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

Vascular , Pediatric EM

Hand, Meet Autoinjector: Ouch!

10/10/2023 Nikhil Mohan, DO, FACEP , Paul Truong, DO

Digital ischemia after accidental injection of an epinephrine autoinjector can be treated with subcutaneous terbutaline injection. Terbutaline is a selective beta-2-agonist, resulting in vasodilation.

Op-Ed , Social EM

Caring for Immigrants in the ED: A Quick Guide

10/10/2023 Molly Curtiss DO , Carolina Ornelas-Dorian MD , Tuong Pham, MD

The ED is an important source of health care for immigrants and refugees/asylum seekers.1,2 Since the passing of EMTALA, the ED has functioned as the health care safety net for immigrants, especially

Ophthalmology

A Rare Case: Atraumatic, Anterior Segment Ophthalmologic Hemorrhage Requiring Anticoagulation Reversal

10/10/2023 Elijah Abramson, MD , Darius Felton, MD , Solly Elmann , Theodore Gaeta, DO, FACEP

Warfarin-induced spontaneous subconjunctival hemorrhage has been identified in the literature. Clinical judgment should guide emergent reversal of potentially sight-threatening ophthalmologic hemorrha

ECG Challenge , Cardiology

ECG Challenge: Oct-Nov-Dec 2023

10/10/2023 Usama Khan, MD , Jeremy Berberian, MD

A 54-year-old male with a past medical history significant for primary CNS B-cell lymphoma, on chemotherapy and lacosamide for seizure prophylaxis, was admitted to the ICU for hypoxia and neutropenic

Critical Care Alert , Critical Care , Pulmonary , Cardiology , Neurology

Critical Care Alert: TAME Trial: Mild Hypercapnia versus Normocapnia after Out-of-Hospital Cardiac Arrest

9/29/2023 ThucAn Bui, DO , Evan McMurray, MD

This Critical Care Alert examines a study of targeted mild hypercapnia versus normocapnia for patients who achieved ROSC after out-of-hospital cardiac arrest.

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