Administration & Operations , Patient Interactions , Medical Education

A Perfect Storm of Uncertainty: Forecasting Inpatient Length of Stay from the Emergency Department

10/31/2024 John Thompson, MD

“How long will I be in the hospital?” A review of the literature suggests that predicting length of stay at time of admission remains extremely difficult, and emergency physicians in particular are po

COVID-19 , Ophthalmology , Vascular , Dermatology

Onset of Behcet’s Disease Following COVID-19 Infection: The Role of Emergency Physicians in the Diagnosis of Rare Diseases

10/31/2024 Brett Keith Fulleylove-Krause, MD , Brittni Cera Peach, DO

COVID-19 infections can trigger a cascade of comorbidities, including Behcet’s Disease. This rare condition causes chronic and remitting vasculitis, painful ulcers, and rash.

Wilderness Medicine , Dermatology

A Case of Isolated Focal Frostbite of the Cheek over Cosmetic Dermal Filler

10/30/2024 Sarah Spelsberg, MD, FAWM, FEWM , Andrea Sharp, MD , Sara Filmalter, MD, CAQSM, FAWM, DiDMM , Jessica Pelkowski, DNP, APRN, AGPCNP-BC, ONP-C , Abraham Boxx, BCP, NR-P, FP-C, BSN, FAWM

Dermal fillers are becoming more prevalent - and with them, associated risks. This case shows how the aesthetic procedure may contribute to cold weather injuries.

Patient Interactions , Toxicology , Pharmacology

Introducing the Fiver: A Modernized Alternative to the B-52 for Acute Agitation Control

10/22/2024 Matthew J. Christensen, MD, LT, MC, USN

Violence against health-care workers caused by acutely agitated patients is an unfortunate reality for many of us. When attempts at verbal redirection do not successfully de-escalate the situation, ex

ECG Challenge , Cardiology , Medical Education

ECG Challenge: Oct-Nov-Dec 2024

10/22/2024 Nina Vazquez, MD , Yash Chavda, DO , Jeremy Berberian, MD

EMRA ECG Challenge

Patient Interactions

Breaking the News: A Discussion on Effective Communication of Death Disclosure

10/22/2024 Mustafa Bahramand, MD , Michael Zdradzinski, MD

Telling a family member that their loved one has died is never an easy conversation, and it requires careful thought and consideration. This discussion reviews how to communicate such difficult news.

Cardiology

In-Hospital Cardiac Arrest: An Unexpected Turn of Events

10/22/2024 Hailey Hoffmann, MD , Trung Tran, MD

Identifying a rapidly evolving myocardial infarction in the emergency department, especially in a patient with a distracting presentation, necessitates a timely diagnosis and prompt evaluation.

Airway , Ventilator Management , Medical Education

The Vent Experience: Becoming the Ventilated Patient

10/22/2024 Brent Veerman, MD , Adam Anderson, MD , Alex Piszker, DO

A solid background in ventilator management is a necessary skill for the emergency physician. Understanding mechanical ventilation, its different modes and settings, is paramount to providing intubate

Endocrinology , Cardiology , Pulmonary

Heart Failure in the Young Patient: A Case of Reversible Cardiopulmonary Dysfunction

10/22/2024 Paul Omagor, MD , Jessica Pelletier, DO, MHPE, FAAEM

Thyroid storm is a potentially fatal manifestation of untreated thyrotoxicosis and may result in cardiopulmonary dysfunction. Cardiopulmonary failure is potentially reversible with prompt antithyroid

Hematology , Neurology

Hyperviscosity Syndrome: A Differential Diagnosis for Altered Mental Status

10/22/2024 Hector D. Barreto-Vazquez, MD , Philip Alapat, MD

Altered mental status is a common presentation that requires a time-sensitive evaluation. But that evaluation can be addressed under a broad range of categories. This case demonstrates AMS evaluation

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