Browsing: August 2019

ECG Challenge , Cardiology

ECG Challenge: August 2019

8/14/2019 Sarah Frantz, MD , Jeremy Berberian, MD
An 87-year-old female presents with generalized weakness for the past several days after a recent increase in her diuretic medication by her cardiologist.
Neurology

Take a HINT on Central Vertigo in the Emergency Department

8/13/2019 Michael D. Simpson, MD , Eric Kalivoda, MD
Differentiating benign peripheral conditions from central nervous system lesions like strokes can be difficult. Enter the HINTS exam - the objective measure.
Cardiology

A Quarrel, a Broken Heart, and a Dissection Walk into an ED…

8/13/2019 Sara Urquhart, MA, RN , Ashlee Barker, MD , Matthew Flannigan, DO, RDMS , William Merhi, DO, FACC
Spontaneous coronary artery dissection and Takotsubo syndrome rarely occur in the same patient at the same time - but when that patient appears, will you be able to act decisively?
Cardiology , Toxicology

Naloxone in Cardiac Arrest

8/13/2019 Kasha Bornstein, MSc Pharm, EMT-P , Tim Montrief, MD, MPH
Naloxone is a potent opioid receptor antagonist with an excellent safety profile and ability to reverse opioid-associated respiratory depression. Is it as effective when you're faced with patients in
Neurology , Trauma

Jackhammer Dissection

8/13/2019 Mary Katherine Montes de Oca , Zane P. Osborne, MD, MBA, FACEP , Sarah E. Fabiano, MD, FACEP, FAAEM
If a patient presents with recent trauma, neck pain, headache or neck manipulation with signs or symptoms of stroke, cervical artery dissection should be considered.
Cardiology

What to Consider with Double Sequential Defibrillation in Refractory VF

8/13/2019 Patrick McCarville, MD , Natalie Sullivan, MD , Evan Kuhl, MD , David Yamane, MD
Are you considering double sequential defibrillation in patients with refractory VF?
Ultrasound , Cardiology

Differentiating Acute Versus Chronic Right Heart Failure with Bedside Echocardiography

8/13/2019 Andrew Pellet, MD , Amy Zeidan, MD , Jacob Avila, MD
While there are a number of quantitative and qualitative assessments that can be used to evaluate right heart function, 2 measurements in particular can help differentiate acute versus chronic right h
Critical Care , Critical Care Alert

Critical Care Alert: The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS)

8/12/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
Fluid resuscitation guidelines for severe sepsis and septic shock presently address only the initial phase of resuscitation. The RIFTS trial examines the efficacy of a restrictive IV fluid resuscitati
Leadership Reports

Emergency Medicine Residents Oppose ACGME Changes to the Common Program Requirements

8/12/2019 Allison Beaulieu, MD , Tommy Eales, DO , Karina Sanchez, MD , Haig Aintablian, MD , Dhimitri Nikolla, DO , Nehal Naik, MD
The future of emergency medicine hangs in the balance as the EM community grapples with the ACGME's new Common Program Requirements.
Editor's Forum

Hahnemann Closure: The Worst GME Debacle in U.S. History

8/12/2019 Tommy Eales, DO
It's time for every medical student, resident, and practicing physician to stand up against ongoing threats to GME funding. The devastating closure of Hahnemann University Hospital in Philadelphia sho