Oncology , Patient Interactions , COVID-19

Framework for New Cancer Diagnoses in the ED

10/9/2020 Sabena Vaswani, MD

Since the coronavirus pandemic, emergency departments across the country have been experiencing lower volumes and higher acuity - including new cancer diagnoses in the ED.

Infectious Disease , International EM

A Case of Severe Malaria in the Emergency Department

10/9/2020 Alex Iteen, MD

Malaria is a rare diagnosis in the U.S. As such, providers outside of infectious disease specialists or those with experience in travel medicine or global health may not be familiar with the disease.

Toxicology , Medications

Strong Enough for a Giraffe, But Made for a Human: Alpha 2-adrenergic Agonist Overdose

10/9/2020 Scott H. Witt, MD , Erich Burton, DO

Recognizing alpha 2-agonist overdose and distinguishing it from other etiologies of bradycardia and hypotension is critically important.

Social EM , Sepsis , Hematology

Septic Thrombophlebitis as a Consequence of Intravenous Drug Use Disorder

10/9/2020 Ali Elsaied, DO , Kuljit Kaur, DO , Darragh Cullen, DO

This is a unique case of Lemierre's syndrome in a person who injects drugs (PWID) without a history of recent oropharyngeal infection or the presence of a central venous catheter.

Neurology , Orthopedics , Urology

The Smallest Red Flag: A Case of Non-Urologic Urinary Retention

10/9/2020 Sarayna McGuire, MD , Derick Jones, MD, MBA , Patti Paris, MD, MBA, FACEP

It is important to consider that acute urinary retention can be a subtle clue of a neurologic process warranting emergent CT imaging to rule out vertebral fracture and MRI to rule out spinal cord comp

Nephrology

Cervical Cancer as a Cause of Acute Renal Failure

10/9/2020 Jordan Miller, DO , Christina Hornack, DO , Michael Pallaci, DO, FACEP, FACOEP , Michael Weinstock, MD

Cervical cancer, the second-leading cause of death among women ages 20-39, can be a rare form of acute renal failure.

Editor's Forum , COVID-19 , Wellness

#PetsOverCOVID19

10/9/2020 Priyanka Lauber, DO

COVID-19 has brought a lot of negatives and challenges, so I will look for and take a positive wherever I can find it. One bright note this year: Pet adoptions are on the rise as people realize the he

Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Hydrocortisone on Mortality or Respiratory Support Among Critically Ill with COVID-19 Patients

10/8/2020 Oswald Reid, Jr., MD , Sean M. Hickey, MD

While the treatment for SARS-CoV-2 continues to evolve, the emergency department remains a primary place for early medical intervention. There is growing evidence to support that initiating steroids w

Ultrasound

Can Transcranial Doppler Be Useful in the ED? A Review of the Literature

9/30/2020 Mikaela Biavati , Daniel Hubbard , Jake Freudenberger, DO , Akash Desai, MD , Tim Montrief, MD, MPH

Transcranial Doppler offers exciting potential - but in what settings? This literature review evaluates its use in trauma, ICU, pediatric, rural, and international settings.

Airway , Clinical

Love Hurts: Rare Hypersensitivity Reaction in the Emergency Department

9/22/2020 Darren Cuthbert, MD, MPH , David Christopher Cuthbert, MD , Joshua Bucher, MD , James Karz, DO , Jaila Graham , Mohamed Olabi

Human seminal fluid hypersensitivity affects roughly 40,000 women in the U.S.

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