Browsing: Clinical

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POCUS For the Win , Ultrasound

POCUS For the Win: Pulmonary Embolism

11/21/2022 Rich Dowd, DO , Robert Stenberg, MD , Sagar Desai, MD , Arthur Broadstock, MD , Lisa Bundy, MD, FACEP , Jake Freudenberger, DO
Pulmonary embolism (PE) has an annual incidence ranging from 39-115 per 100,000 making it the third most common cardiovascular emergency behind myocardial infarction and stroke. With mortality rates o
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POCUS For the Win , Ultrasound

POCUS For the Win: A Case of Atypical Hip Pain

11/21/2022 Sagar Desai, MD , Rich Dowd, DO , Arthur Broadstock, MD , Lisa Bundy, MD, FACEP , Jake Freudenberger, DO
Because endocarditis carries an exceptionally high in-hospital mortality rate, early diagnosis is instrumental in promoting good outcomes.
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POCUS For the Win , Ultrasound

POCUS For the Win: Aortic Dissection

11/21/2022 Arthur Broadstock, MD , Sagar Desai, MD , Rich Dowd, DO , Lisa Bundy, MD, FACEP , Jake Freudenberger, DO
Aortic dissection (AD) is a life-threatening condition caused by the separation of the intimal layer of the aorta from the medial layer, allowing blood to penetrate the media and create a false plane
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Critical Care Alert , Critical Care , Airway

Critical Care Alert: Recall During Paralysis Among ED Patients Being Intubated

11/2/2022 Alex Lucas, MD , Taylor Miller, MD
How many of your patients can recall events during what you believed was a sedated endotracheal intubation? This study finds an appreciable number of patients who are paralyzed for intubation in the e
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Critical Care Ultrasound , Ultrasound , Critical Care , Cardiology

Advanced Critical Care Ultrasound: The 60/60 Sign, Let's Be Specific

10/24/2022 Dustin Slagle, MD , Parth S. Gandhi, DO , Ashley Panicker, MD, FACEP
The 60/60 sign is an ultrasound finding that can help increase specificity in diagnosing right ventricular dysfunction in the setting of an acute pulmonary embolism.
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Critical Care Devices , Surgical Airway , Critical Care

Critical Care Device Series: Tracheostomy Complications and Troubleshooting in the ED

10/24/2022 Evan McMurray, MD , Brendan Innes, MD , Taylor Miller, MD
Tracheostomies are a common surgical procedure for long-term airway management that involves creating a permanent connection between the anterior neck and trachea. Complications occur in up to 50% of
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Prehospital and Disaster Medicine Committee , Space Medicine , Fellowships , EMbark , Residents

The Final Frontier for EM: An Inside Look at UCLA’s Space Medicine Fellowship Program

10/10/2022 Sriram Venkatesan, FAWM , Kyle Essex, NRP, FP-C, CCP-C, C-NPT
Future physician-astronauts, here’s a new opportunity that’s right up your alley — UCLA’s Space Medicine Fellowship. EMRA’s Prehospital and Disaster Medicine Committee gets a first-hand look with the
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Ophthalmology

BRAO and CRAO: Quick Diagnosis, Management Lead to Better Outcomes in Retinal Artery Occlusion

10/10/2022 Joshua McGough, MD, MS , William Hockett, MD , Armando Garcia, MD , Daryl Williams, MD
CRAO and BRAO are ocular emergencies mandating rapid diagnosis and management to prevent permanent loss of vision. Treatment options include ocular massage to attempt to relocate a lesion to a more pe
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Ophthalmology

Tearful from Topiramate: A Case of Bilateral Secondary Angle Closure Glaucoma

10/10/2022 Kalee Morris, DO, MS , Cynthia Oliva, MD
Managing acute angle closure glaucoma in the ED involves decreasing intraocular pressure caused by excess aqueous humor. Once the diagnosis is made, steps can be initiated to rapidly decrease the pres
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Cardiology

Overlooked Sources of Bias in Adult Out-of-Hospital Cardiac Arrest Research

10/10/2022 Dhimitri Nikolla, DO
Although bias is pervasive in medical research, OHCA studies have unique sources of bias that are infrequently addressed in study methods. Recognizing these biases is vital to the critical appraisal a