Browsing: October 2022

Cardiology

Overlooked Sources of Bias in Adult Out-of-Hospital Cardiac Arrest Research

10/10/2022 Dhimitri Nikolla, DO

Although bias is pervasive in medical research, OHCA studies have unique sources of bias that are infrequently addressed in study methods. Recognizing these biases is vital to the critical appraisal a

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

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

Board Certification , Medical Education

Addiction Medicine Certification Strengthens EM Career

10/10/2022

Residents with certification in addiction medicine gain access to a number of benefits, including greater earning potential and federal loan repayment funds. Plus, the depth of knowledge that certific

OB/GYN

Complications of Elective Medical Abortions

10/10/2022 Julia S. Marcus , Eric Wert, MD , MAJ John Kiel, DO, MPH, CAQ-SM

It is typical for a patient to have side effects after a medical abortion. Differentiating expected versus significant adverse events is crucial to providing proper treatment. Patient education prior

Toxicology

Buprenorphine Induction: Where We Are and Where We’re Headed

10/10/2022 Lance Shaull, MD

Buprenorphine has been shown to be a safe and effective medication in multiple settings with extensive research on both unobserved induction and physician-observed induction. Emerging evidence suggest

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

Pulmonary , Ultrasound

Real-Time Ultrasonography in Malignant Pericardial Effusion with Tamponade and Concomitant Pulmonary Embolism

10/10/2022 Kandria Ledesma, MD , Omar Amr, MD

In the setting of a malignant pericardial effusion with tamponade and pulmonary embolism, medical management can be difficult due the need for heparinization as well as pericardiocentesis. In a peri-s

Pediatric EM

Verapamil in SVT: No Need to Drop the Beat

10/10/2022 Gregory Wu, MD , Weston Christensen, MD, MMSc , Cecily Swinburne, MD, MPH

When a pediatric patient presents to the ED with pSVT and vagal maneuvers have failed, choice of AV nodal blocking agent is important. Our case shows that calcium channel blockers offer several advant

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