Critical Care , Cardiology

A Pain in the Hip: An Atypical Presentation of Acute Aortic Dissection as Isolated Right Hip Pain

12/10/2025 LT Michael Shulby, DO, MC, USN , CDR Eric J. Joch, DO, MC, USN , LT Matthew A. Tovar, MD, MC, USN

Acute aortic dissection may present atypically, often without the classic "tearing" chest or back pain. Instead, patients may present with syncope, neurologic deficits, pulse deficits, referred pain,

Airway , Infectious Disease

Silent Swell: Ludwig’s Angina Resulting in Airway Obstruction

12/9/2025 Raymond Senu, MS4 , Blake Briggs, MD

Ludwig’s angina is a rapidly progressing and potentially fatal infection that requires rapid identification and management. Learn the basics of recognizing and initiating treatment for this critical c

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Critical Care , Neurology

Pseudo-Subarachnoid Hemorrhage Following Cervical Medial Branch Block Using Gadolinium-Based Contrast: A Case Report and Review of the Literature

12/9/2025 Charles Adams, DO, PGY-2 , Cheri Lotfi, DO, MS , Zachary Weinerman, MD

This case report explores the evidence behind recognizing and treating conditions caused by gadolinium-based contrast agents — including pseudo-subarachnoid hemorrhage.

Critical Care , Patient Interactions , Technology, Telehealth, and Informatics

FaceTime as a Tool for Remote Communication in Sudden Death and Resuscitations

12/9/2025 Stephanie Radu, MD, MCR , Casey Wilson, MD, RDMS, FAEMUS , Mark Plexousakis, DO

Life-threatening emergencies can occur when patients’ family are not present, making critical decision-making more difficult. What role does FaceTime play in this situation? What are the legalities su

Toxicology

Severe Methanol Poisoning Managed Using Bicarbonate Therapy and Hemodialysis in the Absence of an Available Antidote

12/8/2025 Pham To Uyen, MD , Huynh Minh Tri, MD , Vo Do Danh, MD , Hoang Anh Tien, MD, PhD

Methanol poisoning constitutes a life-threatening medical emergency in critical care, particularly in developing countries where unregulated or illicitly produced alcohol is commonly consumed. In many

Neurology

Unmasking Atypical Stroke: Isolated Left Wrist Drop Due to Hemorrhagic Stroke—A Case Report

12/8/2025 Stephen Contreras, BSN, RN, MS4 , Grace Han, MS4 , Cynthia Rincon, DO, PGY-3 , Habiba Khan, MD, PGY-3 , James M. Brown, MD, FACEP

Stroke remains a major cause of morbidity and mortality worldwide, with hemorrhagic strokes accounting for approximately 10–20% of cases. Classic symptoms like hemiparesis or aphasia often lead to ear

Neurology , Infectious Disease

Opsoclonus‑Myoclonus‑Ataxia Syndrome: A Primer for Emergency Medicine Residents

12/8/2025 Nimit Kasliwal, MD , Jonathan Brewer, MD, FACEP, FPD-AEMUS

While opsoclonus-myoclonus-ataxis (dancing eye-dancing feet syndrome) may seem rare and complex, its early identification in the ED can be life‑altering. When faced with an unusual movement disorder a

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Critical Care

Critical Care: Angiotensin II for Management of Refractory Shock

12/8/2025 Vishnu Dontu , Rishab Agarwal , Jace C. Bradshaw, MD

Refractory shock is commonly managed with vasopressin, but it carries the risk of adverse side effects. Angiotensin II (Ang II) is gaining recognition as an alternative therapy.

EMS , Military

Military-Civilian Collaboration for Search and Rescue Operations in Vermont

12/3/2025 Tyler McGuire, MD , Ryan Leone, MSc , Chris Heins, MD , Evan Miller, DO

Advances in outdoor gear and easily accessible trail information have made it possible for people of widely varying skill and experience levels to get outside quickly. However, with this increased act

Pediatric EM

Intracranial Abscess and Importance of Head Circumference Measurements in Pediatric Patients

11/19/2025 Hayn Jackson, MD , Jordan Nogle, DO , Chad McCalla, MD

Intracranial abscesses are a rare pathology in which focal areas of brain parenchyma are necrotic secondary to an infectious agent, typically bacteria, with an incidence of 1,500-2,500 cases in the Un

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