Every morning issue is archived here by date. The most recent is always available at the front page.

1. Monday, April 27, 2026

   Critical Fungal Infections

   Life-threatening fungal infections are uncommon in the average ED, but missing them in the immunocompromised, critically ill, or post-influenza patient can be fatal. Early recognition matters because definitive...

2. Sunday, April 26, 2026

   Procedural Sedation

   Procedural sedation is core EM practice: it enables painful procedures, reduces distress, and can avoid the OR. Safe sedation requires anticipating airway/respiratory compromise, choosing the right agent, and...

3. Saturday, April 25, 2026

   Hydrocarbons and Inhaled Agents Toxicity and Poisoning

   These exposures are common, especially in children, industrial workers, and patients with substance use. The immediate threats are airway injury, aspiration pneumonitis, dysrhythmia, hypoxia, and end-organ toxicity...

4. Friday, April 24, 2026

   Upper GI Bleeding

   Upper GI bleeding (UGIB) ranges from self-limited mucosal bleeding to life-threatening hemorrhagic shock. Early risk stratification, resuscitation, and targeted therapy reduce mortality, rebleeding, and missed...

5. Thursday, April 23, 2026

   Esophageal Rupture

   Boerhaave syndrome is rare but rapidly fatal if missed; delayed diagnosis sharply increases mediastinitis, sepsis, and mortality. In the ED, it can masquerade as ACS, perforated ulcer, PE, or spontaneous pneumothorax.

6. Wednesday, April 22, 2026

   Approach to Gastrointestinal Bleeding

   GI bleeding ranges from self-limited to immediately fatal. The ED job is to rapidly identify shock, localize likely source (upper vs lower), start resuscitation, and choose the right consult/admission pathway.

7. Tuesday, April 21, 2026

   Salicylate Poisoning

   Salicylate toxicity is a classic mixed acid-base disorder that can deteriorate quickly, especially in older adults, children, and patients with delayed recognition. Severe poisoning causes CNS injury, pulmonary...

8. Monday, April 20, 2026

   Digoxin Toxicity and Poisoning

   Digoxin toxicity can cause life-threatening dysrhythmias, hyperkalemia, and hemodynamic collapse. The presentation is often subtle, and management hinges on early recognition plus timely Fab administration.

9. Sunday, April 19, 2026

   Extravasation

   Extravasation can range from mild local irritation to tissue necrosis, compartment syndrome, and permanent functional loss. Rapid recognition in the ED can prevent severe morbidity, especially with vesicants like...

10. Saturday, April 18, 2026

    Wound Management

    Wound care is one of the most common ED tasks and has major implications for infection, cosmesis, tetanus prevention, and function. Good irrigation, closure choice, and timely recognition of high-risk wounds prevent...