Browsing: Clinical

Health Policy Journal Club , Health Policy , Health Equity , Health Care Administration , Social EM , COVID-19 , Administration & Operations

GREAT SHOT

9/6/2022 Laura Haselden, MD , Vidya Eswaran, MD

COVID-19 vaccine campaigns saved lives and reduced the number and severity of COVID cases in the United States. What did this mean to the business of health care? Significant cost savings.

Critical Care , Critical Care Alert , Cardiology , Airway

Critical Care Alert: PREPARE II - A Randomized Clinical Trial

8/22/2022 Taylor Miller, MD , Evan McMurray, MD

Critical Care Alert: The PREPARE II trial investigated whether a fluid bolus would impact cardiovascular collapse in critically ill patients undergoing intubation.

Critical Care , Critical Care Alert , Trauma , Shock

Critical Care Alert: ETCO2 as a Predictor of Patient Outcomes

8/15/2022 Brittney I. Gordon, MD , Mustafa Rasheed, MD , Taylor Miller, MD

Critical Care Alert: The triage of patients in the trauma bay is difficult, and no single measurement or vital sign will provide sufficient information for mortality. This study indicates ETCO2 - a co

Critical Care , Neurology , Trauma

Drowning in a Flash: A Review on Neurogenic Pulmonary Edema

8/10/2022 Bryce Taylor, DO, MS

Neurogenic pulmonary edema, associated with high mortality, can occur after any neurologic insult and is best addressed by controlling intracranial pressure.

Infectious Disease , Neurology

West Nile Virus Poliomyelitis: An Unnerving Re-emerging Disease on the Rise

8/10/2022 Patrick H. Mullett, MD , Ryan Brzycki, DO

It is important to consider West Nile Virus as a major cause of neuroinvasive disease and acute flaccid paralysis. If a febrile, altered patient comes into the ED with focal neurological deficits, it

Informatics

This Fall: Clinical Informatics Workshops for Residents, Fellows, and Students

8/10/2022 Michael Dorritie, DO , Nicolas Kahl, MD

EMRA’s Technology, Telehealth, and Informatics Committee will launch quarterly clinical informatics workshops with ACEP this fall. The Committee spoke with Carrie Baker, DO, chair of ACEP’s Informatic

Toxicology

TCA Overdoses and Mimics: Don’t Delay, Don’t Be Led Astray

8/10/2022 Lance Shaull, MD , Andrew Mittelman, MD

At toxic doses, tricyclic antidepressants (TCAs) cause blockade of sodium channels, muscarinic receptors, and alpha-adrenergic receptors. Slowed ventricular contraction, tachycardia, and vasodilation

Neurology

Pneumocephalus: An Atypical Presentation of Syncope

8/10/2022 Avinash Ram, DO , Mollie Williams, MD, MPH , Omar Hashmi, DO

Pneumocephalus, defined as air present in the intracranial area, is a known complication of accessing the epidural space. Patients with pneumocephalus can have a wide-ranging presentation from benign

Infectious Disease , Pediatric EM

"Feline" Feverish: A Case Report

8/10/2022 Shanice Latham, MD, MPH , Hussain Shakir, MD, FAAP

Behind typhoid fever and urinary tract infections, cat-scratch disease is the third most common cause of fever of unknown origin in pediatric patients. CSD should be high on the diagnostic radar whene

ECG Challenge , Cardiology

ECG Challenge: August-September 2022

8/10/2022 Masood R. Mohammed, DO, MS , Jeremy Berberian, MD

A 27-year-old male with a PMH of seizure disorder and developmental delay presents via EMS after a witnessed seizure. The patient was able to intermittently go into sinus rhythm with vagal maneuvers.