Browsing: Clinical

ECG Challenge , Cardiology

ECG Challenge: June-July 2022

6/10/2022 Eric Lieu, MD , Jeremy Berberian, MD

A 36-year-old female with a PMH of alcohol use disorder and type 1 DM presents with substernal chest tightness, nausea, vomiting, and diaphoresis. What is your interpretation of her ECG?

Hematology , OB/GYN

Contraceptives: Rare Complications and Their Implications for Emergency Medicine

6/10/2022 Cody Meyers, MD , Ray Chahoud, DO

Contraceptive use increases the risk of enlarged hepatocellular adenomas and significant bleeding. When screening for medical history and medication lists, emergency physicians should ask women with a

COVID-19 , Neurology

Acute Inflammatory Demyelinating Polyneuropathy After COVID-19

6/10/2022 Zariad Saran, DO , Elizabeth Clair, DO

Although post COVID-19 fatigue and weakness are common and often benign complaints, high suspicion for Guillain-Barré syndrome should be upheld when evaluating patients, as there have been numerous ca

Infectious Disease , Neurology , Pediatric EM

Recognizing and Managing Epidural Abscess

6/10/2022 Nahal Massoudi, DO , Baturay Aydemir, MD

Rare, but possible, diagnosis of epidural abscess must be considered when a pediatric patient presents with back pain. When diagnosed, carefully evaluate the risks and benefits of medical versus surgi

Cardiology

Extracorporeal Cardiopulmonary Resuscitation: The Golden Hour

6/10/2022 August Felix, MD , Douglas D. Campbell, MD

Extracorporeal cardiopulmonary resuscitation (ECPR) involves the application of percutaneous veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for management of cardiac arrest in the emergen

Airway , Ventilator Management , EMS , Pediatric EM

Pediatric Drowning Case: Favorable Neurologic Outcomes Possible With Prolonged CPR

6/10/2022 Dimitri Livshits, DO , Brenda Sokup, DO , Jordan Jeong, DO , Nirav Patel, DO , Mark Kindschuh, MD

Currently, there are no definitive guidelines or robust clinical evidence on which to base the duration of CPR in pediatric drowning cases. However, we make the case that in select drowning patients,

International , International EM

A Resident’s Current Guide to Navigating Global Health: What Now?

6/10/2022 Anisa Mughal, MD

International EM has faced challenges in recent years due to the pandemic and other factors, but with the right roadmap, it can still be done. EM physicians are finding new ways to get involved, secur

OB/GYN , Urology

Acute Urinary Retention: A Rare Case of Incarcerated Uterus in the Gravid ED Patient

6/10/2022 Katherine Tougas , Bryson Hicks, MD , Ryanne Mayersak, MD, MS

When a pregnant woman, especially at 14 to 16 weeks gestation, shows signs of acute urinary retention, consider retroverted incarcerated uterus as a potential cause.

Behavioral Health , Psychiatry , Mental Health

Patient Boarding During COVID-19: A Literature Review

6/10/2022 Kelsey Mercedes Morgan, RN-BSN, CEN, PMHN , Christina Brown, MD , Nicholas Stark, MD, MBA

Since the beginning of the COVID-19 pandemic, emergency departments across the country have seen a well-documented increase in patient volume and boarding. Psychiatric boarding specifically has been a

OB/GYN , Pediatric EM , Radiology , Ultrasound

A Cautionary Tale of Adnexal Torsion in an Adolescent Female

6/10/2022 Kathleen Joseph, MD , Amanda Toney, MD

Ovarian torsion, marked by pelvic and abdominal pain and considered a surgical emergency, can be difficult to diagnose but should not be overlooked, especially among pediatric patients.