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Toxicology

A Case of Paralytic Shellfish Toxin Poisoning in the Aleutian Islands

4/15/2024 Sarah Spelsberg, MD, FAWM, FEWM , Megan Sarnecki, MD , Sara Filmalter, MD, CAQSM, FAWM, DIDMM , Abraham Boxx, BCP, BSN, RN, TCRN, CFRN, CCRN, CEN, NRP, FP-C, FAWM , Heather Edmison, FP-C , Holli Carter, RN, BSN, CCRN, CFRN
Paralytic shellfish poisoning (PSP) is caused by eating filter feeders contaminated by paralytic shellfish toxin from algae. Toxin levels contained in a single shellfish can be fatal to humans. In cas
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Toxicology , Cardiology , Addiction Medicine

Dangerous Pill to Swallow: A Case Report

4/15/2024 Alaina Royalty, MD , Matthew Eisenstat, MD, FAAEM
Recent literature shows that illicit benzodiazepines have been associated with significant impairment, have higher potencies than standard benzodiazepines, and are harder to identify via screening met
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Ophthalmology

Contact Lenses, a Hot Tub — and a Case of Corneal Keratitis in the ED

4/15/2024 Bryn Dhir, MD , Jared Hicken, DO , AJ Tatge, DO
Identifying ocular infections and potential severity is a critical challenge in the clinical management of patients in the ED. Ophthalmology cases are important in the education and management of pati
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Op-Ed , Advancement of EM , Ethics

AI in EM: The Byte-Sized Benefits and Glitches

4/15/2024 Austin Michael Miller, DO
Artificial intelligence (AI) is increasingly being used in emergency medicine and critical care to improve clinical decision-making, patient outcomes, and operational efficiency. However, the use of A
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OB/GYN , Ultrasound

Role of POCUS in Ruptured Ectopic: A Case Report

4/15/2024 Ava Roth, DO , Sarah E. Fabiano, MD, FACEP, FAAEM
Ectopic pregnancies are the leading cause of maternal mortality within the first trimester of pregnancy.5 The standard of care for workup and diagnosis includes a quantitative β-hCG and ultrasound ima
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Psychiatry , Patient Interactions , Health Care Administration

Unique Psychiatric Care: The Role of EmPATH Units

4/15/2024 George V. Koshy, DO, MPH , Eric Melnychuk, DO
Most EDs are not designed to provide comprehensive psychiatric care, leading to suboptimal treatment for psychiatric patients, particularly those with suicidal ideations. Boarding in the ED often resu
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Hematology

Close Call After a Fall: Splenic Rupture and its Life-Threatening Consequences

4/15/2024 Cheri Lotfi , Charles Adams , Reginald Saint-Hilaire, MD
Splenic rupture is generally classified as traumatic or atraumatic. The former is typically the result of blunt abdominal trauma, while the latter can occur due to a variety of pathologic causes. Our
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Neurology

Not all Weakness is Stroke: Difficult Diagnosis of Cerebellar Abscess Without MRI Ability

4/15/2024 Samuel Orchard, MD , Sarah E. Fabiano, MD, FACEP, FAAEM
Brain abscesses can be difficult to diagnose and often mimic other intracranial pathology such as stroke or malignancy. These patients may not exhibit infectious symptoms such as fever, leukocytosis,
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Questions , Board Review

Board Review Questions: April 2024

4/15/2024
Test your knowledge with these questions from PEERprep.
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Administration & Operations , Health Care Administration

Nowhere to Go: Addressing the Boarding Crisis in the Emergency Department

4/15/2024 Richard Ngo, DMD , Carly Rosen, MD , Christina Brown , Andrew Luo , Savanah Harshbarger, MD, MBA , Karan Bains, MD, MBA , Nicholas Stark, MD, MBA
During a pivotal panel discussion hosted by EMRA’s Admin & Ops Committee at ACEP23, leading experts urgently called for a paradigm shift in how ED crowding is perceived and addressed. Far from being a

#FOAMed and External Sources

Marathons

The EM Clerkship Podcast – Emergency Medicine for Students 04/16/2017

1st Trimester Vaginal Bleeding

The EM Clerkship Podcast – Emergency Medicine for Students 04/30/2017

Laceration (Repair)

The EM Clerkship Podcast – Emergency Medicine for Students 03/12/2017

Non-Pregnant Vaginal Bleeding

The EM Clerkship Podcast – Emergency Medicine for Students 05/14/2017
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