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.

Pulmonary

Case Report: Managing a Left-sided Tension Pneumothorax with Patient History of Remote Right Pneumonectomy

10/10/2023 Lachlan Driver, MD , Michael VanRooyen

The leading cause of iatrogenic pneumothorax is transthoracic needle aspiration. In our case, however, pneumothorax was most likely due to transbronchial lung biopsy two days prior to presentation. Al

Op-Ed , Social EM

Caring for Homeless Populations in the ED: A Quick Guide

10/10/2023 Ben Del Buono, MD , Molly Curtiss DO

People experiencing homelessness commonly present to the emergency department for health care needs, and the ED plays a crucial role, as it serves as the first — and often the only — resource for acce

Endocrinology

A Cold Case: Management of Severe Hypothyroidism

10/10/2023 Timothy Cofer, DO , Seth Merker, MD

Severe hypothyroidism is commonly referred to as “myxedema coma.” However, patients with this condition are often not comatose and do not have edema. Rather, they are most notably recognized by declin

Psychiatry , Patient Interactions

Factitious Disorder Manifesting as Acute Tetanus

10/10/2023 Alex Avery Powell, MD , Mary-Claire O’Brien , Mary Wittler, MD

Our case highlights the importance of recognizing factitious disorder as early as possible and connecting these patients with appropriate resources, as even specialists have difficulty diagnosing and

Pediatric EM

Chart Review: Early Presentation after Neodymium Magnet Ingestion Associated with Decreased Morbidity in Pediatric Patients

10/10/2023 Anna Reviere , Ricardo Falcon, MD , Christopher W. Root, MD , Richard Lock, MD , Jason Mckee, MD , David Lemon, MD , Pankaj Vohra, MD , Razan Alkhouri, MD , Timothy R. Petersen, PhD , Codruta Soneru, MD

Pediatric ingestion of small blunt objects typically resolves without medical intervention. However, cases involving ingestion of magnets present increased risk of life-threatening morbidity,2-5 parti

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