Browsing: October 2022

Critical Care Devices , Surgical Airway , Critical Care

Critical Care Device Series: Tracheostomy Complications and Troubleshooting in the ED

10/24/2022 Evan McMurray, MD , Brendan Innes, MD , Taylor Miller, MD
Tracheostomies are a common surgical procedure for long-term airway management that involves creating a permanent connection between the anterior neck and trachea. Complications occur in up to 50% of
Critical Care Ultrasound , Ultrasound , Critical Care , Cardiology

Advanced Critical Care Ultrasound: The 60/60 Sign, Let's Be Specific

10/24/2022 Dustin Slagle, MD , Parth S. Gandhi, DO , Ashley Panicker, MD, FACEP
The 60/60 sign is an ultrasound finding that can help increase specificity in diagnosing right ventricular dysfunction in the setting of an acute pulmonary embolism.

EMRA FY2022 Annual Report

10/10/2022
EMRA's fiscal year-end report for 2022 reveals a busy year that included our triennial strategic planning process, which refocused our organization in the wake of exponential growth in membership, pro
Nephrology , Urology

Unusual Causes of Hematuria

10/10/2022 Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C , Zhanna Roit, MD
Hematuria, while a common presentation to the ED, can have myriad causes. Some of those causes, such as a ruptured AAA and tuberculosis, can be life-threatening if not recognized. When working up a pa
Ophthalmology

Tearful from Topiramate: A Case of Bilateral Secondary Angle Closure Glaucoma

10/10/2022 Kalee Morris, DO, MS , Cynthia Oliva, MD
Managing acute angle closure glaucoma in the ED involves decreasing intraocular pressure caused by excess aqueous humor. Once the diagnosis is made, steps can be initiated to rapidly decrease the pres
Cardiology

ST Elevation Myocardial Infarction in a Biventricular Paced Rhythm

10/10/2022 Priyanka Ravindran, MD , Rabia Iqbal, DO , Jason Kolb, MD
More studies are needed to create sensitive and specific criteria for coronary-related ischemia in patients with biventricular pacemakers, but high clinical suspicion, changes in EKG, and early recogn
ECG Challenge , Cardiology

ECG Challenge: October-November 2022

10/10/2022 Mary Voelker, DO , Jeremy Berberian, MD
A 68-year-old female with a past medical history of hypertension presents to the emergency department via private vehicle for recurrent intermittent episodes of unresponsiveness that started just prio

News & Notes in Emergency Medicine

10/10/2022
News & Notes in Emergency Medicine
Op-Ed , Pediatric EM , Ultrasound

Yes, We Scan: Change Core US Requirements to Include Pediatrics

10/10/2022 Jenn Purcell, DO , Justin Hanson, DO , Jacob Pope, DO , Sarah Kleist, MD , Casey Wilson, MD
If pediatric abdominal ultrasound is routinely and deliberately taught to EM residents, a cultural shift away from obtaining abdominal CTs in children would be the desired outcome.
Gastroenterology

Update on State-of-the-Art Imaging and Stool Tests for IBD in the ED

10/10/2022 Samuel J. S. Rubin, PhD , William W. Dixon, MD
For patients with IBD flare, maintain a broad differential diagnosis, promptly initiate appropriate workup for earlier intervention and better outcomes, obtain stool samples as early as feasible for l