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Editor's Forum

Before the Breaking Point

8/10/2022 Jessica Adkins Murphy, MD

There will probably come a time when you feel you aren’t your best self. Whether you are feeling early symptoms of burnout, are not quite meeting your goals, or suffer from clinical depression, anxiet

Neurology

Pneumocephalus: An Atypical Presentation of Syncope

8/10/2022 Avinash Ram, DO , Mollie Williams, MD, MPH , Omar Hashmi, DO

Pneumocephalus, defined as air present in the intracranial area, is a known complication of accessing the epidural space. Patients with pneumocephalus can have a wide-ranging presentation from benign

Career Planning

10 Tips to Make the Leap from Resident to Attending

8/10/2022 Kristyn J. Smith, DO , Megan Gillespie, DO , Arthur J. Pope, MD, PhD

The transition from resident to academic attending physician can be challenging, but you’ve got this! And we’ve got 10 tips to help smooth the journey.

Toxicology

TCA Overdoses and Mimics: Don’t Delay, Don’t Be Led Astray

8/10/2022 Lance Shaull, MD , Andrew Mittelman, MD

At toxic doses, tricyclic antidepressants (TCAs) cause blockade of sodium channels, muscarinic receptors, and alpha-adrenergic receptors. Slowed ventricular contraction, tachycardia, and vasodilation

Patient Interactions

Orthostatic Vital Signs: Have They Fallen Out of Favor?

8/10/2022 E. Daxton Spencer, DO, MS, RN , Lindsay Davis, DO, MPH, NRP

Just as there are two sides to every coin, some medical literature supports taking patients’ orthostatic vitals when they present to the ED with syncope, lightheadedness, and vertigo; other literature

Geriatrics , Pain Management , Palliative Care

Initiating End-of-Life Care From the ED

8/10/2022 Matthew B. Walton, MD , Eric Melnychuk, DO

Compassion and a focus on comfort are keys when delivering end-of-life care in the ED.

Critical Care , Neurology , Trauma

Drowning in a Flash: A Review on Neurogenic Pulmonary Edema

8/10/2022 Bryce Taylor, DO, MS

Neurogenic pulmonary edema, associated with high mortality, can occur after any neurologic insult and is best addressed by controlling intracranial pressure.

Informatics

This Fall: Clinical Informatics Workshops for Residents, Fellows, and Students

8/10/2022 Michael Dorritie, DO , Nicolas Kahl, MD

EMRA’s Technology, Telehealth, and Informatics Committee will launch quarterly clinical informatics workshops with ACEP this fall. The Committee spoke with Carrie Baker, DO, chair of ACEP’s Informatic

Op-Ed

One Health and Climate Change: Why EM Physicians Should Pay Attention

8/10/2022 Alison Neely , Kyle Denison Martin, DO, MPH

As emergency physicians, it is imperative to understand how environmental factors affect our practice of medicine. Climate change and its effects can feel daunting and out of our control; however, we

Infectious Disease , Pediatric EM

"Feline" Feverish: A Case Report

8/10/2022 Shanice Latham, MD, MPH , Hussain Shakir, MD, FAAP

Behind typhoid fever and urinary tract infections, cat-scratch disease is the third most common cause of fever of unknown origin in pediatric patients. CSD should be high on the diagnostic radar whene