The Blog

Thanks for dropping by! We have curated an incredible collection of the best articles from the leading Emergency Medicine, Tactical Medicine, Prehospitial Medicine, Austere & Remote Medicine authors, as well as Survival Medicine gurus and many others!

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Tactical Medicine News

SAEM Clinical Images Series: Spicy Gum Leads to Spicy Gums

by Inna Bulaevsky, DO
Jan 23, 2023
A 32-year-old male with a past medical history of asthma presents with a two-day history of cracked lips and progressively worsening oral pain, ass...
Tactical Medicine News

SAEM Clinical Images Series: An Ominous Umbilical Lesion

A 54-year-old male with a past medical history of atrial flutter and alcohol use disorder presents with an umbilical wound that has been bothering ...
Tactical Medicine News

SAEM Clinical Images Series: Dermatology Deserving a Deeper Dive

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Tactical Medicine News

SAEM Clinical Images Series: Facial Swelling

A 5-year-old male with a history of recent frontal sinusitis associated with preseptal cellulitis requiring surgery presented with facial swelling....
Tactical Medicine News

SAEM Clinical Images Series: Finger Pain

A 57-year-old male presents after accidentally firing his son’s expired epinephrine autoinjector containing 0.3 mg of epinephrine into his left thu...
Tactical Medicine News

SAEM Clinical Images Series: A Rash You Don’t Want to Miss

A 54-year-old female with a past medical history of diabetes presented to the Emergency Department (ED) for evaluation of unresponsiveness. The pat...
Tactical Medicine News

SAEM Clinical Images Series: ‘Tis Not the Season to be Wheezing

A 2-year-old male with a history of solitary kidney presented with greater than one month of daily coughing, wheezing, and decreased appetite. The ...
Tactical Medicine News

SAEM Clinical Images Series: An Enlarging Scalp Mass

A 27-day-old female infant born at 34 weeks 4 days with a prenatal history of maternal syphilis treated with penicillin presented with an enlarging...
Tactical Medicine News

SAEM Clinical Images Series: Penile Swelling

An 18-month-old male with a history of prematurity (31 weeks gestation) presented with acute onset swelling of the penile shaft. The patient had mi...
Tactical Medicine News

SAEM Clinical Images Series: Testicular Swelling

A 33-year-old male presented to the Emergency Department with one week of right testicular swelling. He endorsed some aching and swelling. He denie...
Tactical Medicine News

SAEM Clinical Images Series: My Eye is Swollen

A 56-year-old male presented to the Emergency Department with a chief complaint of painful eyelid swelling and itching upon waking up. He reported ...
Tactical Medicine News

SAEM Clinical Images Series: Unilateral Facial Pain

A 78-year-old male with a past medical history of Lewy body dementia, hypertension on bisoprolol, hypothyroidism, COPD, chronic lower extremity ede...
Tactical Medicine News

SAEM Clinical Images Series: Breast Swelling

A female in her 50s with a past medical history of coronary artery disease, pacemaker placement, hypertension, and ESRD presented to the emergency ...
Tactical Medicine News

SAEM Clinical Images Series: Localized Weakness

A 69-year-old Caucasian female with a past medical history of seizures, cerebral vascular accident, and Parkinson’s disease presents by EMS for eva...
Tactical Medicine News

SAEM Clinical Images Series: Found Down

A 67-year-old caucasian male experiencing homelessness was “found down” in a parking lot. EMS reported that he had a GCS of 6 with a systolic blood...
Tactical Medicine News

SAEM Clinical Images Series: A Backpacker’s Rash

A 33-year-old female presented with a progressively worsening rash for one week. The patient just finished hiking the John Muir Trail, a backpackin...
Tactical Medicine News

SAEM Clinical Image Series: Snowball Effects

A 13-year-old boy presented to the emergency department with complaints of a right eye injury. Five hours prior to arrival, he was struck directly ...
Tactical Medicine News

SAEM Clinical Image Series: An Uncommon Cause of Shortness of Breath

A 102-year-old female presents with intermittent epigastric abdominal pain for the last two days. Episodes have no relieving or exacerbating factor...
Tactical Medicine News

SAEM Clinical Image Series: Eye Pain

A 59-year-old gentleman experiencing homelessness with a history of hepatocellular carcinoma, hepatitis C, alcohol use disorder, and tobacco depend...
Tactical Medicine News

SAEM Clinical Image Series: Pediatric Rash

A 17-month-old girl with a history of eczema presents to the pediatric emergency department for evaluation of a rash. The rash is different from he...
Tactical Medicine News

SAEM Clinical Image Series: Painful Blue Arm

A 68-year-old male with a past medical history of hypertension, hyperlipidemia, and recent ileostomy secondary to small bowel obstruction presented...
Tactical Medicine News

SAEM Clinical Image Series: Inguinal Masses

A 50-year-old female with a past medical history of gastritis and marijuana abuse presents to the Emergency Department (ED) with epigastric abdomin...
Tactical Medicine News

SAEM Clinical Image Series: I Have a Stomachache

An 18-year-old male with no significant past medical history presents with diffuse abdominal pain and multiple episodes of non-bloody, non-bilious ...
Tactical Medicine News

SAEM Clinical Image Series: Vomiting in the Pediatric Patient

A 2-year-old boy with a past medical history of Hirschsprung disease presents to the emergency department (ED) with vomiting, abdominal distension,...
Tactical Medicine News

