Browsing: April 2019

Infectious Disease

How to Give Your Patients Bacteria and Not End Up in M&M

4/10/2019 Joshua Davis, MD
Probiotics are moving from "alternative" practice into mainstream medical management.
International EM , Medical Education

Responding to the Demand: EM Residency Programs and Global Health Experiences

4/10/2019 Danielle Rush Stevens, MD , Ryan Joseph, DO, DTM&H , Browning S. Wayman, MD, DTM&H , Andrew E. Muck, MD, FACEP
Although the majority of residency programs offer elective opportunities, few provide the foundation for formal global health experiences. Yet the benefits of international clinical rotations for a ph
Ultrasound , Guided Procedures

Ultrasound-Guided Subclavian Vein Cannulation: The Vessel to Remember

4/9/2019 Ashley Miller, MD , Marsia Vermeulen, DO, FACEP
Ultrasound-guided subclavian vein access is a safe, effective and efficient option for central venous cannulation. Using ultrasound can decrease the time to cannulation in addition to many of the fear
Prehospital Care

Extending the Window: Updates in Prehospital Stroke Alert Identification Clinical Scenario

4/9/2019 Brittany Beel, MD
The DAWN and DEFUSE trials have expanded the window for stroke intervention. How is that affecting prehospital care?
Infectious Disease

Rare Occurrence of Lemierre's Syndrome: A Case Report

4/9/2019 Kevin Hanson, MD , Chadd Kraus, DO, DrPH, MPH
The advent of antibiotics turned Lemierre's Syndrome into "the forgotten disease." But this easily misdiagnosed condition can potentially be fatal.
Health Policy , Advocacy

Making Sense of Balance Billing

4/8/2019 RJ Sontag, MD
One of the most hotly contested topics in health policy right now is the issue of balance billing, which can leave patients with exorbitant bills while emergency physicians' services go unpaid. Learn
President's Message

EMRA Continues Advocating for You

4/8/2019 Omar Maniya, MD, MBA
It's been an exciting spring for advocacy. We stay alert so that every time a decision that affects EM residents' lives is being made, the EM residents' voice on the matter is heard loud and clear.
Toxicology

Excited Delirium: Acute Management in the ED Setting

4/8/2019 Kasha Bornstein, MSc Pharm, EMT-P , Tim Montrief, MD, MPH , Mehruba Anwar Parris, MD
Excited delirium syndrome is a common yet poorly characterized ED presentation with a wide differential diagnosis. Patients are often identified initially by law enforcement, but attempts to control i
Editor's Forum

Unsafe Nursing Ratios Incapacitate EDs, Endanger Patients

4/8/2019 Tommy Eales, DO
Decreasing the nurse-to-patient ratio immediately increases the frequency of medication errors and all-cause mortality for all patients in the ED — not only the critically ill ones who just arrived.
Toxicology , Toxins

Wilderness Toxins: Can You Identify the Poison?

4/8/2019 Geoff Comp, DO, FAWM , Charles Duke, MD, PhD , Heath A. Jolliff, DO, FACMT, FAAEM, FACEP
The prompt identification of a potential environmental toxin allows for early treatment and management. Specific identification as well as recognition of pertinent signs and symptoms are important ski