Opinion-Editorial , Social EM , Health Policy

Viewpoint: A Preferential Option for the Poor in the Emergency Department

10/31/2024 Brian Elmore, MD

To be a border physician is to be confronted daily with the human consequences of a failed immigration policy. Our specialty has long operated as a band-aid for the policy-driven effects we see daily.

Pediatric EM , Neurology

When a Headache Is Not Just a Headache

10/31/2024 Moshe Bengio, DO , Glenn Goodwin, DO, EMT-P , Abhishek Roka, MD , Michelle Marin, MD

Acute, persistent headache in a pediatric patient with no recent trauma can have a broad differential and, in most cases, should raise red flags. This case demonstrates the evaluation and management o

Trauma , Orthopedics

Morel-Lavallée Lesion: A Case Report

10/31/2024 Rana Akkad, DO , Sarah Taetz, MD , Geoff Comp, DO, FAWM

Morel-Lavallée lesions are serious injuries that can easily escape diagnosis, typically in the wake of high-velocity trauma. Untreated, MLLs can become a chronic condition with a risk of developing in

Infectious Disease , Cardiology , Wilderness Medicine , Hematology

Babesiosis Induced Atrial Flutter: An Unusual Precipitant of Atrial Flutter

10/31/2024 Darshak Vekaria, MD

Babesiosis can present with a varied clinical presentation, which can make it difficult to diagnose. However, one uncommon clue could be picked up on an ECG.

Ultrasound , Pain Management

A Review of the Literature Examining the Efficacy of the Greater Occipital Nerve Block as Treatment for Headaches in the Emergency Department

10/31/2024 Abdulhameed Qashqary, MBBS , Hamzah Adel Ramawad, MD

Millions of people come to the emergency department each year suffering migraine or other acute headaches; often, the pain is difficult to manage. But the literature shows the greater occipital nerve

Urology , Nephrology , Ultrasound

Ureteric Stone: Use of POCUS in Atypical Presentation

10/31/2024 Tahir Shahzad, MD

Urinary tract stones are a frequent chief complaint in the emergency department. Point-of-care ultrasound speeds a diagnosis and helps direct appropriate management.

Administration & Operations , Patient Interactions , Medical Education

A Perfect Storm of Uncertainty: Forecasting Inpatient Length of Stay from the Emergency Department

10/31/2024 John Thompson, MD

“How long will I be in the hospital?” A review of the literature suggests that predicting length of stay at time of admission remains extremely difficult, and emergency physicians in particular are po

COVID-19 , Ophthalmology , Vascular , Dermatology

Onset of Behcet’s Disease Following COVID-19 Infection: The Role of Emergency Physicians in the Diagnosis of Rare Diseases

10/31/2024 Brett Keith Fulleylove-Krause, MD , Brittni Cera Peach, DO

COVID-19 infections can trigger a cascade of comorbidities, including Behcet’s Disease. This rare condition causes chronic and remitting vasculitis, painful ulcers, and rash.

Wilderness Medicine , Dermatology

A Case of Isolated Focal Frostbite of the Cheek over Cosmetic Dermal Filler

10/30/2024 Sarah Spelsberg, MD, FAWM, FEWM , Andrea Sharp, MD , Sara Filmalter, MD, CAQSM, FAWM, DiDMM , Jessica Pelkowski, DNP, APRN, AGPCNP-BC, ONP-C , Abraham Boxx, BCP, NR-P, FP-C, BSN, FAWM

Dermal fillers are becoming more prevalent - and with them, associated risks. This case shows how the aesthetic procedure may contribute to cold weather injuries.

Patient Interactions , Toxicology , Pharmacology

Introducing the Fiver: A Modernized Alternative to the B-52 for Acute Agitation Control

10/22/2024 Matthew J. Christensen, MD, LT, MC, USN

Violence against health-care workers caused by acutely agitated patients is an unfortunate reality for many of us. When attempts at verbal redirection do not successfully de-escalate the situation, ex

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