Doc Cottle's Desk

Despite the variety of disorders an illness that parade through the ED, it often seems like each shift has a "theme." For exampl...

I had an interesting sign-out yesterday. The patient was a 30-ish year old woman with some vague complaint that localized to somewhere betwe...

Kito and I had an interesting patient last month.  The patient I had just been teaching a paramedic student some fine points of the ECG, ...

The facts: a 35 year old male, with no medical history, presented with 1 week of chest pain that became acutely worse 1 hour prior. It was ...

The conventional wisdom goes something like this: Scaphoid fractures are a huge pitfall in emergency medicine. They can be subtle, and eas...

I've started saying really something annoying at work. When a resident starts interpreting an ECG, listing off features that either sug...

The results of the IMMEDIATE trial have been popping up repeatedly today on Facebook, partly because I "like" a few EMS FB page...