International EM , Medical Education , Informatics

Empowering Emergency Medicine Clinicians in Low-Resource Settings: Continuing Medical Education on Stick (CMES) Innovations for Global Learning

12/10/2024 Bethel Mwenze, EMT-P , Manoj Thomas, PhDMBA, MS IS, PhD , Emily Cloessner, MD, MSPH , Nicholas Maxwell, MD , Vera Sistenich, BMBCh, MA, FACEM, DH&TM, MPH , Deb Stoner, MD , Yan Li, PhD , Jessica Pelletier, DO, MHPE, FAAEM

High-quality CME resources can be difficult to access in many parts of the world. An initiative by Techies Without Borders aims to change that.

Toxicology , Pharmacology

Case Report: A Review of Metformin-Associated Lactic Acidosis

12/10/2024 Madeleine Silverstein, MD , Avirale Sharma, MD , Vivek Medepalli, MD , Andrea Nillas, MD , Jedidiah Leaf, MD , Dazhe Cao, MD

In the emergency department, it can be difficult to get a complete medication history, especially in patients who have altered mental status or are too acutely ill to provide a meaningful history. Yet

Cardiology

Emergency Department Approach to LVAD Patients

12/10/2024 Anam Chaudhry, DO , Jeremy Berberian, MD , Nisha Gandhi, MD

Nearly 6.7 million Americans over the age of 20 have been diagnosed with heart failure – and more than 2,500 receive a left ventricular assist device. Do you know how to triage and treat LVAD patients

Genitourinary , Infectious Disease , Patient Interactions

Pneumolabium: A Case Report of COVID Turned Fournier’s Gangrene

12/10/2024 Miranda Teixeira, MD

It’s easy to fall prey to diagnostic anchoring, especially on busy shifts. But reliance on initial triage information can obscure life-threatening conditions.

Toxicology , Dermatology

Case Report: Severe Chronic Argyria Secondary to Silver Supplement Use

12/10/2024 Brian Evans, MD , Jonathan Bartolomei, MD , Cory Howard, MD

Colloidal silver is a popular, yet unregulated, supplement used for a spectrum of perceived health benefits. However, the FDA issued a final rule deeming it “not generally recognized as safe and effec

Ophthalmology , Trauma , Ultrasound

Acute Right Eye Pain and Vision Loss: A Workout Gone Wrong

12/10/2024 Corey Michelson, MD , Philippe Stanier, MD , Sydney DeArmond, PA

Patients with suspected ocular trauma are at risk of vision loss - and emergency physicians must recognize the danger. This is one situation where an emergent ophthalmology consult is critical, as you

Vascular , Critical Care

Bad Arterial Material: A Case of Leriche Syndrome

12/10/2024 Aditi Ranade, MD , Connor Welsh, MD , Patrick Eiben, MD

Aortoiliac occlusive disease, otherwise known as Leriche syndrome, mostly affects older individuals with classic risk factors for peripheral artery disease (PAD). Although typically a progressive dise

Airway , Vascular , Ultrasound

Silent Strangulation: A Unique and Unpredictable Encounter of a Spontaneous Thyroid Hematoma in the Emergency Department

12/3/2024 Tibor Nagy, DO , Austin King , David Gregory, MD

Airway management of expanding neck hematomas can challenge even the most expert of emergency clinicians. Management becomes even more challenging in atypical presentations.

Trauma , Urology , Psychiatry , Toxicology

Auto-Orchiectomy: Examining Cases, Causes, and Motives

12/3/2024 Samantha K. Kos, MS , Hannah G. Davis-Adams, BS, BA , Brooke M. Beers, MS , Bryan R. Troop, MD, FACS

Auto-orchiectomy has been linked to psychosis, substance use, and psychiatric disorders. Treating the result of the behavior is critical - but it’s also important to address the underlying impetus.

Vascular , Ultrasound

Differential Beyond Deep Vein Thrombosis for Unilateral Leg Swelling: A Case of May-Thurner Syndrome in the Emergency Department

12/3/2024 Shaylor Klein, DO, MSEd , Jamie Adamski, DO, FACOEP, FAAEM

Since almost 1 million of cases of deep vein thrombosis (DVTs) are diagnosed each year in the United States, it can be an easy diagnosis to make at the door. However, when the ultrasound is negative,

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