EM Quick Hits 70 MedMal Cases Upper Back Pain, Traumatic Pneumothorax/Hemothorax Decision Making, Risk Stratification of ICH for Consultation, Post-Circumcision Bleeds, IV Contrast Allergy, Emotional Contagion
Jan 13, 2026
In this discussion, Mike Weinstock emphasizes critical questions for diagnosing upper back pain, while Andrew Petrosoniak shares insights on managing traumatic pneumothorax and hemothorax. Justin Morgenstern explains brain injury risk stratification for better neurosurgical consultations. Ariel Hendin tackles contrast media allergies, debunking myths and providing updated management strategies. Plus, emotional contagion expert Shawn Seregren reveals how communication dynamics during resuscitation can impact outcomes.
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Thorough HPI For Upper Back Pain
- Ask targeted questions about onset, exacerbating/relieving factors, radiation, and exertional features for upper back pain.
- If history lacks a mechanical explanation, evaluate for ACS, PE, or dissection before discharge.
Chart As An Argument
- Documentation must form a coherent argument linking HPI, exam, and diagnosis.
- Vague charting like "he describes heartburn" undermines safe decision-making and may mask missed diagnoses.
Back Pain To Fatal MI Case
- A patient seen for upper back pain in urgent care later arrived in cardiac arrest with VT and was found to have 100% proximal LAD occlusion.
- Delayed recognition likely cost the patient the opportunity for timely reperfusion and good neurologic outcome.