Browsing: Clinical

Pediatric EM

Evidence-Based Updates

10/2/2016 Ravi Chekka, MD , Dhimitri Nikolla, DO

Evidence-Based Updates Case 1 A 6-year-old female presents with 3 days of fever, nausea, and vomiting from a presumed viral gastroenteritis. On examination she is febrile to 39 degrees Celsius and he

ECG Challenge , Cardiology , Clinical

ECG Challenge

10/2/2016 Zachary S. Wilson, MD

ECG Challenge Case. A 59-year-old male smoker with a history of hypertension, familial hyperlipidemia and insulin dependent diabetes presents with 2 hours of substernal chest pressure radiating to hi

Cardiology

STEMI or no STEMI? A Challenging Diagnosis

10/2/2016 Ryan Joseph, DO, DTM&H

STEMI or no STEMI? A Challenging Diagnosis A 26-year-old anxious, diaphoretic male presents with crushing mid-sternal chest pain that awakened him from sleep. Past medical history is unremarkable asi

Toxicology

The Danger of Weight Loss Supplements

10/2/2016 Maryam Arshad, MD

The Danger of Weight Loss Supplements A 54-year-old male presents with a chief complaint of heat exhaustion. He is a truck driver who has been traveling across the country without air conditioning. P

Informatics

Perils and Pitfalls of Adopting Bleeding-Edge Technology in the ED

10/2/2016 Philip Kray, MD

Perils and Pitfalls of Adopting Bleeding-Edge Technology in the ED “Wearable technology” has become a part of daily life for millions of individuals. Who can remember the last time they navigated a

Palliative Care

Palliative Care, Part 1

9/27/2016 Laura E. Creel, MA , Christina Creel-Bulos, RN-BSN, MD

Palliative Care, Part 1 The Importance of Early Implementation in the ED Emily is tired. The illness is evident when she arrives in the emergency department (ED). You can see it in her face, her skin

Critical Care

REBOA: A Precious (Life)line

9/27/2016 Megan Simon Thomas, MD , Danish Malik, MD

REBOA: A Precious (Life)line A 25-year-old male is brought in by EMS with a gunshot wound. Vital signs are as follows: HR 130 BPM, BP 60/palp, RR 24, SpO2 99% RA, and temperature 37.5 Celsius. He app

Medical Education , Simulation

Becoming America's Next Top Medical Performer

9/27/2016 Xiao C. "Tony" Zhang, MD, MS , Scott Pasichow, MD, MPH, FACEP , David Lindquist, MD, FACEP

Becoming America's Next Top Medical Performer Medical simulation has experienced rapid growth over the past 15 years, with up to 92% of emergency medicine residencies using simulation in some capacit

Toxicology

Gasping for Air: Albuterol-Induced Lactic Acidosis

9/27/2016 Alexandra Amaducci, DO

Gasping for Air: Albuterol-Induced Lactic Acidosis Pyruvate + NADH + H+ †” lactate + NAD+ Lactic acidosis is a commonly encountered phenomenon within the emergency department (ED). In the setting of

Ultrasound

The UtiliTEE of Ultrasound in Cardiac Arrest

9/27/2016 Marsia Vermeulen, DO, FACEP , Heidi Sher, MD

The UtiliTEE of Ultrasound in Cardiac Arrest A 57-year-old obese man with unknown past medical history becomes unresponsive and pulseless on the subway platform with bystander CPR initiated. EMS arri