Dermatology , Hematology , Oncology , Toxicology

Warfarin-Induced Skin Necrosis: Not Your Typical Rash

4/15/2023 Brandon Murdock, MD , Chung-ting J. Kou , Paul A. Gonzales , David M. Crawford

Warfarin-induced skin necrosis (WISN) is a rare condition thought to be due to microvascular thrombosis and ischemia and is commonly related to protein C deficiency. Recognition of WISN is critical to

Gastroenterology , Pediatric EM

Trichobezoar: A Case of Swallowed Hair in an Adolescent Patient

4/15/2023 Simi Jandu, MD , Ashima Goyal , Jatinder Gosal, MD

Trichobezoars are an uncommon diagnosis but should be considered in the differential for patients presenting to the emergency department with abdominal pain. It is especially important not to overlook

ECG Challenge , Cardiology

ECG Challenge: April-May-June 2023

4/15/2023 Hayden Schenker , Jeremy Berberian, MD

A 58-year-old male with a PMH of alcohol use disorder presents to the ED due to multiple falls. What is your interpretation of his ECG?

Pediatric EM , Nephrology

A Case of Constipation … or Not

4/15/2023 Karly Lebherz, MD , Anna Suessman, DO

Nephrotic syndrome (NS) is diagnosed by the presence of proteinuria, hypoalbuminemia, and peripheral edema. Hyperlipidemia and thrombotic disease are also frequently observed. Most cases of NS in pedi

Toxicology

I Ordered the Urine Drug Screen, Now What? An Overview on Testing, Interference, and Utility of UDS in the ED

4/15/2023 E. Mason Jackson, MD , Lindsay Davis, DO, MPH, NRP , Alexa Peterson, DO, MS

The urine drug screen is a widely used, but imperfect, diagnostic test. Because of its potential flaws, it should not be used out of context or in isolation, but it remains a valuable test in the tool

Pediatric EM , Endocrinology

Thyrotoxicosis: A Case of Storming Hormones

4/15/2023 Nhat Chau, MD , Anna Suessman, DO

Thyroid storm is an acute life-threatening condition of hyperthyroidism, characterized by high fever, dehydration, tachycardia or tachyarrhythmias, tremor, nausea and vomiting, diarrhea, restlessness,

International EM

Emergency Medicine in India: Paths Crossed and What Lies Ahead

4/15/2023 Sreenidhi Vanyaa Manian , Jai Shahani , Ashley Pickering, MD, MPH , Elizabeth DeVos, MD, MPH, FACEP , Arun Nandi, MD , Sushant Chhabra, MD

Emergency medicine in India has advanced substantially from its nascent origins. The country’s healthcare community has recognized the need for quality emergency care as the number of citizens affecte

Critical Care Alert , Critical Care , Infectious Disease , Pulmonary

Critical Care Alert: CAPE-COD Trial

3/29/2023 Christian Kasianko, MD , Evan McMurray, MD

The CAPE-COD Trial indicates it might be worth your time to consider hydrocortisone in managing community-acquired pneumonia in admitted patients boarding in the emergency department.

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Duration of Device-Based Fever Prevention After Cardiac Arrest

3/28/2023 Alex Lucas, MD , Christine Yang, MD , Gabriel Colon, MD , Evan McMurray, MD

A new study evaluates whether the duration of device-based targeted temperature management can affect mortality among cardiac arrest patients.

Critical Care Alert , Critical Care , Cardiology , EMS , Prehospital Care

Critical Care Alert: INCEPTION Trial

3/7/2023 Gabriel Colon, MD , Brian Sumner, MD , Evan McMurray, MD

The use of extracorporeal membrane oxygenation - ECMO - as an adjunct to CPR following out-of-hospital cardiac arrest has gained a lot of attention. The INCEPTION Trial takes a closer look at the evid

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