Toxicology

Toxic Twist: Valacyclovir and the Mystery of Altered Mental Status

5/15/2025 Alexander Kalicki, MD , Megan Stark Claypool, MD , Duncan Grossman, DO, MSEd

Errors in medication prescription can lead to serious consequences and even toxicity, as demonstrated in this case of a patient who was taking valacyclovir. A thorough medication reconciliation is req

Cardiology , Orthopedics

From Heart Stop to Foot Drop: Lisfranc Injury after Cardiac Arrest

5/15/2025 Anthony Jourdan, MD , Derek Altema, MD

The Lisfranc joint complex, also known as the tarsometatarsal (TMT) joint complex, is essential for maintaining the arch of the midfoot. The TMT joint complex functions as a pivotal joint for midfoot

Sports Medicine , Neurology

The New Playbook on Concussions: Updated Guidelines for Prevention, Management, and Recovery

5/13/2025 Joshua Rayburn, MD

An estimated 1.6 to 3.8 million sports-related concussions occur annually in the United States, a number that has steadily risen over the past two decades. Reflecting on the latest developments, the 6

Toxicology , Psychiatry

Rethinking B52

5/13/2025 Adrianne Buckles, DO , Jonathan Dobrinsky, MD

Acute agitation is a common presentation in the emergency department. Are your practice protocols keeping up with the latest evidence on appropriate medications? It could be time to rethink the fall-b

Ophthalmology , Ultrasound

Orbital CellulitUS: Utilizing Ultrasound for Evaluation of Orbital Cellulitis

5/12/2025 Casey Wilson, MD , Jacob Pope, DO , Sanna Ho-Gotshall, DO, AEMUS-FPD , Vanessa Knapp, DO, MMS

Orbital cellulitis is an ophthalmologic emergency that requires immediate diagnosis and management; delayed diagnosis can pose a risk for vision loss and intracranial infectious extension. Point-of-ca

Toxicology , Addiction Medicine , Neurology , Social EM

Subacute Combined Degeneration Secondary to Nitrous Oxide Use: A Case Report

5/12/2025 Brianna McMonagle , Colleen Arnold, MD , Marlena Wosiski-Kuhn, MD, PhD , Anita Goel, MD

Nitrous oxide toxicity can be difficult to recognize, but when left untreated, it can lead to irreversible neurologic damage. Get some pointers in dealing with this vague presentation.

POCUS For the Win , Orthopedics

POCUS for the Win: Point-of-Care Ultrasound for the Diagnosis of Acute Achilles Tendon Rupture

5/7/2025 Allison Harmsworth Smith, MD , Louisa Weindruch, DO , Chase Forehand, MD , Whitney Potomac, DO, MS, FACEP, FDP-AEMUS , Jonathan Brewer, MD, FACEP, FPD-AEMUS

The Achilles tendon is the most commonly ruptured tendon in the human body. This case highlights the utility of bedside point-of-care ultrasound in the emergency department for diagnosing this and oth

Toxicology , Psychiatry

A Case of Lithium Toxicity Masked by Behavioral Symptoms in a Psychiatric Patient

5/6/2025 Rebecca Notini Kirby, MD , James O'Neill, MD , Jennifer Hannum, MD

Distinguishing between medical and psychiatric causes of altered mental status (AMS) can be challenging, as the two may present with similar clinical manifestations.1 As a result, patients with underl

EMS , Wilderness Medicine , Trauma

A Self-Contained Hypothermic Rewarming System: A Case Study

5/6/2025 Conner W. Lynn , Skyler Hill-Norby, DO , Jennifer McGowan, MD

Hypothermia, one part of the deadly trauma triad, requires careful rewarming. This report reviews two cases of hypothermia presenting to resource-limited community sites, both managed via internal tem

Cardiology , Social EM , Ultrasound

Case Report: Arrhythmogenic Right Ventricular Cardiomyopathy Presenting with Inappropriate ICD Discharges

5/6/2025 Eytan Mendelow, DO , Daniel Patino-Calle, MD

The results of insufficient health care insurance and access can be seen most clearly in the emergency department. This case focuses on managing arrhythmogenic right ventricular cardiomyopathy (ARVC)

Browsing: May 2025