Infectious Disease

Case Report: Malaria, Dengue, and COVID-19 in a Migrant Entering the United States

3/25/2024 Russell Baker, DO , Brian Elmore, MD , Cynthia Rincon, DO

Migrants are vulnerable to various tropical diseases as they traverse regions enroute to the United States. These diseases include malaria, mosquito-borne arboviruses, and helminth diseases. The congr

Neurology

Tension Pneumocephalus: Rare Brain Air Complication Requires Emergent Care

3/19/2024 Jibril Ashiru-Balogun, MD , Danielle Biggs, MD

Tension pneumocephalus — which can result from air accumulation under pressure within the skull cavity — is a potentially fatal condition and may require emergency surgery. It is difficult to diagnose

Addiction Medicine , Toxicology , Medications

Case Report: A Review of Clonidine Overdose Management

3/19/2024 Rachel Martin, MD , Andrew Morgan, DO , Mark Gustafson, DO

Clonidine is a widely available drug and has been seen as the culprit in an increased number of intentional and accidental overdoses. Symptoms of toxicity include hypertension or hypotension, bradycar

Airway , Critical Care , Prehospital Care

Hidden Triggers: Unmasking Anaphylaxis

3/18/2024 Lynnsey Moss, MD , Andrew Michalak, MD , Ray Isenburg, DO

Anaphylaxis is a true and potentially life-threatening emergency. Understanding that this condition has broader diagnostic criteria than are commonly recognized will help with early recognition and tr

Op-Ed , Social EM

Health Literacy in the ED: A Quick Guide

3/18/2024 Denise Marte, MD , Gabriela Galli, MD , Trudi Cloyd, MD

Poor health literacy is one of the most common social determinants of health that we encounter daily in the ED. Limited health literacy results in higher rates of morbidity and mortality and increases

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.

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