Ultrasound

Case Series: Prehospital POCUS Aides in Shortness of Breath Diagnosis

1/30/2023 Morgan Ritz, MD , Raghav Sahni, DO , Michael Shalaby, MD , Kevin C. Welch, DO , Maxwell Cooper, MD

Shortness of breath is one of the most common EMS chief complaints, with the majority of our population endorsing a history of COPD, CHF, or both. Prehospital POCUS is a quick, non-invasive, and effec

Patient Interactions

Emergency Physicians’ Perspective: Caring for Persons with Disabilities

1/30/2023 Cori Poffenberger, MD , Anika Backster, MD , Jason Rotoli, MD

As health care professionals, we interact with and see patients with disabilities in one tiny microcosm of their world, in the hospital or the clinic, where they are the patient who may be ill or suff

Palliative Care , Op-Ed

Palliative Care in the ED: Past, Present, and Future

1/30/2023 Alice Chang, DO

Palliative-care training and education, quality improvement, and research within EM has surged in the past decade. As a result, the practice paradigm for seriously ill patients in the ED has begun to

Critical Care Alert , Sepsis , Urology

Pelvic Sepsis: A Fatal Complication of Routine Hemorrhoidectomy

1/30/2023 Carly Rosen, MD , William Bonadio, MD , Jessica Fleischer-Black, MD

Pelvic sepsis is a well-known and feared complication of colorectal and urologic surgery; however, it is not common and may not be recognized by emergency physicians. Patients may present with only mi

Airway , Orthopedics

Oh Snap! Ketamine-Induced Laryngospasm in an Adult Patient

1/30/2023 Ashleigh MacLean, MD , Neha Sehgal, DO

Overall, laryngospasm is rare. When it does occur, it almost always resolves with simple interventions such as pressure to Larson’s notch and assisted positive pressure ventilation. Supplemental oxyge

Op-Ed , Behavioral Health , Patient Interactions

The Betty Bubble: A Week at the Hazelden Betty Ford Addiction Treatment Center

1/30/2023 Brittany (Ladson) Garza, DO, MPH

Addiction is a disease that responds to treatment. We must offer services to all patients no matter how many times it takes them to accept help. Who’s to say that attempt number 30 isn’t the one that

Op-Ed , Patient Interactions , OB/GYN

Pilot Study: Evaluating Education Targeting Intimate Partner Violence, Human Trafficking in an EM Residency

1/30/2023 Codee Champney, DO , Jordan Wells, MD , Luke He, MD , Grace Klanderud, MD , Megan L McElhinny, MD

IPV and HT are major causes of morbidity and mortality in the United States. Many victims will seek medical care, often in the ED. This puts emergency physicians in a position to identify and help vic

Infectious Disease , Sepsis

Sepsis Alert: Care Pathways in the ED

1/30/2023 Amelia R. Barber, MD , Keasha N. Kuhnen, DO

Sepsis identification tools have many criticisms and vulnerabilities. The value of different sepsis care pathways has been a major area of research and discussion among clinicians. This has caused lar

Simulation

The Portable Sim Gym: An Eye-Opening Tool in Medical Education

1/30/2023 Kandria Ledesma, MD , Matthew Kiefer, MD , Yasamin Soltanianzadeh, MD

The art of on-shift teaching is a skill that many attendings struggle with and aim to master, especially during a busy shift. A few residents hope to help via the “Sim Gym,” their version of a portabl

Toxicology , Nephrology

A Case of Intentional Salt Ingestion Leading to Life-Threatening Hypernatremia

1/30/2023 Christopher M Mashiak, MD , Johndavid M Storn, MD , Jennifer V Pope, MD

Acute salt ingestion should be rapidly corrected to reduce serum osmolality. This can be done with an infusion of hypotonic solutions, such as 5% dextrose in water (D5W), with a goal reduction of 1 mm

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