Toxicology , Nephrology

A Case of Intentional Salt Ingestion Leading to Life-Threatening Hypernatremia

1/30/2023 Christopher M Mashiak, MD , Johndavid M Storn, MD , Jennifer V Pope, MD

Acute salt ingestion should be rapidly corrected to reduce serum osmolality. This can be done with an infusion of hypotonic solutions, such as 5% dextrose in water (D5W), with a goal reduction of 1 mm

Airway , Orthopedics

Oh Snap! Ketamine-Induced Laryngospasm in an Adult Patient

1/30/2023 Ashleigh MacLean, MD , Neha Sehgal, DO

Overall, laryngospasm is rare. When it does occur, it almost always resolves with simple interventions such as pressure to Larson’s notch and assisted positive pressure ventilation. Supplemental oxyge

Patient Interactions

Emergency Physicians’ Perspective: Caring for Persons with Disabilities

1/30/2023 Cori Poffenberger, MD , Anika Backster, MD , Jason Rotoli, MD

As health care professionals, we interact with and see patients with disabilities in one tiny microcosm of their world, in the hospital or the clinic, where they are the patient who may be ill or suff

Infectious Disease , Neurology

Remember to Inspect the Skin: A Clue to Diagnosing VSV Encephalitis

1/30/2023 Jay Patel, MD , Jordan Miller, DO

Meningitis is a cause for concern when it comes to a patient in the ED. It is one of those cannot-miss diagnoses, as there are devastating neurological complications that can occur if bacterial, funga

Palliative Care , Op-Ed

Palliative Care in the ED: Past, Present, and Future

1/30/2023 Alice Chang, DO

Palliative-care training and education, quality improvement, and research within EM has surged in the past decade. As a result, the practice paradigm for seriously ill patients in the ED has begun to

Critical Care Alert , Sepsis , Urology

Pelvic Sepsis: A Fatal Complication of Routine Hemorrhoidectomy

1/30/2023 Carly Rosen, MD , William Bonadio, MD , Jessica Fleischer-Black, MD

Pelvic sepsis is a well-known and feared complication of colorectal and urologic surgery; however, it is not common and may not be recognized by emergency physicians. Patients may present with only mi

Op-Ed , Patient Interactions , OB/GYN

Pilot Study: Evaluating Education Targeting Intimate Partner Violence, Human Trafficking in an EM Residency

1/30/2023 Codee Champney, DO , Jordan Wells, MD , Luke He, MD , Grace Klanderud, MD , Megan L McElhinny, MD

IPV and HT are major causes of morbidity and mortality in the United States. Many victims will seek medical care, often in the ED. This puts emergency physicians in a position to identify and help vic

ENT , Otolaryngology , Pediatric EM

Bilateral Pneumoparotid: Unexpected Air in the Parotid Glands

1/30/2023 Sean Ramsey, DO , Rachel Ely, DO

Pneumoparotid/pneumoparotitis is an uncommon cause of parotid gland swelling classified by free air seen within the parotid glands. Typically, swelling of the parotid glands can be attributed to infec

Critical Care Devices , Critical Care , Airway

Critical Care Device Series: Bag-Valve-Mask

1/18/2023 Barret Zimmerman, MD , Brendan Innes, MD , Allie Schick, MD

The bag-valve-mask (BVM) is ubiquitous and highly utilized in all fields of emergency care. Yet despite its seemingly intuitive operation and perceived simplicity, the BVM is an overlooked and misunde

Health Policy Journal Club , Health Policy , Health Care Administration , Social EM

Expanding Coverage, Saving Lives

1/7/2023 Fathima Haseefa , Vidya Eswaran, MD

Suicide is a leading cause of death in the United States. An analysis shows that Medicaid expansion can help avert suicide by overcoming financial barriers to mental health care.

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