Browsing: Clinical

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.

Cardiology

Cardiac Arrest in a Young Woman With Spontaneous Coronary Artery Dissection: A Case Report

6/10/2022 Amanda dos Santos, MD , Kathryn Marie Moore, DO , Douglas Gallo, MD

Spontaneous Coronary Artery Dissection (SCAD) is associated with cardiac arrest in women during the peripartum period. The mechanism of SCAD is thought to be partially related to inflammatory changes

Orthopedics

Total Knee Arthroplasty Dislocation: A Case Study

6/10/2022 Sophia Gorgens, MD , Alexander Chasin, MD , Waroot Nimjareansuk, DO , Bryan McCarty, MD , Philipp Underwood, MD

Knee dislocations are a true orthopedic emergency and require immediate imaging and reduction. Even with non-operative management, a return to full activity takes months of physical therapy and rehabi

Ultrasound , Critical Care

Missed Ruptured Abdominal Aortic Aneurysm in a Paraplegic Patient

6/10/2022 Haad Arif , Sunny Bang, MD

AAAs are generally asymptomatic before rupture and often lethal due to delays in diagnosis and care, as most are missed for alternative diagnoses before hemodynamic compromise occurs. Traditional phys

OB/GYN

Malpositioned IUD and Uterine Perforation

6/10/2022 Julia S. Marcus , MAJ John Kiel, DO, MPH, CAQ-SM

Although rare, complications with IUDs do occur and can require quick diagnosis and urgent management, particularly when involving complete perforation. Emergency physicians should consider IUD compli

ENT , Otolaryngology

There’s an Eagle in my Throat!

6/10/2022 Gulreen Kassoo, DO , Ian Craven, MD , Andrew Sheep, MD , Ryyan Kassoo

Eagle’s Syndrome, described as a “foreign body’s sensation” in the throat, is characterized by calcified stylohyoid ligament or an elongated styloid process. Definitive treatment is surgical, requirin

Ultrasound , Urology

No Need to Fear Fournier’s with POCUS

6/10/2022 Wayne Fu, MD, MBA , Josh Greenstein, MD

Point-of-care ultrasound may be the best, and quickest, way to diagnose Fournier’s Gangrene, an acute necrotic infection of the perineal, genital, or perianal regions.

Health Policy Journal Club , Health Policy , Social EM , OB/GYN

Health Policy Journal Club: Bullet on Board

6/6/2022 Diana Halloran, MD , Vidya Eswaran, MD

A new study shows how firearm restrictions reduce the deaths of pregnant women and new mothers. The Health Policy Journal Club highlights what that can mean for emergency medicine.

Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Low Tidal Volume Ventilation for Emergency Department Patients

6/2/2022 Michael Franczak, MD , Taylor Miller, MD

Patients experiencing critical illness necessitating mechanical ventilation have high mortality rates. Additionally, survivors of critically ill mechanical ventilation experience high morbidity. Sever

Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: VExUS--Can the Right Side Take It?

6/2/2022 Dustin Slagle, MD , Ashley Panicker, MD, FACEP

Knowing when to stop volume resuscitation in the unstable shock patient is a question that plagues both the emergency physician and the critical care doctor. VExUS was designed to succeed where CVP ha