Critical Care Alert , Critical Care , Airway

CCA: Effect of NIV after Extubation in Critically Ill Patients with Obesity

7/24/2023 Alex Lucas, MD , Evan McMurray, MD

The EXTUB-OBESE study showed a decrease in extubation failure rates when extubating to non-invasive ventilation for obese patients vs. standard oxygen therapy.

Critical Care Alert , Critical Care , Trauma

Critical Care Alert: Prehospital Tranexamic Acid for Severe Trauma: PATCH-Trauma Trial

7/24/2023 Alexandra Hallagan, MD , Cassidy Cunningham, DO , Evan McMurray, MD

The PATCH-Trauma Trial confirms short-term benefits of tranexamic acid (TXA) for prehospital treatment of the bleeding trauma patient, despite no evidence of long-term functional benefits.

Urology , Trauma , Sports Medicine , Pediatric EM

Kidney Chronicles: A Pediatric Blunt Renal Trauma Case Report

7/15/2023 Natalie Zink , Joseph Q. McDaniels , Katherine Rogers , Bradley Morganstern

Unintentional injury is a major cause of morbidity and mortality in the pediatric age group, with urogenital injury occurring in 10-20% of blunt abdominal trauma cases.1,2 Depending on the severity, s

Critical Care , Ultrasound

Aortic Occlusion: A Rare Presentation of Back Pain

7/15/2023 Adam Ahmad Chaustre , Kevin Vinokur, DO

Back pain is a common chief complaint in the emergency department. However, not all back pain is simple lumbago, and as emergency physicians, it is crucial to be aware of more insidious causes of back

Critical Care , Pulmonary , Neurology , Radiology

Management of Concomitant Stroke and Pulmonary Embolism

7/15/2023 L. Paige Smith, DO , Ronald Scheer, DO

Concurrent acute ischemic stroke and submassive pulmonary embolism is a rare occurrence, and there is no sufficient evidence to support a particular method of management. It is important to weigh the

ECG Challenge , Cardiology

ECG Challenge: July-Aug-Sept 2023

7/15/2023 Erica Burmood, DO , Kelby Schaeffler, MD , Jeremy Berberian, MD

A 22-year-old female with no significant past medical history presents to the emergency department with wheezing after a recent upper respiratory infection. The patient is treated with a continuous 15

Pediatric EM

Lymphatic Malformation: A Rare Cause of Pediatric Abdominal Pain

7/15/2023 Andrew Shieh, MD

Although lymphatic malformations are rare and usually do not manifest as acute abdomen, they should always be considered in the differential diagnosis in a previously healthy child who presents with a

Pediatric EM , Gastroenterology

Intussusception: Intestinal Obstruction in the Pediatric Patient

7/15/2023 Oluwatosin Adenuga, MD , Natasha Tejwani, MD , Rajesh Daftary, MD, MPH

Intussusception is the most common cause of intestinal obstruction in infants and children. Although traditional teaching revolves around the “classic triad” of paroxysmal abdominal pain, bloody stool

ENT , Otolaryngology

To Be, or Not To Be: An Esophageal Perforation Story

7/15/2023 Jennifer Melgar, MD , Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C , Zhanna Roit, MD

Esophageal perforation is a life-threatening condition caused by foreign body ingestion and can easily be missed. Therefore, suspicion for perforation should remain high until proven otherwise. Unfort

Sports Medicine , Wilderness Medicine , Undersea and Hyperbaric

Surf Medicine: Perspectives, Potential Hazards, and the Importance of Preparedness

7/15/2023 Theresa Jo Thomas , Geoff Comp, DO, FAWM

As the popularity of surfing grows, the incidence of surf injuries — both minor and traumatic — will increase accordingly. Knowledge and awareness about the breadth of potential injuries is essential

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