Browsing: Clinical

COVID-19 , EMS

PPE in the Field During the COVID-19 Pandemic

6/28/2020 Hajirah Ishaq, DO, MS , Caity Friend

Prehospital personnel are truly on the frontlines of medicine, and they have been dramatically affected by the SARS-CoV-2 pandemic. As protocols shift according to supplies and emerging research, how

Critical Care , Critical Care Alert

Critical Care Alert: Effects of Dexamethasone in Hospitalized Patients with COVID-19 - Preliminary Report

6/26/2020 Taylor Miller, MD , Sean M. Hickey, MD , Trevor R. Pour, MD

As much of the U.S. experiences a resurgence of COVID-19 cases heading into the height of summer, research continues at a brisk pace. Can dexamethasone - a relatively inexpensive, commonly prescribed

ECG Challenge , Cardiology

ECG Challenge: June-July 2020

6/11/2020 Emily Luvison, MD , Johnny Rowles, MD , Jeremy Berberian, MD

A 46-year-old male with a history of hypertension presents with palpitations and lightheadedness. What is your interpretation of the ECG?

Wilderness Medicine

Winter Is Still Coming! Reviewing Accidental Hypothermia

6/11/2020 Brendan A. Mulcahy, DO, PHP, PA-C

Since the dawn of time, biological life has been affected by the extremes of temperature. Wars have been won and lost due to the devastation brought on by hypothermia. Accidental hypothermia remains a

Hematology

Petechiae and Gingival Bleeding: ITP Beyond the Boards

6/11/2020 Marc Cassone, DO , Brilee Madison, DO , Jennifer Spinozzi, MD , Conor Young, MD , Richard O. Davis, DO

Immune thrombocytopenia (ITP) can often be first diagnosed and recognized in an ED setting, both as a primary and incidental finding. Let's review a typical presentation and the unique pathology and s

Infectious Disease

A Case of Severe Malaria In the ED

6/11/2020 Charles Davis

Malaria is a potentially life-threatening disease caused by the Plasmodium parasite. Symptoms usually present 1–4 weeks after infection but can present months to years later depending on the species.

Ultrasound

Common Pitfalls of Ultrasound-Guided Peripheral IV Placement

6/11/2020 Andrew Mittelman, MD

Placement of an ultrasound-guided peripheral intravenous line (USPIV) is a common and relatively safe procedure. Don't fall into bad habits that lead to unsuccessful placement. Review the most common

Toxicology

Feeling Nervous? Recognition and Management of Nerve Agent Exposure

6/11/2020 Garrett Cavaliere, DO , Gregory Jasani, MD , Reem Alfalasi, MBChB

Nerve agents are one of the most terrifying weapons of war. With many direct pathophysiologic effects, the psychological terror they instill is often the intent of their use. Emergency medicine provid

Infectious Disease

A Pause to Consider Strongyloides Stercoralis in the ED

6/10/2020 Rebecca Teague, MD , Joel Hamm, MD, FACEP

Strongyloidiasis is an infection of the parasitic nematode, Strongyloides stercoralis. This condition is well-known in global health as a concern among immigrants and refugees, but it is also present

EMS , Disaster Medicine , Prehospital Care

Until Help Arrives - Prehospital Emergency Medicine All Citizens Should Have

6/10/2020 Luke Wohlford, MD, MPH

For a long time, prehospital emergency medicine education was limited to those training for jobs in the field. Only in the last several decades have mass education initiatives emphasized emergency med