Pain Management , Patient Interactions

Strategies and Insights for Procedural Pain Management in the ED

6/25/2024 Jennifer Mirrielees, MD , Jada Thompson

Effective pain management is challenging under any circumstances, particularly for patients presenting to the ED with painful injuries. Many factors contribute to how patients experience and manage pa

Immunology , Infectious Disease

Tick Talk: The Link Between Ticks and Red Meat Allergies

6/24/2024 Mounir Contreras Cejin, MD , Paris Price, MD

Alpha-gal syndrome may affect around 450,000 individuals in the United States. The incidence is expected to rise, likely due to climate changes favoring the expansion of tick populations. A recent stu

Research , Pediatric EM , Simulation , Grants

Grant Recipient Conducts Research on PALS-Based PEM Resources

6/14/2024 Imikomobong (Micky) Ibia, MD

The EMRA Simulation Research Grant allowed me to implement a multiyear pediatric emergency medicine (PEM) study that evaluates the effectiveness, usability, and workload implications of cognitive aids

Health Policy Journal Club , Health Policy , Administration & Operations , Social EM

Health Policy Journal Club: Null Results and Next Steps

6/14/2024 Lydia Bennett, MD , Vidya Eswaran, MD , Rachel Solnick, MD

In the United States, 50% of health care costs are accumulated by only 5% of the population. To curb spending, programs have been developed to improve outcomes in patients with high health care use. B

Critical Care Ultrasound , Critical Care , Cardiology , Trauma

Advanced Critical Care Ultrasound: Use of Mitral Inflow Velocity Variation in Evaluation of Cardiac Tamponade

6/12/2024 Dominique Gelmann, MD , Dustin Slagle, MD , Jordan Seaback, MD , Jacob Schoeneck, MD

Pericardial tamponade is a medical emergency that requires rapid recognition and intervention. Ultrasound is therefore the ideal tool for helping make this diagnosis. In this installment of our Advanc

Deep Dive in CritCare , Critical Care , Neurology

Deep Dive into the Evidence: Monitoring and Management of Elevated Intracranial Pressure in Severe Traumatic Brain Injury

6/11/2024 Luxi Qiao, MD, MPhil , Josh Wild, DO , Eleni McCaffery, MD , Dominique Gelmann, MD , Dustin Slagle, MD , Sung-Min Cho, DO, MHS

Elevated ICP is an emergent complication associated with injury to the brain. In this Deep Dive, we summarize the existing evidence regarding the monitoring and management of elevated intracranial pre

Otolaryngology , ENT , Airway , Critical Care

Case Series: Successful Management of Primary Post-Tonsillectomy Hemorrhage With IV Tranexamic Acid

6/10/2024 Dillon Schneider , Francisco Javier Andrade Jr., MD , Nancy Churosh, MD , Brian Casillas, MD

We present 2 cases of severe post-tonsillectomy hemorrhage (PTH). Our cases highlight the potential role of IV-administered tranexamic acid (TXA) as an effective treatment option in acutely bleeding p

Toxicology , Toxicology Committee

Xylazine, Illicit Drug Combo: Deadly Cocktail on the Rise

6/7/2024 Brittany (Ladson) Garza, DO, MPH , Laura Szczesniak, MD, PhD , E. Mason Jackson, MD

Emergency physicians must keep multiple things in mind when treating patients presenting with suspected xylazine exposure. First and foremost, it may be difficult to diagnose, as routine urine drug sc

Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock

5/6/2024 Josh Wild, DO , Alex Lucas, MD , Dominique Gelmann, MD

After more than 10 years in the making, the DanGer Shock investigation sheds light on the efficacy of the microaxial flow pump in the treatment of patients with STEMI and cardiogenic shock and planned

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Arterial Lines Part 2 - Waveforms and Damping

5/6/2024 Marcus Gresham, MD , Alexandra Hallagan, MD , Donald Maberry Jr., MD

Arterial lines are helpful tools for monitoring hemodynamics and maintaining easy access for frequent lab draws in the critically ill patient. Interpreting the waveform of the arterial line is necessa

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