Browsing: Clinical

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Cardiology

A Quarrel, a Broken Heart, and a Dissection Walk into an ED…

8/13/2019 Sara Urquhart, MA, RN , Ashlee Barker, MD , Matthew Flannigan, DO, RDMS , William Merhi, DO, FACC
Spontaneous coronary artery dissection and Takotsubo syndrome rarely occur in the same patient at the same time - but when that patient appears, will you be able to act decisively?
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Critical Care , Critical Care Alert

Critical Care Alert: The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS)

8/12/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
Fluid resuscitation guidelines for severe sepsis and septic shock presently address only the initial phase of resuscitation. The RIFTS trial examines the efficacy of a restrictive IV fluid resuscitati
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Critical Care , Cardiology

A Review of ECMO in the ED: History, Mechanics, Common Indications, and Future Implications

8/12/2019 Mina Ghobrial, MD , Katherine Nugent, MD
As the use of extracorporeal membrane oxygenation becomes more prevalent, emergency physicians should understand the history of ECMO, how it works, when it's indicated, and what role it plays in the e
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International EM

Humanitarian Crisis in Yemen and What Emergency Medicine Has to Offer

7/23/2019 Elizabeth N. Malik, MD , Emilie J. Calvello Hynes, MD, MPH, FACEP
Emergency medicine is uniquely positioned to respond to new crises as they arise. One such crisis is unfolding in the Middle East, where a humanitarian crisis in Yemen highlights the need for global e
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Critical Care , Critical Care Alert

Critical Care Alert: Re-evaluation of Systemic Early Neuromuscular Blockade: The ROSE Trial

7/16/2019 Jonathan Pickos, DO , Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD
Does early neuromuscular blockade accompanied by heavy sedation in ARDS cases improve all-cause in-hospital mortality rates? The ROSE trial investigates.
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Critical Care , Critical Care Alert

Critical Care Alert: Measuring Lactate vs. Capillary Refill in Guiding Resuscitation in Shock: Is there a difference?

6/11/2019 Bryan Beattie, MD , Sean M. Hickey, MD
When trying to resuscitate patients with septic shock, which offers better guidance for intervention: measuring capillary refill or trending lactate levels? The Andromeda SHOCK trial studied patients
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Airway , Pediatric EM

Difficult to Ventilate and Oxygenate: The Pediatric Airway Overview

6/10/2019 Zaza Atanelov, MD, MPH , Gwen Hooley, MD , Sylvia E. Garcia, MD
Critically ill pediatric patients can make physicians-in-training nervous - and that anxiety is heightened when it comes to a pediatric patient in respiratory distress. This article reviews the basics
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Pulmonary

The Elusive Foreign Body: A Case Report

6/10/2019 Divya Mohan, DO , Jamie Adamski, DO, FACOEP, FAAEM
Foreign body aspiration is a frequent complaint in the ED. Finding the culprit, however, is not always straightforward.
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Toxicology

Intentional Flecainide Overdose: A Case Report

6/10/2019 James M. Gaylor, MD , Andrew Franco, MD , Leah Manchester, MD , Raquel F. Harrison, MD, FACEP
Flecainide overdose is a rare but serious toxic ingestion. Treatment includes the aggressive administration of sodium bicarbonate and a low threshold to initiate ILE or ECMO.
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Infectious Disease

You Can't Spell Fluoroquinolones without N-O

6/10/2019 Sajid Khan, MD , Maryam Arshad, MD
Once routinely prescribed for a variety of infections, fluoroquinolones have been shown to increase the likelihood of a host of negative effects and are now used sparingly. Do you know the 3 condition