ECG Challenge , Cardiology

ECG Challenge: October-November 2021

10/6/2021 W. Brandon White, DO , Jeremy Berberian, MD

A 61-year-old male with past medical history of hypertension and hyperlipidemia presents to the emergency department with 8/10 substernal chest pain. What is your interpretation of his ECG?

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

Health Policy Journal Club: Collaboration Is Key

10/6/2021 Diana Halloran, MD , Vidya Eswaran, MD

When doctors collaborate with social workers, patients and health systems alike reap the benefits, according to analysis by the Health Policy Journal Club.

Editor's Forum , Wellness , COVID-19

Stages of Success

10/6/2021 Priyanka Lauber, DO

What is culture, especially organizational culture? More important: How can a single individual affect the culture of an entire group? These 5 stages of success shed some light on that question.

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Augmenting the Physical Exam with Ultrasound Findings in Cardiac Tamponade

10/5/2021 Taylor Miller, MD , Alexis Salerno, MD, FACEP , Dustin Slagle, MD

Cardiac tamponade is a critical emergency department diagnosis, but it can be a difficult diagnosis to make based on physical exam alone. Clinical signs of tamponade are often late findings and can be

Deep Dive in CritCare , Critical Care

Deep Dive into the Evidence: Anaphylaxis

10/5/2021 Ying Ku , Megan Hoffer, DO , Brian Sumner, MD

Anaphylaxis is a severe life-threatening acute systemic type 1 hypersensitivity reaction. This IgE-mediated reaction leads to varying degrees of mast-cell degranulation, histamine release and varying

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Tricuspid Annular Plane Systolic Excursion: Finding Pulmonary Embolism Before the Crash

10/5/2021 Dustin Slagle, MD , Ashley Panicker, MD, FACEP , Taylor Miller, MD , Keerthi Gondy, MD

Tricuspid annular plane systolic excursion (TAPSE) can provide a point of care ultrasound assessment of right ventricular function. Although there are many emerging applications for this measurement,

Critical Care , Critical Care Alert

Critical Care Alert: Milrinone vs. Dobutamine in the Treatment of Cardiogenic Shock

10/4/2021 Evan McMurray, MD , Erik Sherman, MD , Brian Sumner, MD

Managing critically ill patients with cardiogenic shock often includes a decision between two inotropes: dobutamine and milrinone. Is there evidence to inform that choice?

Critical Care , Critical Care Alert

Critical Care Alert: High-Dose Nitroglycerin Bolus for Sympathetic Crashing Acute Pulmonary Edema

10/4/2021 Michael Franczak, MD , Daniel Freeman, MD , Brian Sumner, MD

What's the feasibility and safety of giving a high-dose nitroglycerin bolus for sympathetic crashing acute pulmonary edema?

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

Health Policy Journal Club: Cheaper Isn't Always Better

9/6/2021 Michael J. Rushton Jr., DO , Vidya Eswaran, MD

Urgent care centers fill a need in the U.S. healthcare system, providing access to care. But as the Health Policy Journal Club explains, this step in the right direction must be supported by appropria

ECG Challenge , Cardiology

ECG Challenge: August-September 2021

8/10/2021 Nathan Potter, MD , Jeremy Berberian, MD

A 65-year-old female with history of thoracic aortic aneurysm s/p aortic graft repair several years ago presented to the ED with positive blood cultures on outpatient labs. These had been ordered by h

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