POCUS For the Win , Orthopedics

POCUS for the Win: Point-of-Care Ultrasound for the Diagnosis of Acute Achilles Tendon Rupture

5/7/2025 Allison Harmsworth Smith, MD , Louisa Weindruch, DO , Chase Forehand, MD , Whitney Potomac, DO, MS, FACEP, FDP-AEMUS , Jonathan Brewer, MD, FACEP, FPD-AEMUS

The Achilles tendon is the most commonly ruptured tendon in the human body. This case highlights the utility of bedside point-of-care ultrasound in the emergency department for diagnosing this and oth

EMS , Wilderness Medicine , Trauma

A Self-Contained Hypothermic Rewarming System: A Case Study

5/6/2025 Conner W. Lynn , Skyler Hill-Norby, DO , Jennifer McGowan, MD

Hypothermia, one part of the deadly trauma triad, requires careful rewarming. This report reviews two cases of hypothermia presenting to resource-limited community sites, both managed via internal tem

Cardiology , Social EM , Ultrasound

Case Report: Arrhythmogenic Right Ventricular Cardiomyopathy Presenting with Inappropriate ICD Discharges

5/6/2025 Eytan Mendelow, DO , Daniel Patino-Calle, MD

The results of insufficient health care insurance and access can be seen most clearly in the emergency department. This case focuses on managing arrhythmogenic right ventricular cardiomyopathy (ARVC)

Toxicology , Psychiatry

A Case of Lithium Toxicity Masked by Behavioral Symptoms in a Psychiatric Patient

5/6/2025 Rebecca Notini Kirby, MD , James O'Neill, MD , Jennifer Hannum, MD

Distinguishing between medical and psychiatric causes of altered mental status (AMS) can be challenging, as the two may present with similar clinical manifestations.1 As a result, patients with underl

Critical Care Alert , Critical Care , Resuscitation

Critical Care Alert: A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest

3/26/2025 Josh Wild, DO , Jacqueline Zhu, MD , Alexandra Hallagan, MD

Every minute counts for long-term outcomes in out-of-hospital cardiac arrest. Does the route of administration for lifesaving medications play a role? This EMRA Critical Care Alert dives into the PARA

Toxicology

A Case of Severe Lactic Acidosis Due to Metformin Toxicity

3/23/2025 Natalie Rech, MD , Sarah E. Fabiano, MD, FACEP, FAAEM

Metformin toxicity causes a profound lactic acidosis and can be concerning in patients with existing kidney impairment.

EMS , Orthopedics

Severe Finger Entrapment in Gas Filler Cap Valve

3/23/2025 Robert Poth, DO , Courtney Merlo, DO , Andrew Park, MD , Akshay Srikanth, MD , Robert Klever, MD

How do you manage a case of a patient's finger stuck so completely in a Ford Explorer gas valve that EMS arrives with part of the vehicle attached to your patient? Hint: Consider the use of a nasophar

Vascular

Thoracic Outlet Syndrome as a Cause of Arm Swelling in Hemodialysis Patients: A Case Report

3/23/2025 Michael Yang, MD , Geoff Comp, DO, FAWM , Kimberly Mayekawa

Arm swelling in hemodialysis (HD) dependent patients is a serious complication associated with arterio-venous fistula (AVF) creation that is not often seen in the emergency department. We present a ca

Neurology , Critical Care

NICE to Know Series: Aneurysmal SAH Care in the ED and Beyond

3/19/2025 Carlton Watson, MD, MS , Cappi Lay, MD

Aneurysmal subarachnoid hemorrhage (aSAH) is a must-not-miss diagnosis in the emergency department (ED). The rupture of an intracranial aneurysm leads to bleeding within the subarachnoid space, where

Airway , Pediatric EM

Partial Foreign Body Airway Obstruction (FBAO): Difficult Airway Planning and the Benefits of Interdisciplinary Care

3/19/2025 Cynthia Rincon, DO, PGY-3 , Scott Crawford, MD, FACEP, CHSOS

Can’t-intubate/can’t-ventilate scenarios are critical, and the difficulty ramps up when your patient is a young child. Planning ahead for the difficult airway can make the difference between life and

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