Endocrinology , Cardiology , Pulmonary

Heart Failure in the Young Patient: A Case of Reversible Cardiopulmonary Dysfunction

10/22/2024 Paul Omagor, MD , Jessica Pelletier, DO, MHPE, FAAEM

Thyroid storm is a potentially fatal manifestation of untreated thyrotoxicosis and may result in cardiopulmonary dysfunction. Cardiopulmonary failure is potentially reversible with prompt antithyroid

Hematology , Neurology

Hyperviscosity Syndrome: A Differential Diagnosis for Altered Mental Status

10/22/2024 Hector D. Barreto-Vazquez, MD , Philip Alapat, MD

Altered mental status is a common presentation that requires a time-sensitive evaluation. But that evaluation can be addressed under a broad range of categories. This case demonstrates AMS evaluation

Health Policy Journal Club , Health Policy , Administration & Operations , Pain Management

Health Policy Journal Club: It Doesn't Have to Be So Painful

10/8/2024 Zain Khawaja , Vidya Eswaran, MD , Rachel Solnick, MD

In our eagerness to be mindful of addiction, are we ignoring the pain control benefits that can be realized via parenteral use of opioids? The Health Policy Journal Club discusses how to thread that h

Health Policy Journal Club , Health Policy , Administration & Operations , EMS

Health Policy Journal Club: Closing the Survival Gap

9/23/2024 Sydni Williams , Vidya Eswaran, MD , Rachel Solnick, MD

The Health Policy Journal Club says the evidence is clear: To reduce the burden of out-of-hospital cardiac arrest and ultimately save lives, federal legislation and substantial funding must be priorit

Psychiatry

RUSH Exam in Undifferentiated and Unstable Psychiatric Patients

9/12/2024 Sallyan Rusnak, MD , Shannon Lovett, MD, FACEP

In this case, the patient’s altered mental status and limited history presented challenges. The RUSH exam was utilized to evaluate hypotension. Without this bedside evaluation, diagnosis and treatment

Ophthalmology , Trauma

Bursting at the Seams: Blunt Trauma Causing Open Globe Rupture After Prior Ocular Surgery

9/10/2024 Andrew Namespetra, MB, BCh, BAO, MSc , Sarah Harris-Gendron , Derek Schaller, MD, FACEP

In the ED, there should be a high degree of suspicion for open globe injury in patients with significant blunt force trauma to the eye, especially in individuals with a history of prior ocular surgery

Cardiology

Adalimumab-Induced Heart Failure Revealed by Ventricular Tachycardia Identified on a Smartwatch

9/10/2024 Catherine Allen , William B. Brash II, DO , Marc Dotson, DO, FACEP

The use of health data from a smart device has shown significant diagnostic utility and will continue to do so as technology advances. Emergency physicians should be aware of these potential monitorin

Health Policy Journal Club , Health Policy , Administration & Operations , Informatics

Health Policy Journal Club: Are You Sick Enough to Need the Emergency Department?

8/30/2024 Darby Billing , Vidya Eswaran, MD , Rachel Solnick, MD

Artificial Intelligence has garnered significant hype in every sector, including medicine. How accurate are those AI algorithms in predicting whether a patient is experiencing a medical emergency? The

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Impella®

8/28/2024 Josh Wild, DO , Brian Sumner, MD

Mechanical circulatory devices continue to evolve, allowing greater support of the sickest patients. This article discusses the Impella heart pumps, developed to address high-risk percutaneous coronar

Hematology

Methemoglobinemia: A Case of the Blues

8/12/2024 Phillip A. Barnett, DO , Devan K. Barnett , Douglas R. Bethea

Methemoglobinemia — a serious but treatable condition that presents with generalized cyanosis, an oxygen saturation percentage of mid- to high 80s, high pO2, dark-colored blood, and hypoxia resistant

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