Browsing: Clinical

Pediatric EM , Trauma

Be Wary of the Bruise: Don’t Forget the Full-Body Exam

6/12/2021 Justin Hanson, DO

Before the pandemic it was estimated that up to 10% of children visiting the ED were victims of child abuse or neglect. We must be on the lookout for these patients and have a high index of suspicion

Cardiology , Wilderness Medicine , Infectious Disease

Pericardial Effusion: A Rare Case of a Potentially Dangerous Manifestation of Lyme Disease

6/12/2021 Amanda dos Santos, MD , Nicholas Jouriles, MD, FACEP

Lyme disease is one of the most common vector-borne diseases in the United States, affecting over 300,000 people annually between June and December. This case report describes a less common cardiac ma

COVID-19 , Wellness

Heart of EM: Lessons in Vulnerability

6/12/2021 Diana Halloran, MD

Completing an EM intern year during the pandemic was...daunting. Along with seeing so much sadness these past months, every day I wonder – did I matter? Did I make a difference?

Trauma , Airway

One Bad Hand of Poker

6/12/2021 Shawn Tuttle, MD , Joshua Glick, MD

Tracheobronchial injury is a rare, but potentially life-threatening, complication of neck trauma. One bad hand of poker led to a 1-in-30,000 case presentation.

Pain Management , Neurology

Tickle Your Brain to Numb the Pain: EM Use of Sphenopalatine Ganglion Block for Migraine Headaches

6/12/2021 Chiamara Anokwute , Luke Wohlford, MD, MPH

The most prevalent medical problems around the globe are in the sphere of headache disorders. Let's discuss the procedure, use, and relevance of Sphenopalatine Ganglion (SPG) blockade in the abortive

Cardiology

Shockingly Dangerous Hypokalemia

6/12/2021 Christopher Cardillo, DO , Ross Ellison, MD, FACEP

Unstable cardiac rhythms can signal hypokalemia

Ultrasound , Oncology , Pediatric EM

A Case Study of Juvenile Ovarian Cancer and the Importance of POCUS in the ED

6/12/2021 Joseph C. Smith, MD

How important is appropriate imaging in the ED? One father - who's also an emergency physician - shares a firsthand account of repeated trips to the pediatric emergency room before imaging helped corr

Pediatric EM , Pain Management

Overview of Complications Seen in Pediatric Sickle Cell Disease Patients and How to Manage Them in the Emergency Department

6/12/2021 Heather Jones, DO , Zachary Burroughs

It is estimated there are around 100,000 individuals living in the United States with sickle cell disease (SCD). Patients with sickle cell disease are predisposed to a variety of complications.

ECG Challenge , Cardiology

ECG Challenge: June-July 2021

6/11/2021 Sahar Khan, MD , Jeremy Berberian, MD

A 55-year-old female presents from home due to a brief episode of unresponsiveness and AMS. What is your interpretation of her ECG? (Bonus points if you identify the less obvious abnormality.)

Pulmonary , Infectious Disease

Pulmonary Manifestations Following IV Injection of Crushed Suboxone: A Case of Excipient Lung Disease

6/11/2021 Anthony Halupa, DO

Include excipient lung disease (ELD) in the differential diagnosis when evaluating and treating a patient with a history of intravenous drug use presenting with respiratory failure and typical finding