Critical Care , Critical Care Ultrasound , Ultrasound

Use of Bedside Ultrasound in Diagnosing Boerhaave Syndrome

4/10/2022 Rabia Iqbal, DO , Caleb Harrell, MD

Esophageal rupture is a rare condition that is recognized as one of the most fatal gastrointestinal injuries. Time to diagnosis is an independent predictor of mortality in acute esophageal rupture mak

Pediatric EM , Cardiology

Think Fast: Managing Pediatric SVT

4/10/2022 Brian D. Novi, DO , Shahfar Khan, MD, FAAP , Svetlana Harel, DO, FAAP, FACEP

Supraventricular tachycardia (SVT) remains the most common tachyarrhythmia in children. But the presenting symptoms of SVT can vary dramatically, even within similar age groups, posing a tremendous ch

Health Policy Journal Club , Health Policy , Social EM , Administration & Operations , Health Care Administration

Health Policy Journal Club: Nonprofit Hospitals - Profitable or Not?

4/6/2022 Kyle Stucker, MD , Vidya Eswaran, MD

Nonprofit hospitals netted $24.6 billion in tax exemptions in 2011; by 2017, these hospitals had accumulated higher net income than for-profit institutions. Their charity care, however, has not kept p

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

Health Policy Journal Club: The Doctor Will See You Now (Virtually)

3/6/2022 Caroline Bradford , Vidya Eswaran, MD

With patients and physicians becoming more familiar and dependent on the option of telehealth, it seems likely it will be here to stay in some form, even after the pandemic.

Critical Care , Critical Care Ultrasound , Ultrasound

Advanced Critical Care Ultrasound: Axillary Arterial Line—Oft Forgotten

2/27/2022 Dustin Slagle, MD , Natalie Htet, MD, MS

Obtaining arterial access is a common procedure in both emergency medicine and in critical care. It's a good idea to become familiar with the axillary artery as an alternative location for placement o

ECG Challenge , Cardiology

ECG Challenge: February-March 2022

2/12/2022 Diane Y. Wang, MD , Jeremy Berberian, MD

A 79-year-old male with a past medical history of coronary artery disease s/p CABG in 2012 presents with chest pain. His initial ECG showed atrial fibrillation with RVR at 168 bpm. Despite rate contro

Prehospital Care , Administration & Operations

Using Home-Based Community Paramedics to Optimize Emergency Department Utilization for High-Risk Elderly Patients

2/12/2022 Nicholas Cozzi, MD, MBA , Gilbert Nelson, DO , Michael J. Rushton Jr., DO , Philip M. Fennema, EMT-P, CCP , Chad Barnhart, MD, EMT-P , Sean Anderson , Todd Chassee, MD, FACEP , Jeffrey S. Jones, MD, FACEP

Community paramedicine and mobile integrated healthcare are forming a new paradigm. Using paramedics to evaluate and treat medically complex elderly patients in the home setting could have wide-reachi

Critical Care

Atraumatic Splenic Rupture

2/12/2022 Daniel White, DO

Traumatic splenic injury and hemorrhage is a diagnosis familiar to most emergency physicians. However, a condition that some may not be familiar with is atraumatic splenic rupture.

49-1 Balloon Tamponade for Rectal Bleed.png

Critical Care , Gastroenterology

Balloon Tamponade to Stabilize Life-Threatening Rectal Bleeding

2/12/2022 Matthew Welles, MD , Robert Nocito, MD , Peter Viccellio, MD, FACEP , Scott Weingart, MD, FACEP, FCCM

Balloon tamponade devices specifically designed for upper GI bleeding are well-established as a temporizing measure in life-threatening upper gastrointestinal bleeding, but rarely have been used for l

Infectious Disease

Case Report: West Nile Encephalitis

2/12/2022 Jefferey S. Holoman, DO , Chad Gunsolly, DO

West Nile Virus is the leading cause of mosquito-borne disease in the continental United States. This case report examines a case of headache, weakness, and gait ataxia in a 63-year-old male, with the

Browsing: Clinical