Neurology , Nephrology , Toxicology

Valacyclovir-Associated Neurotoxicity in End-Stage Renal Disease

1/15/2024 Chad Barnhart, MD, EMT-P , Matthew Ball, MD , Michael B. Holbrook, MD

Valacyclovir-associated neurotoxicity (VAN) is a relatively rare phenomenon. This case report details a unique presentation of VAN in a hemodialysis-dependent patient. It underscores the importance of

Infectious Disease , Neurology

Neurosyphilis: Keep it in Mind When Symptoms Align

1/15/2024 Cassie Ward, DO , Shannon Lovett, MD, FACEP

New cases of syphilis are on the rise, so have a high index of suspicion in patients with any risk factor or symptoms. Consider neurosyphilis in patients with prior history of syphilis and any headach

Clinical

Roadblock: Difficult Intubations

12/13/2023 Kunj Bhatt, MD , Colin Pesyna, MD , Evan Leibner, MD, PhD

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

Ultrasound

POCUS O’Clock: Cardiac Clock Method of Ultrasound Teaching

12/11/2023 Carolina Vega, MD

An important goal for cardiac point-of-care ultrasound (POCUS) curricula is creating a straightforward method of remembering ultrasound probe orientation.

Patient Interactions , Geriatrics

Is That Really What They Want?

12/10/2023 Justin Brooten, MD

Despite our best intentions when speaking with a patient or their family, subtle aspects of our communication can dramatically influence these conversations and our conclusions regarding the patient’s

Critical Care Alert , Critical Care , Cardiology , Pulmonary , Trauma

Critical Care Alert: Extracorporeal Life Support in Infarct-Related Cardiogenic Shock: ECLS-SHOCK Trial

11/20/2023 ThucAn Bui, DO , Gabriel Colon, MD , Evan McMurray, MD

The ECLS-SHOCK Trial investigated whether extracorporeal life support would benefit patients suffering acute myocardial infarction complicated by cardiogenic shock. Is VA-ECMO always the answer?

Critical Care , Resuscitation

Critical Care ECMO Series: Introduction to ECMO

11/6/2023 Alex Lucas, MD , Christian Kasianko, MD , Alexandra Hallagan, MD , Brendan Innes, MD , Nicholas Johnson, MD

Extracorporeal membrane oxygenation (ECMO) allows for temporary life support in cardiopulmonary failure refractory to conventional medical treatment. Given its capabilities and increasing presence in

Health Policy Journal Club , Health Policy , Pediatric EM , Social EM

Health Policy Journal Club: A Study of Firearms Safety Education in the Pediatric Emergency Department

11/1/2023 Kena Lemu , Vidya Eswaran, MD , Cedric Dark, MD, MPH, FACEP

The pediatric emergency department is a unique setting in which educational interventions can reach a wide variety of people. The Health Policy Journal Club examines a study conducted to gauge the eff

Critical Care Alert , Critical Care , Cardiology , EMS

Critical Care Alert: Survival by Time-to-administration of Amiodarone, Lidocaine, or Placebo in Shock-Refractory Out-of-hospital Cardiac Arrest

11/1/2023 Christian Roa, MD , Alex Lucas, MD , Evan McMurray, MD

What role does amiodarone or lidocaine play in achieving a good outcome for shockable refractory out-of-hospital cardiac arrest? This Critical Care Alert looks at a follow-up to the ALPS study.

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