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

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

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