Cardiology

ST Elevation Myocardial Infarction in a Biventricular Paced Rhythm

10/10/2022 Priyanka Ravindran, MD , Rabia Iqbal, DO , Jason Kolb, MD

More studies are needed to create sensitive and specific criteria for coronary-related ischemia in patients with biventricular pacemakers, but high clinical suspicion, changes in EKG, and early recogn

Pediatric EM

Verapamil in SVT: No Need to Drop the Beat

10/10/2022 Gregory Wu, MD , Weston Christensen, MD, MMSc , Cecily Swinburne, MD, MPH

When a pediatric patient presents to the ED with pSVT and vagal maneuvers have failed, choice of AV nodal blocking agent is important. Our case shows that calcium channel blockers offer several advant

Health Policy Journal Club , Health Policy , Health Equity , Health Care Administration , Social EM , COVID-19 , Administration & Operations

A New Pandemic

10/6/2022 Rachel Kelly, MD , Vidya Eswaran, MD

The effects of COVID-19 on the health care system continue to evolve. While patients stayed away during lockdown, they are now flooding emergency departments with more acute illnesses due to lack of p

Health Policy Journal Club , Health Policy , Health Equity , Health Care Administration , Social EM , COVID-19 , Administration & Operations

GREAT SHOT

9/6/2022 Laura Haselden, MD , Vidya Eswaran, MD

COVID-19 vaccine campaigns saved lives and reduced the number and severity of COVID cases in the United States. What did this mean to the business of health care? Significant cost savings.

Critical Care , Critical Care Alert , Cardiology , Airway

Critical Care Alert: PREPARE II - A Randomized Clinical Trial

8/22/2022 Taylor Miller, MD , Evan McMurray, MD

Critical Care Alert: The PREPARE II trial investigated whether a fluid bolus would impact cardiovascular collapse in critically ill patients undergoing intubation.

Critical Care , Critical Care Alert , Trauma , Shock

Critical Care Alert: ETCO2 as a Predictor of Patient Outcomes

8/15/2022 Brittney I. Gordon, MD , Mustafa Rasheed, MD , Taylor Miller, MD

Critical Care Alert: The triage of patients in the trauma bay is difficult, and no single measurement or vital sign will provide sufficient information for mortality. This study indicates ETCO2 - a co

Neurology

Pneumocephalus: An Atypical Presentation of Syncope

8/10/2022 Avinash Ram, DO , Mollie Williams, MD, MPH , Omar Hashmi, DO

Pneumocephalus, defined as air present in the intracranial area, is a known complication of accessing the epidural space. Patients with pneumocephalus can have a wide-ranging presentation from benign

Toxicology

TCA Overdoses and Mimics: Don’t Delay, Don’t Be Led Astray

8/10/2022 Lance Shaull, MD , Andrew Mittelman, MD

At toxic doses, tricyclic antidepressants (TCAs) cause blockade of sodium channels, muscarinic receptors, and alpha-adrenergic receptors. Slowed ventricular contraction, tachycardia, and vasodilation

Patient Interactions

Orthostatic Vital Signs: Have They Fallen Out of Favor?

8/10/2022 E. Daxton Spencer, DO, MS, RN , Lindsay Davis, DO, MPH, NRP

Just as there are two sides to every coin, some medical literature supports taking patients’ orthostatic vitals when they present to the ED with syncope, lightheadedness, and vertigo; other literature

Geriatrics , Pain Management , Palliative Care

Initiating End-of-Life Care From the ED

8/10/2022 Matthew B. Walton, MD , Eric Melnychuk, DO

Compassion and a focus on comfort are keys when delivering end-of-life care in the ED.

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