Browsing: Clinical

Sports Medicine , Event Medicine

Drowning from Within: Swimming-Induced Pulmonary Edema (SIPE)

3/19/2025 Daniel Doynow, DO, MPH , Jonathan Nogueira, DO , Jacob Grondin

Swimming-induced pulmonary edema—SIPE—is a rare and not well-understood phenomenon, most common among military and athletes. Emergency physicians, event medicine staff, and prehospital care teams shou

Infectious Disease , Pulmonary

A Case of Influenza A Encephalitis in an Adult with Addison's Disease

3/19/2025 Austeja S. Rubeski, OMS-IV , Brett Sweeney, MD

Physicians should recognize influenza encephalitis as a possible cause of altered mental status during influenza season. Furthermore, it is important to recognize Addison’s Disease as an increased ris

Infectious Disease , Pulmonary

A Review of Pneumocystis Pneumonia (PCP)

3/19/2025 Elon Einav, DO

Pneumocystis pneumonia (PCP), an opportunistic infection attacking the lungs, can be a harbinger of other diagnoses. Clinicians should investigate while planning the best course of treatment.

Career Planning , EMS , Prehospital and Disaster , Fellowships

It’s Time to Consider an EMS Fellowship

3/19/2025 Gregg A. Jones, MD, FAEMS

From hands-on and varied field experience to a deepened understanding of prehospital care and transition to hospital to your own response vehicle, reasons abound for EM residents to consider an EMS fe

Cardiology , Toxicology

Nitroglycerin's Hidden Trigger: The Bezold-Jarisch Reflex Revealed

3/19/2025 Jacob Goodbar , Amanda Murphy, MD

Quick recognition of the Bezold-Jarisch reflex triad of hypotension, bradycardia, and apnea is important for any physician who administers nitroglycerin. This knowledge can ensure positive patient out

International EM , Toxicology , Medical Education

Toxicology in Australia: Extreme Education

3/19/2025 Brittany (Ladson) Garza, DO, MPH

If you’re looking for an eye-opening elective, consider a toxicology rotation in Australia. EMRA Toxicology Committee Vice Chair Brittany Garza, DO, MPH, shares a firsthand account.

Gastroenterology , Airway

The Bougie: Not Just for a Difficult Airway

3/19/2025 Kelcie Hill, MD

Up to 200,000 patients per year in the U.S. are given percutaneous endoscopic gastrostomy (PEG) tubes. A sizeable portion of those struggle with dislodged feeding tubes. A simple piece of airway equip

Critical Care , Critical Care Roadblock , Cardiology

Roadblock: Electrical Storm

3/7/2025 Szymon Kutyla, MD , Josh Wild, DO , Evan Leibner, MD, PhD , Rosy Thachil, MD, FACC

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

Neurology , Ophthalmology

The Ice Pack Test: A Diagnosis of Myasthenia Gravis in the Emergency Department

3/1/2025 Sam Cray, DO , Austin Bennett, DO, FAWM

Myasthenia Gravis (MG) is an autoimmune neuromuscular disorder characterized by the formation of autoantibodies against postsynaptic acetylcholine receptors at the neuromuscular junction resulting in

Airway

A Tricky Case of Peri-intubation Trismus

3/1/2025 Gracey McGrory, MD , Jerad Eldred, MD , Kristina Domanski, MD

When trismus occurs, unconventional methods might be required to achieve and maintain the airway. This case highlights emergency medicine’s nimble approach to the difficult airway.