Toxicology , Addiction Medicine , Neurology , Social EM

Subacute Combined Degeneration Secondary to Nitrous Oxide Use: A Case Report

5/12/2025 Brianna McMonagle , Colleen Arnold, MD , Marlena Wosiski-Kuhn, MD, PhD , Anita Goel, MD

Nitrous oxide toxicity can be difficult to recognize, but when left untreated, it can lead to irreversible neurologic damage. Get some pointers in dealing with this vague presentation.

POCUS For the Win , Orthopedics

POCUS for the Win: Point-of-Care Ultrasound for the Diagnosis of Acute Achilles Tendon Rupture

5/7/2025 Allison Harmsworth Smith, MD , Louisa Weindruch, DO , Chase Forehand, MD , Whitney Potomac, DO, MS, FACEP, FDP-AEMUS , Jonathan Brewer, MD, FACEP, FPD-AEMUS

The Achilles tendon is the most commonly ruptured tendon in the human body. This case highlights the utility of bedside point-of-care ultrasound in the emergency department for diagnosing this and oth

Toxicology , Psychiatry

A Case of Lithium Toxicity Masked by Behavioral Symptoms in a Psychiatric Patient

5/6/2025 Rebecca Notini Kirby, MD , James O'Neill, MD , Jennifer Hannum, MD

Distinguishing between medical and psychiatric causes of altered mental status (AMS) can be challenging, as the two may present with similar clinical manifestations.1 As a result, patients with underl

Cardiology , Social EM , Ultrasound

Case Report: Arrhythmogenic Right Ventricular Cardiomyopathy Presenting with Inappropriate ICD Discharges

5/6/2025 Eytan Mendelow, DO , Daniel Patino-Calle, MD

The results of insufficient health care insurance and access can be seen most clearly in the emergency department. This case focuses on managing arrhythmogenic right ventricular cardiomyopathy (ARVC)

EMS , Wilderness Medicine , Trauma

A Self-Contained Hypothermic Rewarming System: A Case Study

5/6/2025 Conner W. Lynn , Skyler Hill-Norby, DO , Jennifer McGowan, MD

Hypothermia, one part of the deadly trauma triad, requires careful rewarming. This report reviews two cases of hypothermia presenting to resource-limited community sites, both managed via internal tem

Critical Care Alert , Critical Care , Resuscitation

Critical Care Alert: A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest

3/26/2025 Josh Wild, DO , Jacqueline Zhu, MD , Alexandra Hallagan, MD

Every minute counts for long-term outcomes in out-of-hospital cardiac arrest. Does the route of administration for lifesaving medications play a role? This EMRA Critical Care Alert dives into the PARA

EMS , Orthopedics

Severe Finger Entrapment in Gas Filler Cap Valve

3/23/2025 Robert Poth, DO , Courtney Merlo, DO , Andrew Park, MD , Akshay Srikanth, MD , Robert Klever, MD

How do you manage a case of a patient's finger stuck so completely in a Ford Explorer gas valve that EMS arrives with part of the vehicle attached to your patient? Hint: Consider the use of a nasophar

Vascular

Thoracic Outlet Syndrome as a Cause of Arm Swelling in Hemodialysis Patients: A Case Report

3/23/2025 Michael Yang, MD , Geoff Comp, DO, FAWM , Kimberly Mayekawa

Arm swelling in hemodialysis (HD) dependent patients is a serious complication associated with arterio-venous fistula (AVF) creation that is not often seen in the emergency department. We present a ca

Toxicology

A Case of Severe Lactic Acidosis Due to Metformin Toxicity

3/23/2025 Natalie Rech, MD , Sarah E. Fabiano, MD, FACEP, FAAEM

Metformin toxicity causes a profound lactic acidosis and can be concerning in patients with existing kidney impairment.

Infectious Disease , Pulmonary

A Case of Influenza A Encephalitis in an Adult with Addison's Disease

3/19/2025 Austeja S. Rubeski, OMS-IV , Brett Sweeney, MD

Physicians should recognize influenza encephalitis as a possible cause of altered mental status during influenza season. Furthermore, it is important to recognize Addison’s Disease as an increased ris

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