Browsing: Clinical

Disaster Medicine , Prehospital Care

Tactical Medicine: An Evolving EM Subspecialty

2/12/2020 Cameron B. Justice
A Q&A with a tactical medicine pioneer, Dr. John Wipfler III.
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Career Planning , Pediatric EM

Demystifying the EM to PEM Journey: A Conversation with EM to PEM Attendings

2/12/2020 Gwen Hooley, MD , Zaza Atanelov, MD, MPH
Do you feel a little discomfort seeing a critically ill pediatric patient awaiting your care? Three EM to PEM attendings have some guidance they gathered along their journey towards pediatric emergenc
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Pediatric EM

Pediatric Nasopharyngeal Tumor

2/12/2020 Ashlee Davis, MD , Sarah E. Fabiano, MD, FACEP, FAAEM
Nasopharyngeal tumors are exceedingly rare but their clinical presentation often includes symptoms commonly seen in the ED. These may include symptoms of more benign conditions, such as rhinitis or si
Cardiology , Radiology

Aortic Dissection: End the Glow!

2/12/2020 Roli Kushwaha, MD , Anthony Furiato, DO, FACEP , Justin McNamee, DO, FACEP
The key concern in the ED is if there is a way to risk stratify patients for AD and, if so, is there a test with high enough sensitivity and negative likelihood ratio to rule it out.
Nephrology

The Echogenic Kidney

2/12/2020 Bryn Dhir, MD , Colin Ireland, DO , Todd Britt, DO , Alan Janssen, DO, FACOEP-D, FACEP, FAAEM
Ultrasound in the emergency department can reveal the echogenicity of the renal pyramids in Medullary Sponge Kidney. Despite previous episodes and presentations, it is often undiagnosed or overlooked
Neurology , Ultrasound , Guided Procedures

Ultrasound Guided Supracondylar Nerve Blocks for Reduction of Distal Radius Fractures

2/11/2020 Heather Roesly, MD , Spencer Tomberg, MD
One of the most common fractures seen in the ED - and one of the most painful to manipulate and reduce prior to splinting. This nerve block can help.
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Toxicology , Pediatric EM , Gastroenterology

Gastric Perforation after Liquid Nitrogen Ingestion: A Scream after Ice Cream

2/11/2020 Natasha Brown, MD , Carlos Dos Santos , Fiona Azbuike, MD
Sweet! Cool! Oh ... The popular food or drink enhancement tactic of adding liquid nitrogen can have alarming effects - possibly fatal.
Pulmonary

A Case of Pulmonary Hypertension in the ED

2/11/2020 Sophia Ahmed, MD, MS , Maci Chapman, MD , Nurani Kester, MD, FACEP
Consider pulmonary hypertension when evaluating patients with shortness of breath because this condition is under-diagnosed and can be easily missed. Follow this case to clue in.
Cardiology

Primary Cardiac Synovial Sarcoma Complicated by a Malignant Pericardial Effusion

2/11/2020 Ryan Joseph, DO, DTM&H , Charles Kennedy , Meera Gebrael, MD , Shane Jennings, MD, FACEP
In this patient, bedside transthoracic echocardiography was key to discovering the cause of chest pain and shortness of breath.
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OB/GYN

Ticking Time Bomb: Defusing Ectopic Pregnancy

2/11/2020 Blake Briggs, MD , Iltifat Husain, MD
Failure to appropriately manage this increasingly common pathology leads to significant morbidity and mortality. Are you prepared to step in and help?