Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Epinephrine v. Norepinephrine in Cardiac Arrest Patients with Post-Resuscitation Shock

5/14/2022 Brendan Innes, MD , Brian Sumner, MD , Taylor Miller, MD

Post-resuscitation shock occurs in 50-70% of patients after out-of-hospital cardiac arrest, and this study provides evidence that norepinephrine is likely a preferable vasopressor to epinephrine in po

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Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Fractional Area Change and Left Ventricular Fractional Shortening – Building Blocks for Later

5/14/2022 Dustin Slagle, MD , Jon Bodner, MD , Ashley Panicker, MD, FACEP

Ultrasound is a powerful tool in the emergency department for the estimation of left ventricular ejection fractions. E-Point Septal Separation is a good way to obtain these measurements, but what if t

Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest

5/14/2022 Erin Bell, MD , Taylor Miller, MD

The evidence surrounding ECPR continues to build. In this study, investigators demonstrated a 31.5% survival rate with favorable 180-day neurological outcome with ECPR in patients who suffered out-of-

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

Health Policy Journal Club: Show Me the Money

5/6/2022 Jacquelyn Callahan, MD , Vidya Eswaran, MD

The COVID-19 pandemic significantly lowered ED patient volumes, resulting in decreased hours for emergency physicians and a difficult job market. Could the current fee-for-service reimbursement model

Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Subclavian Central Venous Access - Dealer's Choice

5/2/2022 Dustin Slagle, MD , Jesse Liou, MD , Gabriel Hoffman, MD

The need for a central line is commonplace in the emergency department and critical care units. When deciding which of the three typical sites (internal jugular, femoral, and subclavian) to choose for

International EM , Social EM , Leadership , Disaster Medicine

The War in Ukraine: How Can Emergency Physicians Help?

4/21/2022 Daria Hunter, MD , Rebecca Leff, MD , Colin Bucks, MD

The crisis in Ukraine has created a pivotal time for emergency physicians to provide the right type of aid and, eventually, help bolster EM education and practice within Ukrainian health care.

ECG Challenge , Cardiology

ECG Challenge: April-May 2022

4/10/2022 Graham Clifford, DO , Benjamin Arnold, MD , Jeremy Berberian, MD

A 67-year-old male with a PMH of HTN, HLD, DM, and COPD presents to the emergency department due sudden chest discomfort. What is your interpretation of his ECG?

Trauma

Isolated Traumatic Gallbladder Hematoma Caused by Electric Scooter Accident

4/10/2022 Braxton-Jesse Lee, DO , Dimitri Livshits, DO , Rosalee Nguyen, DO

Isolated traumatic gallbladder injury is extremely rare and must be thoroughly evaluated due to the complications associated with traumatic gallbladder injury.

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Cardiology , Toxicology

Torsades de Pointes after Olanzapine Use for Agitation

4/10/2022 Joshua Hall, DO , Nauman Rashid

Second-generation antipsychotics are becoming more commonly used because of their safety profiles. Nevertheless, this case demonstrates a risk of QTc prolongation and torsades de pointes with olanzapi

Urology , Nephrology

Hematuria in the ED: Evaluation and Management

4/10/2022 J. Ryan Bingham, MD , Victoria Klovenski, MD

Hematuria is a common complaint in the emergency department - and one that is largely benign. Nonetheless, there are several emergent conditions the emergency physician should consider when evaluating

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