Neurology

Bilateral Thalamic Infarct: A Diagnosis Not to Sleep On

12/2/2024 Benjamin Kartub, MD , Abby Cosgrove, MD , Khalid Alsherbini, MD, FNCS

Occlusion of the Artery of Percheron leading to isolated bilateral thalamic infarcts is a rare and difficult diagnosis in emergency medicine. Learn the symptoms that can help keep it top of mind.

Cardiology , Ultrasound , Pediatric EM

"Nausea, Vomiting, and Tachycardia. Oh My!": Noncompaction Cardiomyopathy

12/2/2024 James C. Roberson III, MD , Veronica Miles, MD

In this case report, a common, very non-specific complaint of nausea/vomiting leads to a rare diagnosis of noncompaction cardiomyopathy in a young adult. Learn how to catch this condition, despite its

Toxicology

Now That’s What I Call Tox!

12/2/2024 Brittany (Ladson) Garza, DO, MPH , E. Mason Jackson, MD , Katherine M. Markin, MD , John Michael Sherman, MD , Laura Szczesniak, MD, PhD

EMRA’s Toxicology Committee summarizes noteworthy toxicology papers. These were some of our favorites from 2024!

Ultrasound , Social EM

Case Report: A Unique Role for Bedside Ultrasound in a Patient with Progressive Unilateral Leg Swelling

12/2/2024 Michaela Banks, MD, MBA , George Alexander Knight, MD , Heather Murphy-Lavoie, MD

See how a case of unexplained, worsening pain and swelling in a bounceback patient was solved with bedside ultrasound and a thorough history that revealed social determinant red flags.

POCUS For the Win

POCUS for the Win: Post-Myocardial Infarction Septal Rupture

12/2/2024 Erik Moyer, MD

Post-MI ventricular septal rupture is a rare but life-threatening complication. Prompt diagnosis and surgical intervention are crucial for improving outcomes. This case highlights the speed, sensitivi

POCUS For the Win

POCUS for the Win: Retrobulbar Spot Sign

11/18/2024 Louisa Weindruch, DO , Whitney Potomac, DO, MS, FACEP, FDP-AEMUS , Robert Barnes, MD, FACEP

Central retinal artery occlusion is an ocular emergency that commonly presents as sudden, painless, monocular vision loss. It can be a harbinger of serious comorbidities, making diagnosis important. P

EMS , Disaster Medicine , Administration & Operations

UMMC Pediatric Emergency Department Response to the Rolling Fork Tornado

11/14/2024 Heath Broussard II, DO , Andrew Buckelew, DO , Kerry J. Yancy, MD

Does your emergency department have a plan for managing a Category 4 tornado? As the only pediatric hospital and Level 1 trauma center in Mississippi, the University of Mississippi Medical Center pivo

Gastroenterology , Vascular , Nephrology

Two Sides of a Compression Coin: A Comparison of Wilkie's and Nutcracker Syndrome

11/14/2024 Kay Nicole Tipton, DO, MS , Neelou Tabatabai , Field Davis, DO

The vague presentation of abdominal pain can lead you down many differential pathways. When combined with sudden or rapid weight loss, it can point to 2 rare syndromes caused by compression. Review th

Critical Care , Critical Care Roadblock , Airway

Roadblock: Refractory Hypoxia on the Ventilator

11/5/2024 Dominique Gelmann, MD

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

Cardiology , Infectious Disease , Wilderness Medicine , Toxicology

Case Report: Heart Block Stemming from Lyme Disease

10/31/2024 Puja Singh, MD , Marian Gambrell, MD

We present a case of bradycardia and dyspnea in an otherwise healthy young male found to have EKG abnormalities inclusive of third-degree heart block. The culprit? Lyme disease.

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