Endocrinology

Bilateral Adrenal Hemorrhages Due to Pheochromocytomas and MEN2A Syndrome

8/10/2021 Kevin Vinokur, DO , Christopher Mendoza, MD, MA, FACEP

Multiple endocrine neoplasia (MEN) syndromes are rare, inherited disorders, and adrenal hemorrhage is a rare cause of abdominal pain. We present a case of bilateral adrenal hemorrhages due to pheochro

Toxicology

Physostigmine for Severe Antimuscarinic Overdose: Pushing Back Against the Stigma

8/10/2021 Sahar Rammaha , Larry B. Mellick, MD, FACEP

Physostigmine has long been recognized as an antidote to reverse antimuscarinic delirium. However, its effectiveness, safety profile, and dosing have been disputed in recent years. But does this medic

Ultrasound , Cardiology

Ultrasound-Guided Stellate Ganglion Block in Pulseless Refractory Ventricular Fibrillation

8/10/2021 Chase Hamilton, DO , Georgina Puentedura, MD , Garren Giles, DO

The ultrasound-guided stellate ganglion block may be used as an adjunct to established methods during pulseless ventricular arrhythmias. It is a potentially lifesaving procedure that is within the eme

Cardiology , Infectious Disease , Sepsis , Critical Care

In A Heartbeat: Septic Cardiomyopathy

8/10/2021 Lindsay Davis, DO, MPH, NRP , Bryce Taylor, DO, MS

Septic cardiomyopathy (colloquially known as septic heart) lacks formal criteria, but emergency physicians should be aware of generally accepted clinical signs. Awareness of septic cardiomyopathy as a

Pediatric EM , Ultrasound

Acute Abdominal Pain in a Child

8/10/2021 Carolina Vega, MD , Jennifer Noble, MD, FAAP , Jayashree Rao, MD , Nirupama Kannikeswaran, MD

Point-of-care ultrasound can be used to detect Meckel’s diverticulum as the underlying etiology of lower abdominal pain in pediatric patients. In the following case, bedside family-centered teaching a

COVID-19 , Pediatric EM

Kawasaki Disease vs. Multisystem Inflammatory Syndrome in Children (MIS-C)

8/10/2021 Richmond M. Castillo, MD, MA, MS , Brad Goldberg, MD, FAA

Kawasaki Disease and Multisystem Inflammatory Syndrome (MIS-C) can be challenging to distinguish, especially because COVID-19 infections can be asymptomatic. Ongoing studies are helping emergency phys

Editor's Forum , Wellness , COVID-19

Are You OK?

8/10/2021 Priyanka Lauber, DO

As we endure the COVID era - making transitions harder than normal - one thing has been clear: Many people are struggling. Are you OK?

Health Policy Journal Club , Health Policy , Advocacy , Health Care Administration , Social EM , COVID-19

Health Policy Journal Club: Age Ain't Nothin' But a Number

8/6/2021 Miya Smith, MD , Vidya Eswaran, MD

The Health Policy Journal Club reviews a study that shows an abrupt increase in prescribing opioids to patients when they turn 18 - with a sharper rise during the COVID-19 pandemic. This raises many q

Medical Students , Medical Education , Career Planning , Advising , Medical Student Council , COVID-19

Resources & Guidance for EM-Bound Medical Students - 2022

8/2/2021 Kelsey Mercedes Morgan, RN-BSN, CEN, PMHN

Navigating the match is difficult in routine times - and the ongoing COVID-19 pandemic means 2022 will be another unusual year in medical education. This compilation of resources, tailored for EM-boun

Critical Care , Critical Care Alert , Sepsis

Critical Care Alert: Fluid Resuscitation in Sepsis Induced Hypotension

8/2/2021 Erik Sherman, MD , Brian Sumner, MD

Early fluid resuscitation has been proven to be a fundamental component in improving survival for patients with severe sepsis or septic shock. But what happens when a patient has cirrhosis?

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