Browsing: Clinical

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Ultrasound , Critical Care

Missed Ruptured Abdominal Aortic Aneurysm in a Paraplegic Patient

6/10/2022 Haad Arif , Sunny Bang, MD
AAAs are generally asymptomatic before rupture and often lethal due to delays in diagnosis and care, as most are missed for alternative diagnoses before hemodynamic compromise occurs. Traditional phys
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Orthopedics

Total Knee Arthroplasty Dislocation: A Case Study

6/10/2022 Sophia Gorgens, MD , Alexander Chasin, MD , Waroot Nimjareansuk, DO , Bryan McCarty, MD , Philipp Underwood, MD
Knee dislocations are a true orthopedic emergency and require immediate imaging and reduction. Even with non-operative management, a return to full activity takes months of physical therapy and rehabi
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Ultrasound , Urology

No Need to Fear Fournier’s with POCUS

6/10/2022 Wayne Fu, MD, MBA , Josh Greenstein, MD
Point-of-care ultrasound may be the best, and quickest, way to diagnose Fournier’s Gangrene, an acute necrotic infection of the perineal, genital, or perianal regions.
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Health Policy Journal Club , Health Policy , Social EM , OB/GYN

Health Policy Journal Club: Bullet on Board

6/6/2022 Diana Halloran, MD , Vidya Eswaran, MD
A new study shows how firearm restrictions reduce the deaths of pregnant women and new mothers. The Health Policy Journal Club highlights what that can mean for emergency medicine.
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Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Low Tidal Volume Ventilation for Emergency Department Patients

6/2/2022 Michael Franczak, MD , Taylor Miller, MD
Patients experiencing critical illness necessitating mechanical ventilation have high mortality rates. Additionally, survivors of critically ill mechanical ventilation experience high morbidity. Sever
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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: VExUS--Can the Right Side Take It?

6/2/2022 Dustin Slagle, MD , Ashley Panicker, MD, FACEP
Knowing when to stop volume resuscitation in the unstable shock patient is a question that plagues both the emergency physician and the critical care doctor. VExUS was designed to succeed where CVP ha
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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 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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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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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