Browsing: Clinical

Toxicology

Top Gun Toxicity: Military-Grade Hydrocarbon Exposure Management in the ED

1/30/2023 E. Mason Jackson, MD , Michael Troise, MD

The ramifications of military fuel leaks extend beyond environmental disasters to acute exposures/ingestions and chronic toxicity. With more than 450 military bases in the United States, many of which

Infectious Disease , Neurology

Remember to Inspect the Skin: A Clue to Diagnosing VSV Encephalitis

1/30/2023 Jay Patel, MD , Jordan Miller, DO

Meningitis is a cause for concern when it comes to a patient in the ED. It is one of those cannot-miss diagnoses, as there are devastating neurological complications that can occur if bacterial, funga

Op-Ed , Patient Interactions

Words Matter: The Importance of Communication in Medicine

1/30/2023 Robert Allen, MD

The next time you or I see a patient, let’s take a second to confirm the patient can adequately understand us. That may mean speaking slower, speaking louder, or making sure the patient has hearing ai

ENT , Otolaryngology , Pediatric EM

Bilateral Pneumoparotid: Unexpected Air in the Parotid Glands

1/30/2023 Sean Ramsey, DO , Rachel Ely, DO

Pneumoparotid/pneumoparotitis is an uncommon cause of parotid gland swelling classified by free air seen within the parotid glands. Typically, swelling of the parotid glands can be attributed to infec

Toxicology , Nephrology

A Case of Intentional Salt Ingestion Leading to Life-Threatening Hypernatremia

1/30/2023 Christopher M Mashiak, MD , Johndavid M Storn, MD , Jennifer V Pope, MD

Acute salt ingestion should be rapidly corrected to reduce serum osmolality. This can be done with an infusion of hypotonic solutions, such as 5% dextrose in water (D5W), with a goal reduction of 1 mm

Critical Care Devices , Critical Care , Airway

Critical Care Device Series: Bag-Valve-Mask

1/18/2023 Barret Zimmerman, MD , Brendan Innes, MD , Allie Schick, MD

The bag-valve-mask (BVM) is ubiquitous and highly utilized in all fields of emergency care. Yet despite its seemingly intuitive operation and perceived simplicity, the BVM is an overlooked and misunde

Health Policy Journal Club , Health Policy , Health Care Administration , Social EM

Expanding Coverage, Saving Lives

1/7/2023 Fathima Haseefa , Vidya Eswaran, MD

Suicide is a leading cause of death in the United States. An analysis shows that Medicaid expansion can help avert suicide by overcoming financial barriers to mental health care.

Clinical

Critical Care Alert: PEACH Trial

12/22/2022 Emily D. Geyer, MD , Brittney I. Gordon, MD , Mustafa Rasheed, MD , Taylor Miller, MD

Spontaneous (non-traumatic) intracerebral hemorrhage (ICH) is associated with high patient morbidity and mortality. In this Critical Care Alert, we review a study designed to assess whether prophylact

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Defibrillation Strategies for Refractory Ventricular Fibrillation

12/12/2022 Alex Lucas, MD , Taylor Miller, MD

Alternative defibrillation techniques might be worth a second look. In this Critical Care Alert, we evaluate the largest and most rigorous study of double sequential external defibrillation (DSED) and