SAEM Clinical Image Series: Painful Weeping Rash

A 67-year-old nontoxic appearing male patient with a history of coronary artery disease, hyperlipidemia, transient ischemic attack, gout, renal col...
Tactical Medicine News

SAEM Clinical Image Series: Chronic Back Pain

A 52-year-old male with a past medical history of prostate cancer status post radiation therapy 10 years prior presents to the emergency department...
Tactical Medicine News

SAEM Clinical Image Series: Pediatric Rash

A previously healthy 8-year-old female presents to the pediatric emergency department due to a rash. Her symptoms started three days prior to prese...
Tactical Medicine News

SAEM Clinical Image Series: A Young Woman with Chest Pain

A 35-year-old female with a history of intermittent palpitations who is three months post-partum presented to the emergency department (ED) with th...
Tactical Medicine News

SAEM Clinical Image Series: A Rapidly Spreading Rash

A 40-year-old male with a past medical history of HIV presented for evaluation of a non-pruritic rash. Six days ago, he suddenly felt a stinging se...
Tactical Medicine News

SAEM Clinical Image Series: Silver Scales

A 6-year-old otherwise healthy female presented to the emergency department (ED) with a rash across all four extremities. She has had seven months ...
Tactical Medicine News

SAEM Clinical Image Series: Traumatic Swollen Eye

A 53-year-old caucasian male with a history of alcohol and amphetamine abuse presents to the Emergency Department via ambulance immediately after s...
Tactical Medicine News

SAEM Clinical Image Series: Pediatric Penis Swelling

A 3-year-old healthy uncircumcised male presents to the Emergency Department with five days of penis swelling and pain. Five days prior, his father...
Tactical Medicine News

SAEM Clinical Image Series: Pulseless and Painful Blue Leg

A 57-year-old male who works as a truck driver with a history of hypertension, type 2 diabetes, and recent COVID-19 infection presents with right l...
Tactical Medicine News

SAEM Clinical Image Series: A Recurring Neck Mass

A 30-year-old female with no significant past medical history presents to the Emergency Department with a six-day history of an enlarging, tender, ...
Tactical Medicine News

SAEM Clinical Image Series: Sudden Onset of Facial Petechiae in Kindergartener

A 6-year-old boy with no past medical history presented when his parents noticed facial petechiae after picking him up from school. He had a series...
Tactical Medicine News

SAEM Clinical Image Series: Facial Edema

A 44-year-old female presents to the emergency department after noticing swelling of her tongue and face, specifically the cheeks and periorbital a...
Tactical Medicine News

SAEM Clinical Image Series: What’s This Thing on My Face?

A 91-year-old female patient presented with her family after concern for multiple new lesions on her face and hands. The patient thinks the lesio...
Tactical Medicine News

SAEM Clinical Image Series: Guess Who’s Back?

A 27-year-old male with no significant past medical history presented to the emergency department with one week of progressively worsening, non-p...
Tactical Medicine News

SAEM Clinical Image Series: Finger Pain

The patient is a 24-year-old female who presents to the emergency department for left middle finger pain and swelling. She is right hand dominant...
Tactical Medicine News

SAEM Clinical Image Series: Edema Got Your Tongue?

A 57-year-old male presented to the emergency department with a swollen mouth for three hours. He reported never having experienced this before a...
Tactical Medicine News

SAEM Clinical Image Series: Sun-burnt Hands and Lips

A 44-year-old Caucasian male with a past medical history of hepatitis C presents with a complaint of pain, swelling, and skin blistering of his h...
Tactical Medicine News

SAEM Clinical Image Series: The Insidious Rash

A 60-year-old African American female with a history of hypertension presents to the emergency department for an itchy, diffuse rash. She first n...
Tactical Medicine News

SAEM Clinical Image Series: What Lies Beneath?

A 35-year-old male with a history of diabetes and pericarditis, status post pericardiectomy 3 years ago, presented with a painful lesion on his a...
Tactical Medicine News

SAEM Clinical Image Series: Left Ear Mass

A 25-year-old male who was previously healthy presents to the emergency department with a painful left posterior ear mass. The mass began as a “p...
Tactical Medicine News

SAEM Clinical Image Series: Blisters, Bullae, and Badness

A 3-year-old female with a history of epilepsy presents with a rash that began one day ago. The patient started becoming fussy four days ago, say...
Tactical Medicine News

SAEM Clinical Image Series: The Hemorrhaging Bifurcated Tongue

A 26-year-old male with no past medical history presented to the emergency department for tongue bleeding for one day. Five days prior he had an ...
Tactical Medicine News

SAEM Clinical Image Series: Shortness of Breath

A 60-year-old female presented to the emergency department (ED) for respiratory distress. Emergency medical services reports that the patient was...
Tactical Medicine News

SAEM Clinical Image Series: Oral Trauma and Mass

A 38-year-old African American male without a significant past medical history presented with an oral mass. He was struck on the mouth by a wrenc...
Tactical Medicine News

SAEM Clinical Image Series: Eye Pain After Assault

A 33-year-old male presents with intermittent blurry vision and left eye pain for 3 months, and a left-sided orbital headache for 1 day. He repor...
Tactical Medicine News

SAEM Clinical Image Series: Surfing Sting

A 38-year-old male presents 8 days after being stung in the left foot while surfing. He reports the sudden onset of sharp pain while walking in t...
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