Endocrinology

Cloudy With a Chance of Thyroid Storm: A “Grave” Condition

9/15/2023 Alexa Van Besien, MD , Rakhi Desai, MD , Laura Welsh, MD , Andrew Mittelman, MD

Thyroid storm (TS) commonly occurs in patients with Graves’ disease. Its clinical manifestations overlap with many illnesses; therefore, diagnosis can be challenging. Prompt recognition and evaluation

Toxicology

The Dangers of Delta-8

9/15/2023 Brittany (Ladson) Garza, DO, MPH

Marijuana, THC (tetrahydrocannabinol), and CBD (cannabidiol) products are becoming increasingly popularized and legalized in our society. With the proliferation of these products’ use also comes accid

Critical Care Alert , Critical Care , Neurology

Critical Care Alert: Tranexamic Acid for Intracerebral Hemorrhage in Patients on Non-Vitamin K Antagonist Oral Anticoagulants (TICH-NOAC)

9/10/2023 Cassidy Cunningham, DO , Evan McMurray, MD

In this underpowered RCT, no evidence was found that TXA limits HE nor that it improves clinical outcomes by 90 days in NOAC-associated ICH. That being said, there were no major safety concerns noted

Pain Management

Effective and Safe Opioid Dosing for Opioid-Tolerant Patients in the ED

9/10/2023 Alexander Steele, MD , Leonie Oostrom-Shah, MD , Brian Gacioch, MD, FACEP, FAAEM , Rita A. Manfredi, MD, FACEP

In patients with advanced cancer, the combination of disease progression over time, as well as habituation to chronic opioids, often leads to the need to increase opioid dosing over the course of illn

Critical Care Alert , Critical Care , Airway

Critical Care Alert: Video v. Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults: The DEVICE Trial

8/3/2023 Gabriel Colon, MD , Alexandra Hallagan, MD , Evan McMurray, MD

More evidence is stacking up in favor of video laryngoscopy. The DEVICE Trial shows that when intubating critically ill patients in the ED or ICU, consider using video over direct laryngoscopy to impr

Disaster Medicine

From Response to Risk Reduction: The Evolving Field of Disaster Medicine

8/1/2023 Capt. Yev Maksimenko, MD, MA, DiMM, FAWM, FP-C , Sriram Venkatesan, FAWM

An interview with Gregory Ciottone, MD, a leader in disaster medicine and president of the World Association for Disaster and Emergency Medicine (WADEM)

Toxicology , Pediatric EM , Wilderness Medicine

The Teeny Tiny Mighty: A Case of Pediatric Envenomation With the Western Pygmy Rattlesnake

8/1/2023 Mounir Contreras Cejin, MD , Daniel Rivera, MD , Sing-Yi Feng, MD, FACMT

Western pygmy rattlesnake envenomations are a rare occurrence but should not be underestimated, as they cause significant morbidity. FabAV, also known as CroFab® (generic: crotalidae polyvalent immune

Patient Interactions , Addiction Medicine

Buprenorphine-Naloxone Initiation in a New York City ED: Interview With a Frontline Provider

8/1/2023 Georgianna Stoukides , Anthony Almeida, DO

Initiating buprenorphine-naloxone treatment in the ED helps patients who are ready to start treatment and educates them about their options. Introducing buprenorphine-naloxone as an option in the ED w

Critical Care , Cardiology , Critical Care Roadblock

Roadblock: AFib with RVR

7/25/2023 Kunj Bhatt, MD , Sean M. Hickey, MD , Mark Andreae, 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

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Transvenous Pacemaker

7/24/2023 Alexandra Hallagan, MD , Christian Kasianko, MD , Amrita Vempati, MD

Temporary transvenous pacing (TTVP) utilizes central venous access to pass an electrode into the right ventricle. TTVPs are one of the most infrequently performed procedures by emergency physicians;

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