Pediatric EM , Gastroenterology

Intussusception: Intestinal Obstruction in the Pediatric Patient

7/15/2023 Oluwatosin Adenuga, MD , Natasha Tejwani, MD , Rajesh Daftary, MD, MPH

Intussusception is the most common cause of intestinal obstruction in infants and children. Although traditional teaching revolves around the “classic triad” of paroxysmal abdominal pain, bloody stool

Ultrasound , Medical Education

Making the Model: Fast-Prep POCUS DIY Models

7/15/2023 Carolina Vega, MD

A leading goal for any point-of-care ultrasound (POCUS) curriculum is creating excellent, low-cost, rapid-assembly models for teaching. Associated goals include minimizing the assembly units and maxim

Critical Care , Pulmonary , Neurology , Radiology

Management of Concomitant Stroke and Pulmonary Embolism

7/15/2023 L. Paige Smith, DO , Ronald Scheer, DO

Concurrent acute ischemic stroke and submassive pulmonary embolism is a rare occurrence, and there is no sufficient evidence to support a particular method of management. It is important to weigh the

Neurology

From Weight Loss to Neurological Deficits: A Case of Wernicke’s Encephalopathy Stemming From Prescription Weight Loss Medication

7/15/2023 Steven Foster, DO , Adrianna Kyle, DO

Wernicke’s encephalopathy can have a subtle presentation and should be considered in any patient with altered mental status who is at risk for nutritional deficiency.

ECG Challenge , Cardiology

ECG Challenge: July-Aug-Sept 2023

7/15/2023 Erica Burmood, DO , Kelby Schaeffler, MD , Jeremy Berberian, MD

A 22-year-old female with no significant past medical history presents to the emergency department with wheezing after a recent upper respiratory infection. The patient is treated with a continuous 15

Pediatric EM

Lymphatic Malformation: A Rare Cause of Pediatric Abdominal Pain

7/15/2023 Andrew Shieh, MD

Although lymphatic malformations are rare and usually do not manifest as acute abdomen, they should always be considered in the differential diagnosis in a previously healthy child who presents with a

Critical Care Alert , Critical Care , Sepsis , Shock

Critical Care Alert: Methylene Blue in Septic Shock

7/6/2023 Emily D. Geyer, MD , Mustafa Rasheed, MD , Evan McMurray, MD

Can methylene blue play a role in treating your patient with septic shock? This randomized control trial shows earlier vasopressor discontinuation and shorter ICU and hospital lengths of stay - but no

Critical Care , Airway , Pain Management

Post-Intubation Sedation in the ED: The Basics

7/5/2023 Christine Yang, MD , Christian Kasianko, MD , Alex Lucas, MD , Allison Donahue, MD , Erin Bell, MD , Samantha Strickler, DO, FACEP

Emergent intubation requires critical thinking and precision. The same level of care should be extended to managing post-intubation sedation. This summary explores the most commonly used analgesics an

Critical Care Alert , Critical Care , Cardiology , Radiology

Critical Care Alert: The CT FIRST Cohort Study

6/26/2023 Annemarie Daecher, MD , Dustin Slagle, MD , Evan McMurray, MD

While it didn’t improve survival to hospital discharge or neurologic recovery vs the current standard of care, the sudden death CT (SDCT) protocol significantly improved the time and diagnostic abilit

CCA - fludrocortison hydrocortisone for septic shock.jpg

Critical Care Alert , Critical Care , Sepsis , Shock

Critical Care Alert: Effectiveness of Fludrocortisone and Hydrocortisone vs. Hydrocortisone Alone Among Patients with Septic Shock

6/26/2023 Gabriel Colon, MD , Evan McMurray, MD

In a recent study, fludrocortisone added to hydrocortisone was associated with increased hospital survival, shorter hospital lengths of stay, and decreased vasopressor duration when compared to hydroc

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