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

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.

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

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?

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.

Behavioral Health , Pediatric EM

Autism Spectrum Disorder in the Pediatric Patient

4/8/2021 Katherine Dickerson Mayes, MD, PhD , Margaret Samuels-Kalow, MD, MPhil, MSHP

Children with Autism Spectrum Disorder (ASD) are a patient population that faces unique challenges in the emergency department.

Toxicology

Caustic Ingestions: Feel the Burn

4/8/2021 James Wang, MD , Neha Sehgal, DO , Susan Watts, PhD

Caustic ingestions cause either coagulative (acidic substance) or liquefactive (alkaline substance) necrosis. Management and treatment include observation, labs, imaging, endoscopy, and may require mo

COVID-19 , Airway , Critical Care , Ventilator Management

Management of the COVID-19 Airway

4/8/2021 Connor Greer, MD , Robert Razick , Joel Hamm, MD, FACEP

There are many perspectives available and early data to guide management of COVID-19 patients who present with respiratory failure. This article will review practice-altering data and the approach use

International EM

Building Global EM and Its Next Generation of Leaders

4/8/2021 Ashley Pickering, MD, MPH , Jerry Z. Oomen , Dania Abu-Jubara, DO , Lorena Rodriguez Perez , Alexandra Digenakis, DO , Elizabeth DeVos, MD, MPH, FACEP , Andres Patino, MD

The Global Emergency Medicine Student Leadership Program (GEMS LP), formerly known as the International Ambassador Mentorship Program (AMP), was established in 2018 as a joint effort of EMRA and the A

Cardiology

Rare Presentation of Newly Diagnosed HOCM

4/8/2021 Fredrick "TJ" Lynch, MD , Brandford Adobaw, MD , Sarah E. Fabiano, MD, FACEP, FAAEM

Hypertrophic obstructive cardiomyopathy is the leading cause of non-traumatic sudden death in young individuals and most well-known for causing sudden cardiac death in athletes. While most known for b

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