Browsing: Clinical

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Infectious Disease , Neurology , Pediatric EM

Recognizing and Managing Epidural Abscess

6/10/2022 Nahal Massoudi, DO , Baturay Aydemir, MD
Rare, but possible, diagnosis of epidural abscess must be considered when a pediatric patient presents with back pain. When diagnosed, carefully evaluate the risks and benefits of medical versus surgi
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Cardiology

Extracorporeal Cardiopulmonary Resuscitation: The Golden Hour

6/10/2022 August Felix, MD , Douglas D. Campbell, MD
Extracorporeal cardiopulmonary resuscitation (ECPR) involves the application of percutaneous veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for management of cardiac arrest in the emergen
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Cardiology

Cardiac Arrest in a Young Woman With Spontaneous Coronary Artery Dissection: A Case Report

6/10/2022 Amanda dos Santos, MD , Kathryn Marie Moore, DO , Douglas Gallo, MD
Spontaneous Coronary Artery Dissection (SCAD) is associated with cardiac arrest in women during the peripartum period. The mechanism of SCAD is thought to be partially related to inflammatory changes
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Behavioral Health , Psychiatry , Mental Health

Patient Boarding During COVID-19: A Literature Review

6/10/2022 Kelsey Mercedes Morgan, RN-BSN, CEN, PMHN , Christina Brown, MD , Nicholas Stark, MD, MBA
Since the beginning of the COVID-19 pandemic, emergency departments across the country have seen a well-documented increase in patient volume and boarding. Psychiatric boarding specifically has been a
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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 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: 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 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-