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

Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Subclavian Central Venous Access - Dealer's Choice

5/2/2022 Dustin Slagle, MD , Jesse Liou, MD , Gabriel Hoffman, MD

The need for a central line is commonplace in the emergency department and critical care units. When deciding which of the three typical sites (internal jugular, femoral, and subclavian) to choose for

International EM , Social EM , Leadership , Disaster Medicine

The War in Ukraine: How Can Emergency Physicians Help?

4/21/2022 Daria Hunter, MD , Rebecca Leff, MD , Colin Bucks, MD

The crisis in Ukraine has created a pivotal time for emergency physicians to provide the right type of aid and, eventually, help bolster EM education and practice within Ukrainian health care.

ECG Challenge , Cardiology

ECG Challenge: April-May 2022

4/10/2022 Graham Clifford, DO , Benjamin Arnold, MD , Jeremy Berberian, MD

A 67-year-old male with a PMH of HTN, HLD, DM, and COPD presents to the emergency department due sudden chest discomfort. What is your interpretation of his ECG?

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Neurology

Spinal Cord Ischemia in an Undifferentiated Patient: A Case Report

4/10/2022 Priyanka Ravindran, MD , Jordan Miller, DO , J'Chika Morah, MD , Nicholas Jouriles, MD, FACEP

Spinal cord infarction is infrequent and if missed can result in significant mortality, disability (including irreversible paralysis), and reduced quality of life. Here we discuss a case of spinal str

Ultrasound

Crawling In My Skin: An Ultrasound Teaching Case

4/10/2022 Jennifer Mirrielees, MD , Jessica Schmidt, MD, MPH, FACEP , Michael Lohmeier, MD, FACEP

Ultrasound is a favored modality in emergency medicine. This case shows yet another application of this popular diagnostic tool - one involving subcutaneous larvae.

Critical Care , Critical Care Ultrasound , Ultrasound

Use of Bedside Ultrasound in Diagnosing Boerhaave Syndrome

4/10/2022 Rabia Iqbal, DO , Caleb Harrell, MD

Esophageal rupture is a rare condition that is recognized as one of the most fatal gastrointestinal injuries. Time to diagnosis is an independent predictor of mortality in acute esophageal rupture mak

Endocrinology , Neurology

Uncontrolled Hyperglycemia as a Cause of Choreiform Movements

4/10/2022 Rabia Iqbal, DO , Jordan Miller, DO , Nicholas LaFountain, MD

Although rare, chorea-hyperglycemia-basal ganglia syndrome is a presenting symptom of uncontrolled diabetes mellitus.

Trauma

Isolated Traumatic Gallbladder Hematoma Caused by Electric Scooter Accident

4/10/2022 Braxton-Jesse Lee, DO , Dimitri Livshits, DO , Rosalee Nguyen, DO

Isolated traumatic gallbladder injury is extremely rare and must be thoroughly evaluated due to the complications associated with traumatic gallbladder injury.

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Social EM , Toxicology

Coastal Harmful Algal Blooms and Climate Change – Toxic Challenges for Emergency Medicine

4/10/2022 Catharina Giudice, MD , Caitlin S Rublee, MD, MPH , Priya Srihari, MD

Climate health and public health are linked in ways that become more obvious every year. In this context, we will summarize the marine toxins that are sending more patients to the emergency department

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