Browsing: Clinical

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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Epinephrine v. Norepinephrine in Cardiac Arrest Patients with Post-Resuscitation Shock

5/14/2022 Brendan Innes, MD , Brian Sumner, MD , Taylor Miller, MD
Post-resuscitation shock occurs in 50-70% of patients after out-of-hospital cardiac arrest, and this study provides evidence that norepinephrine is likely a preferable vasopressor to epinephrine in po
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Fractional Area Change and Left Ventricular Fractional Shortening – Building Blocks for Later

5/14/2022 Dustin Slagle, MD , Jon Bodner, MD , Ashley Panicker, MD, FACEP
Ultrasound is a powerful tool in the emergency department for the estimation of left ventricular ejection fractions. E-Point Septal Separation is a good way to obtain these measurements, but what if t
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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest

5/14/2022 Erin Bell, MD , Taylor Miller, MD
The evidence surrounding ECPR continues to build. In this study, investigators demonstrated a 31.5% survival rate with favorable 180-day neurological outcome with ECPR in patients who suffered out-of-
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Health Policy Journal Club , Health Policy , Administration & Operations , Health Care Administration , COVID-19

Health Policy Journal Club: Show Me the Money

5/6/2022 Jacquelyn Callahan, MD , Vidya Eswaran, MD
The COVID-19 pandemic significantly lowered ED patient volumes, resulting in decreased hours for emergency physicians and a difficult job market. Could the current fee-for-service reimbursement model
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Subclavian Central Venous Access - Dealer's Choice

5/2/2022 Dustin Slagle, MD , Jesse Liou, MD , Gabriel Hoffman, MD
The need for a central line is commonplace in the emergency department and critical care units. When deciding which of the three typical sites (internal jugular, femoral, and subclavian) to choose for
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International EM , Social EM , Leadership , Disaster Medicine

The War in Ukraine: How Can Emergency Physicians Help?

4/21/2022 Daria Hunter, MD , Rebecca Leff, MD , Colin Bucks, MD
The crisis in Ukraine has created a pivotal time for emergency physicians to provide the right type of aid and, eventually, help bolster EM education and practice within Ukrainian health care.
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ECG Challenge , Cardiology

ECG Challenge: April-May 2022

4/10/2022 Graham Clifford, DO , Benjamin Arnold, MD , Jeremy Berberian, MD
A 67-year-old male with a PMH of HTN, HLD, DM, and COPD presents to the emergency department due sudden chest discomfort. What is your interpretation of his ECG?
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Trauma

Isolated Traumatic Gallbladder Hematoma Caused by Electric Scooter Accident

4/10/2022 Braxton-Jesse Lee, DO , Dimitri Livshits, DO , Rosalee Nguyen, DO
Isolated traumatic gallbladder injury is extremely rare and must be thoroughly evaluated due to the complications associated with traumatic gallbladder injury.
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Cardiology , Toxicology

Torsades de Pointes after Olanzapine Use for Agitation

4/10/2022 Joshua Hall, DO , Nauman Rashid
Second-generation antipsychotics are becoming more commonly used because of their safety profiles. Nevertheless, this case demonstrates a risk of QTc prolongation and torsades de pointes with olanzapi
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Urology , Nephrology

Hematuria in the ED: Evaluation and Management

4/10/2022 J. Ryan Bingham, MD , Victoria Klovenski, MD
Hematuria is a common complaint in the emergency department - and one that is largely benign. Nonetheless, there are several emergent conditions the emergency physician should consider when evaluating

#FOAMed and External Sources

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