Infectious Disease , Sepsis

Sick as a Dog: A Case of Overwhelming Post-splenectomy Infection

6/11/2021 Ashley Rider, MD , Tsuyoshi Mitarai, MD , Jennifer Wilson, MD, MS

Although it is rare, it is important to recognize C. canimorsus sepsis, as it is associated with high mortality rate and the patient can deteriorate rapidly.

Trauma

ZAP! Unexpected Electrical Injury: A Case Report

6/11/2021 Vahini Koka, DO , Peter Nemes, DO , Benjamin D. Goodman , Angel Chudler, DO

Electrical injuries range in severity from minor cutaneous burns to life-threatening internal organ damage and death. These injuries account for at least 30,000 non-fatal incidents and 1,000 fatalitie

President's Message , COVID-19 , Career Planning

Looking Beyond the Uncertainty

6/11/2021 RJ Sontag, MD

Navigating uncertainty through challenging times has been a hallmark of the past year, and it became even more apparent in the spring with the release of the report about the changing EM workforce. We

Health Policy Journal Club , Health Policy , Advocacy , Health Care Administration , EMS , Palliative Care

Health Policy Journal Club: The Comforts of Home

6/6/2021 Logan Ramsey, MD , Cedric Dark, MD, MPH, FACEP

Collaboration between hospice staff and EMS can reduce patient transport to the emergency department, according to a study termed Mobile Integrated Hospice Healthcare.

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Velocity Time Integral Before and After Passive Leg Raise--In Sepsis, When Is Enough (Fluids) Enough?

5/27/2021 Dustin Slagle, MD , Ashley Panicker, MD, FACEP

Velocity time integral (VTI), also called stroke distance, is an ultrasound measurement that can help the emergency medicine provider guide both differentials and treatment. Here we will focus on its

Critical Care , Ultrasound , Cardiology , Critical Care Ultrasound

Advanced Critical Care Ultrasound: E-Point Septal Separation to Estimate Left Ventricular Ejection Fraction

5/26/2021 Taylor Miller, MD , Alexis Salerno, MD, FACEP , Dustin Slagle, MD

Emergency physicians have been shown to be accurate at visual estimation of the left ventricular ejection fraction without quantitative measurements. However, there is still value in a quick and easy

COVID-19 , Wellness , Career Planning

Micro-Communities of Practice to Maintain Resilience During Times of Uncertainty: A Sustainable Means to Draw Strength When Depleted

5/12/2021 Dimitrios Papanagnou, MD, MPH , Merle A. Carter, MD, FACEP , Brian J. Levine, MD, FACEP

The impact COVID-19 has had on our personal and professional livelihood cannot be taken lightly. Since the beginning of the pandemic, we have focused our efforts on protecting our patients, our loved

Health Policy Journal Club , Health Policy , Advocacy , Health Care Administration , COVID-19

Health Policy Journal Club: Visits Down; Danger Up

5/6/2021 Surudh Daaram , Cedric Dark, MD, MPH, FACEP

Emergency department volumes dropped precipitously during the COVID-19 pandemic. This isn't a good thing, as studies are now showing the alarming effects when patients delay or forego healthcare. As v

Critical Care , Critical Care Alert

Critical Care Alert: The SALSA Randomized Clinical Trial

5/2/2021 John Conway, MD , Brian Sumner, MD

Symptomatic hyponatremia is a commonly encountered electrolyte abnormality in the emergency department. Treatment generally consists of 3% hypertonic saline therapy. But is a rapid intermittent bolus

Critical Care , Critical Care Alert

Critical Care Alert: A Systematic Review of VA-ECMO in Massive Pulmonary Embolism-Related Cardiac Arrest

5/2/2021 Mustafa Rasheed, MD , Heather Farthing, MD, MPH , Brian Sumner, MD

The data and support for veno-arterial ECMO for cardiac arrest after massive pulmonary embolism is still lacking, but if your institution has the resource, this systematic review shows it may be worth

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