OB/GYN

Complications of Elective Medical Abortions

10/10/2022 Julia S. Marcus , Eric Wert, MD , MAJ John Kiel, DO, MPH, CAQ-SM

It is typical for a patient to have side effects after a medical abortion. Differentiating expected versus significant adverse events is crucial to providing proper treatment. Patient education prior

OB/GYN

Malpositioned IUD and Uterine Perforation

6/10/2022 Julia S. Marcus , MAJ John Kiel, DO, MPH, CAQ-SM

Although rare, complications with IUDs do occur and can require quick diagnosis and urgent management, particularly when involving complete perforation. Emergency physicians should consider IUD compli

Toxicology , Hematology

Bleeding Risk after NSAID Use

4/8/2021 Colton Beck , MAJ John Kiel, DO, MPH, CAQ-SM

NSAIDs are the most commonly used class of drugs in the world. They possess analgesic, antipyretic, and anti-inflammatory properties. Its GI side effects are most apparent and well-documented and can

Infectious Disease

Coinfection of Trichomoniasis with Other Sexually Transmitted Infections

2/4/2021 Allen Le , MAJ John Kiel, DO, MPH, CAQ-SM

What is the prevalence of gonorrhea, chlamydia, and trichomonas co-infection rates, and if rapid testing for trichomoniasis is unavailable in the emergency department, should the clinician empirically

Orthopedics

A Rare Case of Adolescent Joint Pain in the ED

8/17/2020 Tanner Miles, MD , MAJ John Kiel, DO, MPH, CAQ-SM , Alexandra Mannix, MD

Osteochondral defect (OCD), historically referred to as Osteochondritis Dissecans, was described by Dr. Franz König more than 125 years ago. Rarely seen in the ED, it should remain in your differentia

Sports Medicine , Toxicology

Performance Enhancing Drugs - A Review of Non-Steroidal Drugs of Abuse

12/16/2019 Kyle Casadei, DO , Sophia Sheikh, MD, FACEP , MAJ John Kiel, DO, MPH, CAQ-SM

Go beyond the classically considered androgenic hormones. This review describes some of the non-steroidal PEDs of abuse that may present to the emergency department setting and potential challenges in

Sports Medicine

Exertional Rhabdomyolysis in Athletes

12/15/2018 Jesse Fodero, MD , MAJ John Kiel, DO, MPH, CAQ-SM

Exertional rhabdomyolysis is a pathologic condition caused by muscle breakdown. It is a rare condition but one that can cause significant morbidity and mortality among athletes.

Sports Medicine

Emergency Management of Heat-Related Illness

10/16/2018 Wes Troyer, DO , MAJ John Kiel, DO, MPH, CAQ-SM

The best treatment for heat-related illnesses is public education and prevention. How can you help from your ED?