Browsing: June 2022

Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Association of Advanced Airway Insertion Timing and Outcomes in Out-of Hospital Cardiac Arrest

6/28/2022 Aaron Lim, MD , Roshan Givergis, DO , Neil Dasgupta, MD , Lyncean Ung, DO , Jijoe Joseph, DO, MBA
Our retrospective secondary analysis of data from the Pragmatic Airway Resuscitation Trial (PART), examining the timing of airway management in out-of-hospital cardiac arrest, found that: (1) there wa
Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Termination-of-resuscitation Rule in the ED Following Refractory Out-of-Hospital Cardiac Arrest

6/15/2022 Erin Bell, MD , Taylor Miller, MD
A recent study aimed to develop and validate a modified Goto’s termination-of-resuscitation rule. The results can inform emergency department management of patients who suffered out-of-hospital cardia
ECG Challenge , Cardiology

ECG Challenge: June-July 2022

6/10/2022 Eric Lieu, MD , Jeremy Berberian, MD
A 36-year-old female with a PMH of alcohol use disorder and type 1 DM presents with substernal chest tightness, nausea, vomiting, and diaphoresis. What is your interpretation of her ECG?
Cardiology

Extracorporeal Cardiopulmonary Resuscitation: The Golden Hour

6/10/2022 August Felix, MD , Douglas D. Campbell, MD
Extracorporeal cardiopulmonary resuscitation (ECPR) involves the application of percutaneous veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for management of cardiac arrest in the emergen
ENT , Otolaryngology

There’s an Eagle in my Throat!

6/10/2022 Gulreen Kassoo, DO , Ian Craven, MD , Andrew Sheep, MD , Ryyan Kassoo
Eagle’s Syndrome, described as a “foreign body’s sensation” in the throat, is characterized by calcified stylohyoid ligament or an elongated styloid process. Definitive treatment is surgical, requirin
Hematology , OB/GYN

Contraceptives: Rare Complications and Their Implications for Emergency Medicine

6/10/2022 Cody Meyers, MD , Ray Chahoud, DO
Contraceptive use increases the risk of enlarged hepatocellular adenomas and significant bleeding. When screening for medical history and medication lists, emergency physicians should ask women with a
OB/GYN , Pediatric EM , Radiology , Ultrasound

A Cautionary Tale of Adnexal Torsion in an Adolescent Female

6/10/2022 Kathleen Joseph, MD , Amanda Toney, MD
Ovarian torsion, marked by pelvic and abdominal pain and considered a surgical emergency, can be difficult to diagnose but should not be overlooked, especially among pediatric patients.
Airway , Ventilator Management , EMS , Pediatric EM

Pediatric Drowning Case: Favorable Neurologic Outcomes Possible With Prolonged CPR

6/10/2022 Dimitri Livshits, DO , Brenda Sokup, DO , Jordan Jeong, DO , Nirav Patel, DO , Mark Kindschuh, MD
Currently, there are no definitive guidelines or robust clinical evidence on which to base the duration of CPR in pediatric drowning cases. However, we make the case that in select drowning patients,
Administration & Operations , Medico Legal

RVUs and You

6/10/2022 Margaret Provencher, MD , Dheeraj Duggineni, MD , Hisham Valiuddin, DO
Be specific, and be smart, about documenting, charting, and coding patient encounters. Underbilling results in lost opportunities for physicians and their institutions.
Cardiology

Cardiac Arrest in a Young Woman With Spontaneous Coronary Artery Dissection: A Case Report

6/10/2022 Amanda dos Santos, MD , Kathryn Marie Moore, DO , Douglas Gallo, MD
Spontaneous Coronary Artery Dissection (SCAD) is associated with cardiac arrest in women during the peripartum period. The mechanism of SCAD is thought to be partially related to inflammatory changes