Browsing: Clinical

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.

Critical Care , Neurology , Trauma

Drowning in a Flash: A Review on Neurogenic Pulmonary Edema

8/10/2022 Bryce Taylor, DO, MS

Neurogenic pulmonary edema, associated with high mortality, can occur after any neurologic insult and is best addressed by controlling intracranial pressure.

Informatics

This Fall: Clinical Informatics Workshops for Residents, Fellows, and Students

8/10/2022 Michael Dorritie, DO , Nicolas Kahl, MD

EMRA’s Technology, Telehealth, and Informatics Committee will launch quarterly clinical informatics workshops with ACEP this fall. The Committee spoke with Carrie Baker, DO, chair of ACEP’s Informatic

Infectious Disease , Pediatric EM

"Feline" Feverish: A Case Report

8/10/2022 Shanice Latham, MD, MPH , Hussain Shakir, MD, FAAP

Behind typhoid fever and urinary tract infections, cat-scratch disease is the third most common cause of fever of unknown origin in pediatric patients. CSD should be high on the diagnostic radar whene

ECG Challenge , Cardiology

ECG Challenge: August-September 2022

8/10/2022 Masood R. Mohammed, DO, MS , Jeremy Berberian, MD

A 27-year-old male with a PMH of seizure disorder and developmental delay presents via EMS after a witnessed seizure. The patient was able to intermittently go into sinus rhythm with vagal maneuvers.

Orthopedics , Trauma

All that Blisters is Not Necrotizing Fasciitis: A Unique Presentation of Acute Limb Ischemia

8/10/2022 Matthew J. Christensen, MD, LT, MC, USN , LCDR William Bianchi, DO, MSc

Acute limb ischemia — a thromboembolic condition that occurs when arterial supply to the affected extremity becomes critically compromised — is a devastating condition if not expediently recognized an