker of coronary artery disease and cerebrovascular disease
- Some studies have found an increase in all-cause mortality...
Jun 2, 2025
Contributor: Taylor Lynch, MD
Educational Pearls:
The KLM Flight Disaster, also known as the Tenerife Airport Disaster, occurred on 27 March 1977. It involved the collision of two Boeing 747 passenger jets from KLM and Pan Am Airlines, resulting in 583 fatalities.
What fell through the cracks to cause this...