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

49-1 Intraperitoneal Bladder Rupture.png

Ultrasound , Urology

Not so FAST: Intraperitoneal Bladder Rupture

2/12/2022 Courtney Smith, MD , Sara Paradise Dimeo, MD

Bladder rupture is a relatively rare condition due to the protection of the bladder in the bony pelvis; most cases of bladder rupture are intraperitoneal. But a small percentage are intraperitoneal r

49-1 Pediatric Adrenal Insufficiency.png

Pediatric EM , Endocrinology

Pediatric Emergency Management of Adrenal Insufficiency and Adrenal Crisis

2/12/2022 Amal Malik , Elizabeth Quaal Hines, MD

Adrenal insufficiency (AI) is a rare diagnosis in childhood and adolescence; however, it can become a major cause of morbidity and mortality in pediatric patients.

Gastroenterology

Bouveret Syndrome: A Rare Cause of Gastric Outlet Obstruction

2/12/2022 Collin Stinogel, DO

Gallstone-induced ileus is a rare complication of cholelithiasis. Gastric outlet obstruction caused by a gallstone is even rarer. If a patient presents to you with Bouveret syndrome, will you know how

Wilderness Medicine

Wilderness Medicine Highlights

2/12/2022 Elaine Yu, DO, MS, FAWM , Kathryn Kammert, DO

After a 3-year hiatus, EMRA's Wilderness Medicine Committee's premier event returned at ACEP21 in Boston. Find out all about MedWAR 2021.

Prehospital Care

Event Medicine and Mass Casualty Response with Matt Friedman

2/12/2022 Jessica Andre , Matt Friedman, MD, FACEP

Matt Friedman, MD, FACEP, serves as Associate Medical Director of Prehospital Care and Director of Event Medicine at Maimonides Medical Center and Medical Director of CrowdRx, which provides physician

Browsing: Clinical