Cardiology , Toxicology

Nitroglycerin's Hidden Trigger: The Bezold-Jarisch Reflex Revealed

3/19/2025 Jacob Goodbar , Amanda Murphy, MD

Quick recognition of the Bezold-Jarisch reflex triad of hypotension, bradycardia, and apnea is important for any physician who administers nitroglycerin. This knowledge can ensure positive patient out

International EM , Toxicology , Medical Education

Toxicology in Australia: Extreme Education

3/19/2025 Brittany (Ladson) Garza, DO, MPH

If you’re looking for an eye-opening elective, consider a toxicology rotation in Australia. EMRA Toxicology Committee Vice Chair Brittany Garza, DO, MPH, shares a firsthand account.

Sports Medicine , Event Medicine

Drowning from Within: Swimming-Induced Pulmonary Edema (SIPE)

3/19/2025 Daniel Doynow, DO, MPH , Jonathan Nogueira, DO , Jacob Grondin

Swimming-induced pulmonary edema—SIPE—is a rare and not well-understood phenomenon, most common among military and athletes. Emergency physicians, event medicine staff, and prehospital care teams shou

Critical Care , Critical Care Roadblock , Cardiology

Roadblock: Electrical Storm

3/7/2025 Szymon Kutyla, MD , Josh Wild, DO , Evan Leibner, MD, PhD , Rosy Thachil, MD, FACC

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

Airway

A Tricky Case of Peri-intubation Trismus

3/1/2025 Gracey McGrory, MD , Jerad Eldred, MD , Kristina Domanski, MD

When trismus occurs, unconventional methods might be required to achieve and maintain the airway. This case highlights emergency medicine’s nimble approach to the difficult airway.

Neurology , Ophthalmology

The Ice Pack Test: A Diagnosis of Myasthenia Gravis in the Emergency Department

3/1/2025 Sam Cray, DO , Austin Bennett, DO, FAWM

Myasthenia Gravis (MG) is an autoimmune neuromuscular disorder characterized by the formation of autoantibodies against postsynaptic acetylcholine receptors at the neuromuscular junction resulting in

Cardiology , Neurology

A Curious Case of Cardiogenic Syncope with a Neurologic Source

3/1/2025 Gemma Porras, MS , Daniel Doynow, DO, MPH

Syncope can have many causes that are not always evident at the initial presentation.

Critical Care Alert , Critical Care , Resuscitation

Critical Care Alert: Vasopressor Utilization in Septic Shock Patients Receiving Propofol Versus Midazolam

2/27/2025 Nikkole Turgeon, MD , Jacqueline Zhu, MD , Alex Lucas, MD

Emergency physicians often are the first to diagnose and manage septic shock, making critical decisions that impact a patient's hospital course and outcomes. A recent study supports the use of propofo

POCUS FTW - Cardiac Tamponade - Fig 2.png

POCUS For the Win

POCUS for the Win: Ultrasound-Guided Pericardiocentesis for Cardiac Tamponade

2/25/2025 Kelly Lew, MD , Alex Y Koo, MD , Lindsay Ritter, MD , Yuji Kawano, MD , Miranda Teixeira, MD , Tony Downs, MD, FAEMUS, RDMS, RDCS, RVT

POCUS is a key diagnostic tool that can allow emergency physicians to diagnose cardiac tamponade with the presence of a pericardial effusion with right ventricular collapse during diastole and/or righ

Social EM , Health Policy , Administration & Operations

Responding to ICE in Emergency Departments: Protecting Patients and Navigating Legal Obligations

2/11/2025 Nicole Exeni McAmis, MD

Recent changes in U.S. immigration enforcement policies have led to ICE officials entering hospitals, seeking to remove patients. How should emergency physicians respond? What are the legal options an

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