Browsing: Clinical

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Critical Care , Critical Care Alert

Critical Care Alert: The Benefit of Adding Lidocaine to Ketamine During Rapid Sequence Endotracheal Intubation in Patients with Septic Shock

5/2/2021 Heather Farthing, MD, MPH , Mustafa Rasheed, MD , Sean M. Hickey, MD , Mina Ghobrial, MD , Brian Sumner, MD
Can a lidocaine-ketamine combination for RSI maintain hemodynamics better than full-dose ketamine in patients with septic shock?
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Critical Care , Critical Care Alert

Critical Care Alert: Outcome Related to Level of TTM in Postcardiac Arrest Syndrome of Low, Moderate, and High Severities: A Nationwide Multicenter Prospective Registry

5/2/2021 Nicholas Huth , Brian Sumner, MD , Jonathan Pickos, DO
A nationwide registry has shown targeted temperature management at a lower core temperature led to significantly better neurologic outcomes and survival at 30 days in patients with moderately severe p
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Critical Care , Critical Care Alert

Critical Care Alert: The Relationship Between Heart Rate and Body Temperature in Critically Ill Patients

4/10/2021 John Conway, MD , Brian Sumner, MD
In critically ill adult patients, heart rate and body temperature go hand-in-hand: as fever takes hold, the heart beats faster. In febrile and tachycardic patients, the heart rate should be evaluated
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COVID-19 , Match , Military Advising

Navigating the Military Match through COVID: A Perspective from Army Medical Students Vying for a Spot as an Emergency Medicine Resident in the Midst of a Global Pandemic

4/9/2021 2LT Ryan M. Hodgeman, MC USA , 2LT Molly Sturlis, MC USA
In a typical year, medical students commissioned in the United States Army, applying to match in emergency medicine, prepare to visit and interview at four programs spread across the country. This was
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COVID-19

Taking Action When the Tides Turn: Medical Student-Led PPE Redistribution During the COVID-19 Pandemic

4/9/2021 Hannah Day, MS
When COVID-19 disrupted their medical training, medical students around the nation sought ways to help, from forming childcare networks to organizing drives for personal protective equipment. This art
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Opinion-Editorial , Prehospital Care , EMS

A Letter from a Paramedic to an EM Doc

4/9/2021 Rob Canning Jr., JD, MBA, NRP
Whether waiting to unload a patient at the hospital or sitting in the ambulance after clearing a call, EMTs and paramedics (and increasingly social workers, nurses, nurse practitioners, and physician
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Critical Care , Critical Care Alert

Critical Care Alert: Venoarterial Extracorporeal Membrane Oxygenation in Massive Pulmonary Embolism-Related Cardiac Arrest: A Systematic Overview

4/9/2021 Nicholas Huth , Brian Sumner, MD , Jonathan Pickos, DO
This Critical Care Alert examines a study of VA-ECMO on survival and predictors of mortality in patients who suffered massive pulmonary embolism-related cardiac arrest.
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ECG Challenge , Cardiology

ECG Challenge: April-May 2021

4/8/2021 Hayden Schenker , Jeremy Berberian, MD
A 71-year-old female with history of aortic stenosis s/p transcatheter aortic valve replacement (TAVR) 3 days ago presents to the emergency department because of a syncopal episode earlier in the morn
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ENT , Trauma

Near Death by Nasal Packing: A Rare Complication Due to the Fatal Trigeminocardiac Reflex

4/8/2021 Evan Albazi, DO , Leyda Hu, DO , Nikhil Mohan, DO, FACEP
Epistaxis is a complaint that is frequently seen in the emergency department. As a physician, we took an oath to do no harm, but what if we end up doing more harm than good when managing epistaxis?
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Gastroenterology

Torsion of the What? Epiploic Appendagitis as a Rare Cause of Abdominal Pain

4/8/2021 Ulyana Kachmar, DO , Jordan Miller, DO , Nicholas Jouriles, MD, FACEP
More than 7% of patients presenting to the ED with symptoms clinically consistent with sigmoid diverticulitis are found to have primary epiploic appendagitis.