POCUS For the Win , Ultrasound

POCUS For the Win: Aortic Dissection

11/21/2022 Arthur Broadstock, MD , Sagar Desai, MD , Rich Dowd, DO , Lisa Bundy, MD, FACEP , Jake Freudenberger, DO

Aortic dissection (AD) is a life-threatening condition caused by the separation of the intimal layer of the aorta from the medial layer, allowing blood to penetrate the media and create a false plane

Critical Care Alert , Critical Care , Airway

Critical Care Alert: Recall During Paralysis Among ED Patients Being Intubated

11/2/2022 Alex Lucas, MD , Taylor Miller, MD

How many of your patients can recall events during what you believed was a sedated endotracheal intubation? This study finds an appreciable number of patients who are paralyzed for intubation in the e

Critical Care Ultrasound , Ultrasound , Critical Care , Cardiology

Advanced Critical Care Ultrasound: The 60/60 Sign, Let's Be Specific

10/24/2022 Dustin Slagle, MD , Parth S. Gandhi, DO , Ashley Panicker, MD, FACEP

The 60/60 sign is an ultrasound finding that can help increase specificity in diagnosing right ventricular dysfunction in the setting of an acute pulmonary embolism.

Critical Care Devices , Surgical Airway , Critical Care

Critical Care Device Series: Tracheostomy Complications and Troubleshooting in the ED

10/24/2022 Evan McMurray, MD , Brendan Innes, MD , Taylor Miller, MD

Tracheostomies are a common surgical procedure for long-term airway management that involves creating a permanent connection between the anterior neck and trachea. Complications occur in up to 50% of

Prehospital and Disaster Medicine Committee , Space Medicine , Fellowships , EMbark , Residents

The Final Frontier for EM: An Inside Look at UCLA’s Space Medicine Fellowship Program

10/10/2022 Sriram Venkatesan, FAWM , Kyle Essex, NRP, FP-C, CCP-C, C-NPT

Future physician-astronauts, here’s a new opportunity that’s right up your alley — UCLA’s Space Medicine Fellowship. EMRA’s Prehospital and Disaster Medicine Committee gets a first-hand look with the

Cardiology

Overlooked Sources of Bias in Adult Out-of-Hospital Cardiac Arrest Research

10/10/2022 Dhimitri Nikolla, DO

Although bias is pervasive in medical research, OHCA studies have unique sources of bias that are infrequently addressed in study methods. Recognizing these biases is vital to the critical appraisal a

Nephrology , Urology

Unusual Causes of Hematuria

10/10/2022 Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C , Zhanna Roit, MD

Hematuria, while a common presentation to the ED, can have myriad causes. Some of those causes, such as a ruptured AAA and tuberculosis, can be life-threatening if not recognized. When working up a pa

Gastroenterology

Update on State-of-the-Art Imaging and Stool Tests for IBD in the ED

10/10/2022 Samuel J. S. Rubin, PhD , William W. Dixon, MD

For patients with IBD flare, maintain a broad differential diagnosis, promptly initiate appropriate workup for earlier intervention and better outcomes, obtain stool samples as early as feasible for l

ECG Challenge , Cardiology

ECG Challenge: October-November 2022

10/10/2022 Mary Voelker, DO , Jeremy Berberian, MD

A 68-year-old female with a past medical history of hypertension presents to the emergency department via private vehicle for recurrent intermittent episodes of unresponsiveness that started just prio

Toxicology

Buprenorphine Induction: Where We Are and Where We’re Headed

10/10/2022 Lance Shaull, MD

Buprenorphine has been shown to be a safe and effective medication in multiple settings with extensive research on both unobserved induction and physician-observed induction. Emerging evidence suggest

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