Browsing: June 2019

Ultrasound - Cardiac Tamponade - Image 3a.png

Ultrasound , Cardiology

An Atypical Presentation: Cardiac Tamponade and the Value of Point-of-Care Ultrasound

6/10/2019 Christopher M. Tripp, MD , Zachary T. Grambos, MD

Point-of-care ultrasound potentially saved a life in this case of cardiac tamponade in a patient with end-stage renal disease.

Awards

My Experience with the EMRA Tactical EMS Scholarship

6/10/2019 Gregory Jasani, MD

An EMRA travel scholarship helped add important skills that one recipient hopes never to need - yet is glad to have at the ready.

Informatics

What Is Informatics? P.S. - It's not just for nerds

6/10/2019 Fran Riley, MD, MSE

Informatics remains an up-and-coming field, and its applications in medicine are far-reaching. Just don't be intimidated by the name.

Health Policy

All About EMTALA: The Law That Runs the ED

6/10/2019 Eric Maughan, MD

The Emergency Medical Treatment and Labor Act was meant to ensure emergency care for all. While it has provided that type of safety net, some unintended consequences have not been as positive.

Cardiology

From Dizzy to Torsades de Pointes: A Case Report

6/10/2019 Afrah A. Ali, MBBS , Muhammad Sameed, MBBS

The most common cause of torsades de pointes is acquired prolongation in the QT interval because of medication. Treating it may require pharmacologic pacing or, in some circumstances, mechanical pacin

Pulmonary

The Elusive Foreign Body: A Case Report

6/10/2019 Divya Mohan, DO , Jamie Adamski, DO, FACOEP, FAAEM

Foreign body aspiration is a frequent complaint in the ED. Finding the culprit, however, is not always straightforward.

Toxicology

Early Aggressive Whole Bowel Irrigation to Prevent Severe Lithium Toxicity After Acute Overdose

6/10/2019 Omid Manoochehri, MD , Alex Manini, MD , Josh Wang, MD , Larissa Laskowski, DO , Jeremy Rose, MD

Hemodialysis is the definitive modality of lithium clearance in severe toxicity. In early overdose, however, whole bowel irrigation may prevent lithium absorption and subsequent toxicity if mental sta

Toxicology

Intentional Flecainide Overdose: A Case Report

6/10/2019 James M. Gaylor, MD , Andrew Franco, MD , Leah Manchester, MD , Raquel F. Harrison, MD, FACEP

Flecainide overdose is a rare but serious toxic ingestion. Treatment includes the aggressive administration of sodium bicarbonate and a low threshold to initiate ILE or ECMO.

Behavioral Health

Ketamine's Therapeutic Value in Suicidal Patients

6/10/2019 Timothy Kelly, MD , Steve Rosonke, MD

A dearth of acute interventions for mental and behavioral health means we discharge many of our most at-risk patients home without first being able to significantly reduce their symptoms. Can ketamine

Pulmonary , Critical Care

Management of Simple and Systemic Asphyxiant Injury

6/10/2019 Justin De la Fuente , Tim Montrief, MD, MPH

Although asphyxiant exposure is a relatively uncommon phenomenon, it is important to keep in mind when evaluating an altered patient or a patient who has been found down, particularly in industrial or