Deep Dive in CritCare , Critical Care

Deep Dive into the Evidence: Anaphylaxis

10/5/2021 Ying Ku , Megan Hoffer, DO , Brian Sumner, MD

Anaphylaxis is a severe life-threatening acute systemic type 1 hypersensitivity reaction. This IgE-mediated reaction leads to varying degrees of mast-cell degranulation, histamine release and varying

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Tricuspid Annular Plane Systolic Excursion: Finding Pulmonary Embolism Before the Crash

10/5/2021 Dustin Slagle, MD , Ashley Panicker, MD, FACEP , Taylor Miller, MD , Keerthi Gondy, MD

Tricuspid annular plane systolic excursion (TAPSE) can provide a point of care ultrasound assessment of right ventricular function. Although there are many emerging applications for this measurement,

Critical Care , Ultrasound , Critical Care Ultrasound

Advanced Critical Care Ultrasound: Augmenting the Physical Exam with Ultrasound Findings in Cardiac Tamponade

10/5/2021 Taylor Miller, MD , Alexis Salerno, MD, FACEP , Dustin Slagle, MD

Cardiac tamponade is a critical emergency department diagnosis, but it can be a difficult diagnosis to make based on physical exam alone. Clinical signs of tamponade are often late findings and can be

Critical Care , Critical Care Alert

Critical Care Alert: Milrinone vs. Dobutamine in the Treatment of Cardiogenic Shock

10/4/2021 Evan McMurray, MD , Erik Sherman, MD , Brian Sumner, MD

Managing critically ill patients with cardiogenic shock often includes a decision between two inotropes: dobutamine and milrinone. Is there evidence to inform that choice?

Critical Care , Critical Care Alert

Critical Care Alert: High-Dose Nitroglycerin Bolus for Sympathetic Crashing Acute Pulmonary Edema

10/4/2021 Michael Franczak, MD , Daniel Freeman, MD , Brian Sumner, MD

What's the feasibility and safety of giving a high-dose nitroglycerin bolus for sympathetic crashing acute pulmonary edema?

Health Policy Journal Club , Health Policy , Advocacy , Health Care Administration , Social EM

Health Policy Journal Club: Cheaper Isn't Always Better

9/6/2021 Michael J. Rushton Jr., DO , Vidya Eswaran, MD

Urgent care centers fill a need in the U.S. healthcare system, providing access to care. But as the Health Policy Journal Club explains, this step in the right direction must be supported by appropria

ECG Challenge , Cardiology

ECG Challenge: August-September 2021

8/10/2021 Nathan Potter, MD , Jeremy Berberian, MD

A 65-year-old female with history of thoracic aortic aneurysm s/p aortic graft repair several years ago presented to the ED with positive blood cultures on outpatient labs. These had been ordered by h

Social EM

Knowing Our Patients' Rights

8/10/2021 Laura R. Cuevas , Carina Mireles-Romo, MD, MPH , Victor Cisneros, MD, MPH

In the setting of emergency care and a criminal investigation, time motivates both the healthcare team and law enforcement officers, which can result in conflicts of interest when it comes to access t

Pediatric EM , Pediatric Fellowships , COVID-19

The Road to PEM Fellowship During a Pandemic: A Conversation about Applying Virtually

8/10/2021 Gwen Hooley, MD , Cindy Chang, MD , Michelle S. Davis, MD, MA

While applying to fellowship in the best of times can be stressful, the 2020 application cycle was uniquely different in that all interviews were held virtually. Navigating this uncharted territory wa

EMS , Disaster Medicine , Toxicology

Hydrofluoric Acid Related Injuries and Illness for First Responders

8/10/2021 Jett MacPherson, MSII

Emergency physicians, tactical medical providers, and other first responders are tasked with taking care of those who become injured or ill in mass gatherings that turn violent. Hydrofluoric acid expo

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