Orthopedics , Trauma

All that Blisters is Not Necrotizing Fasciitis: A Unique Presentation of Acute Limb Ischemia

8/10/2022 Matthew J. Christensen, MD, LT, MC, USN , LCDR William Bianchi, DO, MSc

Acute limb ischemia — a thromboembolic condition that occurs when arterial supply to the affected extremity becomes critically compromised — is a devastating condition if not expediently recognized an

Patient Interactions

Orthostatic Vital Signs: Have They Fallen Out of Favor?

8/10/2022 E. Daxton Spencer, DO, MS, RN , Lindsay Davis, DO, MPH, NRP

Just as there are two sides to every coin, some medical literature supports taking patients’ orthostatic vitals when they present to the ED with syncope, lightheadedness, and vertigo; other literature

Geriatrics , Pain Management , Palliative Care

Initiating End-of-Life Care From the ED

8/10/2022 Matthew B. Walton, MD , Eric Melnychuk, DO

Compassion and a focus on comfort are keys when delivering end-of-life care in the ED.

Health Policy Journal Club , Health Policy , Health Equity , Health Care Administration , Social EM

BIGGER IS BETTER

8/6/2022 Nicholas S. Imperato , Vidya Eswaran, MD

Studies are showing that Medicaid expansion - and its resulting increased access to primary care - could help alleviate emergency department crowding and ensure the department is able to focus on pati

Critical Care Devices , Critical Care

Critical Device Series: Arterial Lines Tips and Tricks

8/1/2022 Jeremy Kaswer, MD

The EMRA Critical Care Committee presents an arterial line primer as part of its Critical Care Devices series. Follow this series for insight and troubleshooting guidance for devices and procedures th

Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest

8/1/2022 Erin Bell, MD , Taylor Miller, MD

Critical Care Alert: Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest. Although it was a small study, it sheds light on resuscitation mana

Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: Association of Advanced Airway Insertion Timing and Outcomes in Out-of Hospital Cardiac Arrest

6/28/2022 Aaron Lim, MD , Roshan Givergis, DO , Neil Dasgupta, MD , Lyncean Ung, DO , Jijoe Joseph, DO, MBA

Our retrospective secondary analysis of data from the Pragmatic Airway Resuscitation Trial (PART), examining the timing of airway management in out-of-hospital cardiac arrest, found that: (1) there wa

Critical Care Alert , Critical Care , Cardiology

Critical Care Alert: Termination-of-resuscitation Rule in the ED Following Refractory Out-of-Hospital Cardiac Arrest

6/15/2022 Erin Bell, MD , Taylor Miller, MD

A recent study aimed to develop and validate a modified Goto’s termination-of-resuscitation rule. The results can inform emergency department management of patients who suffered out-of-hospital cardia

ECG Challenge , Cardiology

ECG Challenge: June-July 2022

6/10/2022 Eric Lieu, MD , Jeremy Berberian, MD

A 36-year-old female with a PMH of alcohol use disorder and type 1 DM presents with substernal chest tightness, nausea, vomiting, and diaphoresis. What is your interpretation of her ECG?

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

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