Browsing: Clinical

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OB/GYN

Malpositioned IUD and Uterine Perforation

6/10/2022 Julia S. Marcus , MAJ John Kiel, DO, MPH, CAQ-SM
Although rare, complications with IUDs do occur and can require quick diagnosis and urgent management, particularly when involving complete perforation. Emergency physicians should consider IUD compli
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ENT , Otolaryngology

There’s an Eagle in my Throat!

6/10/2022 Gulreen Kassoo, DO , Ian Craven, MD , Andrew Sheep, MD , Ryyan Kassoo
Eagle’s Syndrome, described as a “foreign body’s sensation” in the throat, is characterized by calcified stylohyoid ligament or an elongated styloid process. Definitive treatment is surgical, requirin
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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 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