Browsing: June 2022

Ultrasound , Critical Care

Missed Ruptured Abdominal Aortic Aneurysm in a Paraplegic Patient

6/10/2022 Haad Arif , Sunny Bang, MD

AAAs are generally asymptomatic before rupture and often lethal due to delays in diagnosis and care, as most are missed for alternative diagnoses before hemodynamic compromise occurs. Traditional phys

OB/GYN

Malpositioned IUD and Uterine Perforation

6/10/2022 Julia S. Marcus , MAJ John Kiel, DO, MPH, CAQ-SM

Although rare, complications with IUDs do occur and can require quick diagnosis and urgent management, particularly when involving complete perforation. Emergency physicians should consider IUD compli

OB/GYN , Urology

Acute Urinary Retention: A Rare Case of Incarcerated Uterus in the Gravid ED Patient

6/10/2022 Katherine Tougas , Bryson Hicks, MD , Ryanne Mayersak, MD, MS

When a pregnant woman, especially at 14 to 16 weeks gestation, shows signs of acute urinary retention, consider retroverted incarcerated uterus as a potential cause.

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

COVID-19 , Neurology

Acute Inflammatory Demyelinating Polyneuropathy After COVID-19

6/10/2022 Zariad Saran, DO , Elizabeth Clair, DO

Although post COVID-19 fatigue and weakness are common and often benign complaints, high suspicion for Guillain-Barré syndrome should be upheld when evaluating patients, as there have been numerous ca

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

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.

Behavioral Health , Psychiatry , Mental Health

Patient Boarding During COVID-19: A Literature Review

6/10/2022 Kelsey Mercedes Morgan, RN-BSN, CEN, PMHN , Christina Brown, MD , Nicholas Stark, MD, MBA

Since the beginning of the COVID-19 pandemic, emergency departments across the country have seen a well-documented increase in patient volume and boarding. Psychiatric boarding specifically has been a

President's Message

Career Launchpad: Helping You Be the Best Doctor and Leader in EM

6/10/2022 Angela Cai, MD, MBA

At the beginning of my term as your EMRA president, one of our priorities was for EMRA to be the leading source of career planning guidance as you work your way through residency, graduate, and tackle

Op-Ed

Op-Ed: The New Reality of Emergency Medicine and the Rise of Peri-Primary Care

6/10/2022 Sophie Karwoska Kligler

The field of EM continues to grow and evolve. Should practitioners adapt and expand their acceptance of patient visits for care of chronic issues that can be considered life-threatening?