Pediatric EM , Neurology

When a Headache Is Not Just a Headache

10/31/2024 Moshe Bengio, DO , Glenn Goodwin, DO, EMT-P , Abhishek Roka, MD , Michelle Marin, MD

Acute, persistent headache in a pediatric patient with no recent trauma can have a broad differential and, in most cases, should raise red flags. This case demonstrates the evaluation and management o

Toxicology , Neurology

An Unusual Cause of Stuttering: A Case Report

10/31/2024 Grace Cheetany , Charles Worth, DO , Kristina Domanski, MD

Vague neurologic symptoms, including impaired speech, can be difficult to diagnose and – for female patients – dismissed as behavioral. But commonly prescribed medications such as SSRIs may be a cause

Trauma , Orthopedics

Morel-Lavallée Lesion: A Case Report

10/31/2024 Rana Akkad, DO , Sarah Taetz, MD , Geoff Comp, DO, FAWM

Morel-Lavallée lesions are serious injuries that can easily escape diagnosis, typically in the wake of high-velocity trauma. Untreated, MLLs can become a chronic condition with a risk of developing in

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.

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

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.

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

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

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