The Subclavian Line

Introduction One of the bread and butter procedures in emergency medicine is central venous catheterization.   There are multiple different central venous access points in the human body, and many may suggest that ultrasound guidance provides the best shot at success given the direct visualization.  The subclavian vein is difficult to visualize with ultrasound, making it … Continue reading The Subclavian Line

Spidey Sense and the Art of Low Risk Chest Pain

As Emergency Physicians, one thing we particularly pride ourselves in is our “gestalt” or general sense about the patient. In a world where we have an extensive tool kit of diagnostic criteria and clinical decision making instruments we still occasionally throw those out the window when we get a sense of something else going on … Continue reading Spidey Sense and the Art of Low Risk Chest Pain

Retropharyngeal Abscess in an Adult

Case Presentation  A 53-year-old woman presents to the emergency department with three days of worsening dysphagia, odynophagia, and muffled voice. The patient is ten days status post adenotonsillectomy with inferior turbinate reduction for chronic tonsillitis and obstructive sleep apnea.  The patient tells her history by writing on a piece of paper since speaking is too … Continue reading Retropharyngeal Abscess in an Adult