Pediatric EM , Pediatric Fellowships , COVID-19

The Road to PEM Fellowship During a Pandemic: A Conversation about Applying Virtually

8/10/2021 Gwen Hooley, MD , Cindy Chang, MD , Michelle S. Davis, MD, MA

While applying to fellowship in the best of times can be stressful, the 2020 application cycle was uniquely different in that all interviews were held virtually. Navigating this uncharted territory wa

EMS , Disaster Medicine , Toxicology

Hydrofluoric Acid Related Injuries and Illness for First Responders

8/10/2021 Jett MacPherson, MSII

Emergency physicians, tactical medical providers, and other first responders are tasked with taking care of those who become injured or ill in mass gatherings that turn violent. Hydrofluoric acid expo

Ultrasound , Pediatric EM

Intraabdominal Abscess Identified by Point-of-Care Ultrasound in a Child

8/10/2021 Carolina Vega, MD , Roxanne Cheung, MD , Diniece Barran, MD , Jennifer Noble, MD, FAAP

Periappendiceal abscesses are a rare complication of pediatric appendicitis. In this case presentation, the little-seen consequence was identified by point-of-care ultrasound.

Cardiology

Sudden-Onset Chest Pain and Subtle ECG Findings

8/10/2021 Alexander Bracey, MD , H. Pendell Meyers, MD

Approximately 25% of patients with NSTEMI have an acute coronary occlusion; the STEMI/NSTEMI paradigm can be misleading. Serial ECGs are invaluable in making the diagnosis of acute coronary syndrome,

Trauma , Traumatic Brain Injury , Neurology , Cardiology

An Unusual Cause of Tachycardia: Focal Nonconvulsive Status Epilepticus Following Acute Head Trauma

8/10/2021 Bruce J. Grattan Jr., DO, MS, RD , John Leskovan, DO, FACS, FACOS

Nonconvulsive status epilepticus has traditionally been thought of as a rare condition. There is little data regarding its true incidence, but evidence suggests it is far more common than once believe

Endocrinology

Bilateral Adrenal Hemorrhages Due to Pheochromocytomas and MEN2A Syndrome

8/10/2021 Kevin Vinokur, DO , Christopher Mendoza, MD, MA, FACEP

Multiple endocrine neoplasia (MEN) syndromes are rare, inherited disorders, and adrenal hemorrhage is a rare cause of abdominal pain. We present a case of bilateral adrenal hemorrhages due to pheochro

Toxicology

Physostigmine for Severe Antimuscarinic Overdose: Pushing Back Against the Stigma

8/10/2021 Sahar Rammaha , Larry B. Mellick, MD, FACEP

Physostigmine has long been recognized as an antidote to reverse antimuscarinic delirium. However, its effectiveness, safety profile, and dosing have been disputed in recent years. But does this medic

Ultrasound , Cardiology

Ultrasound-Guided Stellate Ganglion Block in Pulseless Refractory Ventricular Fibrillation

8/10/2021 Chase Hamilton, DO , Georgina Puentedura, MD , Garren Giles, DO

The ultrasound-guided stellate ganglion block may be used as an adjunct to established methods during pulseless ventricular arrhythmias. It is a potentially lifesaving procedure that is within the eme

COVID-19 , Pediatric EM

Kawasaki Disease vs. Multisystem Inflammatory Syndrome in Children (MIS-C)

8/10/2021 Richmond M. Castillo, MD, MA, MS , Brad Goldberg, MD, FAA

Kawasaki Disease and Multisystem Inflammatory Syndrome (MIS-C) can be challenging to distinguish, especially because COVID-19 infections can be asymptomatic. Ongoing studies are helping emergency phys

48-4 Compartment Syndrome Figures 1-4.png

Trauma , Toxicology

Compartment Syndrome Secondary to Cocaine-Induced Rhabdomyolysis

8/10/2021 Kyle Parker, MD , Leslie Rea, MD , Anjeza Cipi, MD

Although substance-induced rhabdomyolysis has been widely reported, the progression to compartment syndrome is not frequently encountered and usually of multifactorial etiology. Rapid recognition of t

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