Browsing: Clinical

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Cardiology

The Tales of (Cardiac) TNK

5/20/2025 Dulari Patel, DO , Crystal Triplett, MD , Brenda Sokup, DO

We examine two cases of acute myocardial infarction that required thrombolytics administration in the emergency department, prior to cardiac catheterization. Although outcomes differed, these cases hi

Addiction Medicine , Behavioral Health

Substance Use Harm Reduction 101 for the Emergency Clinician

5/20/2025 Anna Stacy, MD

Harm reduction for substance use is an evidence-based approach to building rapport with patients, meeting them where they’re at, and helping build a bridge to recovery. It aims to be non-judgmental an

Critical Care Devices , Critical Care , Pulmonary

Critical Care Device Series: Pulmonary Artery Catheter (Part 1 of 3)

5/20/2025 Barret Zimmerman, MD , Mario Castellanos, MD , Allie Schick, MD

Pulmonary artery catheters (PACs) are considered a valuable diagnostic and management tool in cardiogenic shock. For this application, their use is supported by recent evidence correlating their place

Hematology , Urology , Infectious Disease

Cold Agglutinin Syndrome: A Case Report

5/15/2025 Andrew B. Blink, MD , Amanda Irish, MD, MPH, MS, DTMH

Cold agglutinin syndrome is an autoimmune hemolytic anemia mediated by cold agglutinin, typically monoclonal, proteins. This pathology is termed “cold” as the agglutinin proteins bind to their target

Cardiology , Toxicology

Alcohol-Induced Narrow Complex Tachycardia

5/15/2025 Pham To Uyen, MD , Huynh Minh Tri, MD , Vo Thanh Tan, MD

Narrow complex tachycardia can be a life-threatening condition that requires prompt evaluation and treatment. Synchronized cardioversion is critical in hemodynamically unstable patients.

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

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