Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Axillary Arterial Line—Oft Forgotten

2/27/2022 Dustin Slagle, MD , Natalie Htet, MD, MS

Obtaining arterial access is a common procedure in both emergency medicine and in critical care. It's a good idea to become familiar with the axillary artery as an alternative location for placement o

ECG Challenge , Cardiology

ECG Challenge: February-March 2022

2/12/2022 Diane Y. Wang, MD , Jeremy Berberian, MD

A 79-year-old male with a past medical history of coronary artery disease s/p CABG in 2012 presents with chest pain. His initial ECG showed atrial fibrillation with RVR at 168 bpm. Despite rate contro

Prehospital Care , Administration & Operations

Using Home-Based Community Paramedics to Optimize Emergency Department Utilization for High-Risk Elderly Patients

2/12/2022 Nicholas Cozzi, MD, MBA , Gilbert Nelson, DO , Michael J. Rushton Jr., DO , Philip M. Fennema, EMT-P, CCP , Chad Barnhart, MD, EMT-P , Sean Anderson , Todd Chassee, MD, FACEP , Jeffrey S. Jones, MD, FACEP

Community paramedicine and mobile integrated healthcare are forming a new paradigm. Using paramedics to evaluate and treat medically complex elderly patients in the home setting could have wide-reachi

Critical Care

Atraumatic Splenic Rupture

2/12/2022 Daniel White, DO

Traumatic splenic injury and hemorrhage is a diagnosis familiar to most emergency physicians. However, a condition that some may not be familiar with is atraumatic splenic rupture.

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Critical Care , Gastroenterology

Balloon Tamponade to Stabilize Life-Threatening Rectal Bleeding

2/12/2022 Matthew Welles, MD , Robert Nocito, MD , Peter Viccellio, MD, FACEP , Scott Weingart, MD, FACEP, FCCM

Balloon tamponade devices specifically designed for upper GI bleeding are well-established as a temporizing measure in life-threatening upper gastrointestinal bleeding, but rarely have been used for l

Infectious Disease

Case Report: West Nile Encephalitis

2/12/2022 Jefferey S. Holoman, DO , Chad Gunsolly, DO

West Nile Virus is the leading cause of mosquito-borne disease in the continental United States. This case report examines a case of headache, weakness, and gait ataxia in a 63-year-old male, with the

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Ultrasound , Urology

Not so FAST: Intraperitoneal Bladder Rupture

2/12/2022 Courtney Smith, MD , Sara Paradise Dimeo, MD

Bladder rupture is a relatively rare condition due to the protection of the bladder in the bony pelvis; most cases of bladder rupture are intraperitoneal. But a small percentage are intraperitoneal r

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Pediatric EM , Endocrinology

Pediatric Emergency Management of Adrenal Insufficiency and Adrenal Crisis

2/12/2022 Amal Malik , Elizabeth Quaal Hines, MD

Adrenal insufficiency (AI) is a rare diagnosis in childhood and adolescence; however, it can become a major cause of morbidity and mortality in pediatric patients.

Gastroenterology

Bouveret Syndrome: A Rare Cause of Gastric Outlet Obstruction

2/12/2022 Collin Stinogel, DO

Gallstone-induced ileus is a rare complication of cholelithiasis. Gastric outlet obstruction caused by a gallstone is even rarer. If a patient presents to you with Bouveret syndrome, will you know how

Wilderness Medicine

Wilderness Medicine Highlights

2/12/2022 Elaine Yu, DO, MS, FAWM , Kathryn Kammert, DO

After a 3-year hiatus, EMRA's Wilderness Medicine Committee's premier event returned at ACEP21 in Boston. Find out all about MedWAR 2021.

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