Pediatric EM , Neurology , Vascular

CNS Manifestations in IgAV: A Pediatric Case Report

3/18/2024 Erin Bell, MD , Abby Halm, MD , Jakob Ottenhoff, DO

Immunoglobulin A vasculitis (IgAV) is the most common form of present vasculitis in children. Diagnosis is clinical and includes the presence of palpable purpura with at least 1 of the following: a bi

Op-Ed , Social EM

Caring for LEP Populations in the ED: A Quick Guide

3/18/2024 Denise Marte, MD , Victoria Pereira, MD , Trudi Cloyd, MD

EDs are critical entry points for establishing medical care in the United States for marginalized and immigrant populations. It is imperative to actively address issues specific to these individuals,

Cardiology

What’s Pacing? Could it be a Leadless Pacemaker?

3/18/2024 Julia Z. Guo, MD , Salil Bhandari, MD , Puneet Ghayal, MD

A leadless pacemaker can be appreciated on CXR and on CT as a bullet-shaped and radiolucent object located in the right ventricle. It can be easily mistaken as a cardiac loop recorder on AP view of CX

Critical Care Ultrasound , Ultrasound , Critical Care , Hematology

Advanced Critical Care Ultrasound: 3-Point DVT Study

2/22/2024 Christian Kasianko, MD , Dustin Slagle, MD

Deep venous thrombosis is a can't-miss diagnosis. Learn how to use the 3-point ultrasound exam to make sure DVTs do not go unnoticed.

Critical Care Alert , Critical Care , Airway , Toxicology

Critical Care Alert: Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial

2/22/2024 Alex Lucas, MD , Christian Kasianko, MD , Dustin Slagle, MD

How reliable is the old adage, "GCS less than 8, intubate"? A randomized trial examines the effect of intubation vs. noninvasive airway management for poisoned patients with GCS less than 8.

Health Policy Journal Club , Health Policy , Administration & Operations , Social EM

Health Policy Journal Club: Documentation Matters

2/8/2024 Elina Kurkurina, MPH , Vidya Eswaran, MD , Rachel Solnick, MD , Cedric Dark, MD, MPH, FACEP

Social determinants of health are an important and well-documented driver of health care utilization and outcomes - so important, in fact, that there's a class of ICD codes specifically for it. Are yo

Critical Care , Critical Care Roadblock , Palliative Care

Roadblock: Goals-of-Care Conversations

2/6/2024 Kunj Bhatt, MD , Trevor R. Pour, MD , Shunichi Nakagawa, MD

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

Dermatology

What do I do With This Abnormal Tattoo?

1/15/2024 Nathan LeDeaux, MD

This article focuses on the appropriate empiric treatments for tattoo-related complications in the emergency department.

Cardiology , Vascular

Mechanical Circulatory Support: A Viable Option for Some Patients With Advanced Heart Failure

1/15/2024 Dulari Patel, DO , Ivan Ivanov, DO , Brenda Sokup, DO

A mechanical circulatory support (MCS) device is a surgical option for patients who have had unsuccessful experiences with optimal medical therapies for advanced heart failure. These therapies ideally

Pediatric EM , Gastroenterology

Case Study: Pediatric GI Bleed With Meckel’s Diverticulum Diagnosis

1/15/2024 Daniel Epperson, MD , Sandra Schwab, MD

Pediatric GI bleeding is a somewhat uncommon presentation to the emergency department. Disposition is critical for the pediatric patient with a suspected GI bleed. In the unwell-appearing child regard

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