Ultrasound , Oncology , Pediatric EM

A Case Study of Juvenile Ovarian Cancer and the Importance of POCUS in the ED

6/12/2021 Joseph C. Smith, MD

How important is appropriate imaging in the ED? One father - who's also an emergency physician - shares a firsthand account of repeated trips to the pediatric emergency room before imaging helped corr

Pediatric EM , Pain Management

Overview of Complications Seen in Pediatric Sickle Cell Disease Patients and How to Manage Them in the Emergency Department

6/12/2021 Heather Jones, DO , Zachary Burroughs

It is estimated there are around 100,000 individuals living in the United States with sickle cell disease (SCD). Patients with sickle cell disease are predisposed to a variety of complications.

ECG Challenge , Cardiology

ECG Challenge: June-July 2021

6/11/2021 Sahar Khan, MD , Jeremy Berberian, MD

A 55-year-old female presents from home due to a brief episode of unresponsiveness and AMS. What is your interpretation of her ECG? (Bonus points if you identify the less obvious abnormality.)

Pulmonary , Infectious Disease

Pulmonary Manifestations Following IV Injection of Crushed Suboxone: A Case of Excipient Lung Disease

6/11/2021 Anthony Halupa, DO

Include excipient lung disease (ELD) in the differential diagnosis when evaluating and treating a patient with a history of intravenous drug use presenting with respiratory failure and typical finding

Wilderness Medicine , Toxicology

Managing Envenomation: Be Prepared for Summertime Exposure

6/11/2021 Luke He, MD , John Michael Sherman, MD , Christopher Rajan, DO , Geoff Comp, DO, FAWM

Post-pandemic vacations are picking up steam - and outdoor getaways remain popular. Are you ready to handle bites, stings, and other envenomations?

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

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