Browsing: Clinical

Ultrasound , Cardiology

Can't Miss Killer: The Role of Point-of-Care Ultrasound in Diagnosing Acute Aortic Dissection

2/1/2017 Thompson Kehrl, MD, RDMS, FACEP , Lindsey Ball, MD

Can't Miss Killer: The Role of Point-of-Care Ultrasound in Diagnosing Acute Aortic Dissection A 69-year-old female with a history of hypertension and abdominal aortic aneurysm (AAA) presents to the e

Infectious Disease

CNS Toxoplasmosis

2/1/2017 Sarah E. Fabiano, MD, FACEP, FAAEM , Harley E. Chapman Jr., CFRN, FP-C, CMTE , Bradley G. Collins, MD

CNS Toxoplasmosis A 26-year-old Spanish-speaking female patient presents to the emergency department (ED) with right-sided weakness after a witnessed seizure. The patient is postictal, combative, and

Pediatric EM , Health Policy

Passport to Health: Challenges of Caring for Undocumented Children in the Emergency Department

2/1/2017 Michael Holdsworth, MD , B. Barrie Bostick, MD

Passport to Health: Challenges of Caring for Undocumented Children in the Emergency Department Introduction An undocumented immigrant is an individual who enters the United States without inspection

Disaster Medicine

When Disaster Strikes: Crisis Management from Inside Hurricane Matthew

2/1/2017 Krelin Naidu, DO , Jenna Santiago-Wickey, DO , Gregory Capece Jr., DO , Elizabeth Gignac, DO, FACOEP

When Disaster Strikes: Crisis Management from Inside Hurricane Matthew Emergency department (ED) physicians are trained and expected to think on our feet, to make the best of unusual circumstances an

Critical Care , Critical Care Alert , PGY1

Critical Care Alert: Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage

12/14/2016 Yanika Wolfe, MD

Critical Care Alert: Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage A 57-year-old male with a history of hypertension and diabetes develops a severe headache and nausea.

Clinical , Cardiology , ECG Challenge

ECG Challenge

12/9/2016 Zachary S. Wilson, MD

ECG Challenge Case. A 79-year-old male with a medical history of “some heart problems” presents to the emergency department with 3 days of fatigue and shortness of breath. This ECG is obtained in tri

Critical Care , Airway

Post-Intubation Tracheal Tear Leading to Abdominal Compartment Syndrome

12/6/2016 Rotem Friede, MD , Ben Liss, MD , Alin Gragossian, DO, MPH

Post-Intubation Tracheal Tear Leading to Abdominal Compartment Syndrome A 46-year-old female with a history of asthma and anxiety presents to the emergency department (ED) with progressively worsenin

OB/GYN , Consults , Consult Corner

Consult Corner OB-GYN

12/1/2016 EM Resident

Consult Corner OB-GYN Victoria Fitz, MD OB/GYN Resident University of North Carolina, Chapel Hill, NC EMR: What is the most effective way to present an OB/GYN consult over the phone? CC: The goal sho

Palliative Care

Palliative Care, Part 2: A How-To Guide

12/1/2016 Laura E. Creel, MA , Christina Creel-Bulos, RN-BSN, MD

Palliative Care, Part 2: A How-To Guide Editor's note: This is the second in a two-part series. Michael is tired. The emergency department (ED) is inconceivably busy. The waiting room census keeps gr

Trauma

Targeted Therapy Through Thromboelastography in Trauma (Now that's a Tongue Twister!)

12/1/2016 Harsha Musunuru, DO , Daniel Hake, MSIV , Anne Newbold, DO

Targeted Therapy Through Thromboelastography in Trauma (Now that's a Tongue Twister!) By measuring the clotting ability of a patient's whole blood sample in real time, the TEG is able to provide a mo