Browsing: Clinical

Critical Care Alert , Critical Care , Resuscitation

Critical Care Alert: A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest

3/26/2025 Josh Wild, DO , Jacqueline Zhu, MD , Alexandra Hallagan, MD

Every minute counts for long-term outcomes in out-of-hospital cardiac arrest. Does the route of administration for lifesaving medications play a role? This EMRA Critical Care Alert dives into the PARA

EMS , Orthopedics

Severe Finger Entrapment in Gas Filler Cap Valve

3/23/2025 Robert Poth, DO , Courtney Merlo, DO , Andrew Park, MD , Akshay Srikanth, MD , Robert Klever, MD

How do you manage a case of a patient's finger stuck so completely in a Ford Explorer gas valve that EMS arrives with part of the vehicle attached to your patient? Hint: Consider the use of a nasophar

Vascular

Thoracic Outlet Syndrome as a Cause of Arm Swelling in Hemodialysis Patients: A Case Report

3/23/2025 Michael Yang, MD , Geoff Comp, DO, FAWM , Kimberly Mayekawa

Arm swelling in hemodialysis (HD) dependent patients is a serious complication associated with arterio-venous fistula (AVF) creation that is not often seen in the emergency department. We present a ca

Toxicology

A Case of Severe Lactic Acidosis Due to Metformin Toxicity

3/23/2025 Natalie Rech, MD , Sarah E. Fabiano, MD, FACEP, FAAEM

Metformin toxicity causes a profound lactic acidosis and can be concerning in patients with existing kidney impairment.

Infectious Disease , Pulmonary

A Case of Influenza A Encephalitis in an Adult with Addison's Disease

3/19/2025 Austeja S. Rubeski, OMS-IV , Brett Sweeney, MD

Physicians should recognize influenza encephalitis as a possible cause of altered mental status during influenza season. Furthermore, it is important to recognize Addison’s Disease as an increased ris

Career Planning , EMS , Prehospital and Disaster , Fellowships

It’s Time to Consider an EMS Fellowship

3/19/2025 Gregg A. Jones, MD, FAEMS

From hands-on and varied field experience to a deepened understanding of prehospital care and transition to hospital to your own response vehicle, reasons abound for EM residents to consider an EMS fe

Gastroenterology , Airway

The Bougie: Not Just for a Difficult Airway

3/19/2025 Kelcie Hill, MD

Up to 200,000 patients per year in the U.S. are given percutaneous endoscopic gastrostomy (PEG) tubes. A sizeable portion of those struggle with dislodged feeding tubes. A simple piece of airway equip

Neurology , Critical Care

NICE to Know Series: Aneurysmal SAH Care in the ED and Beyond

3/19/2025 Carlton Watson, MD, MS , Cappi Lay, MD

Aneurysmal subarachnoid hemorrhage (aSAH) is a must-not-miss diagnosis in the emergency department (ED). The rupture of an intracranial aneurysm leads to bleeding within the subarachnoid space, where

Airway , Pediatric EM

Partial Foreign Body Airway Obstruction (FBAO): Difficult Airway Planning and the Benefits of Interdisciplinary Care

3/19/2025 Cynthia Rincon, DO , Scott Crawford, MD, FACEP, CHSOS

Can’t-intubate/can’t-ventilate scenarios are critical, and the difficulty ramps up when your patient is a young child. Planning ahead for the difficult airway can make the difference between life and