Critical Care , Cardiology , Critical Care Roadblock

Roadblock: AFib with RVR

7/25/2023 Kunj Bhatt, MD , Sean M. Hickey, MD , Mark Andreae, MD

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Transvenous Pacemaker

7/24/2023 Alexandra Hallagan, MD , Christian Kasianko, MD , Amrita Vempati, MD

Temporary transvenous pacing (TTVP) utilizes central venous access to pass an electrode into the right ventricle. TTVPs are one of the most infrequently performed procedures by emergency physicians;

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.

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

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

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

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

OB/GYN , Neurology

Intracranial Hemorrhage in a Postpartum Patient Secondary to Preeclampsia and HELLP

7/15/2023 Neelou Tabatabai , Kristyn Flynn, DO , Krista Pursglove, DO , Katherine Fredlund, MD

Our case report supports the importance of maintaining a high clinical suspicion for intracranial hemorrhage when a postpartum female presents to the emergency department with acute neurological sympt

EMS , Prehospital Care

Medical Direction in EMS: Get the Doc On the Line!

7/15/2023 Ava Omidvar , Kyle Cohen

The field of EMS — and alongside it, the role of the EMS physician — is growing each year. Thanks to this rapid growth in the past few decades, the idea of medical direction is evolving and developing

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