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.

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

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