Doc Cottle's Desk

This is not meant to be a comprehensive review of B. burgdorferi , the life cycle of I. scapularis , or all the other stuff that belong in a...

The trouble with "chest pain" is that it's, well, pain. The experience is subjective, bound up in the context of prior experie...

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...