Cardiology

Sudden-Onset Chest Pain and Subtle ECG Findings

8/10/2021 Alexander Bracey, MD , H. Pendell Meyers, MD

Approximately 25% of patients with NSTEMI have an acute coronary occlusion; the STEMI/NSTEMI paradigm can be misleading. Serial ECGs are invaluable in making the diagnosis of acute coronary syndrome,

Trauma , Traumatic Brain Injury , Neurology , Cardiology

An Unusual Cause of Tachycardia: Focal Nonconvulsive Status Epilepticus Following Acute Head Trauma

8/10/2021 Bruce J. Grattan Jr., DO, MS, RD , John Leskovan, DO, FACS, FACOS

Nonconvulsive status epilepticus has traditionally been thought of as a rare condition. There is little data regarding its true incidence, but evidence suggests it is far more common than once believe

48-4 Compartment Syndrome Figures 1-4.png

Trauma , Toxicology

Compartment Syndrome Secondary to Cocaine-Induced Rhabdomyolysis

8/10/2021 Kyle Parker, MD , Leslie Rea, MD , Anjeza Cipi, MD

Although substance-induced rhabdomyolysis has been widely reported, the progression to compartment syndrome is not frequently encountered and usually of multifactorial etiology. Rapid recognition of t

Administration & Operations , Health Care Administration , COVID-19 , Informatics

The Future of Telehealth: Panel Reflection

8/10/2021 Christina Brown, MD , Nicolas Kahl, MD , Michael Dorritie, DO , Nicholas Stark, MD, MBA

A decade ago, telehealth seemed like a complicated, inefficient way to deliver care. With advancements in technology and the COVID-19 pandemic, telehealth has grown into a vital tool for emergency med

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

Cardiology , Endocrinology , Toxicology

Euglycemic DKA and Hyponatremia Caused by a Commonly Prescribed Diabetic Medication

8/10/2021 Aaron Tiffee, MD, FACEP , Daniel Stout, MD , Taylor Curry

SGLT-2 inhibits can cause massive osmotic diuresis and intravascular volume depletion. The body’s appropriate response to this is production of antidiuretic hormone, an excess of which is capable of c

Trauma , EMS , Disaster Medicine

Stop The Bleed: Why It Matters Now

8/10/2021 James Nardini, MS, NRP

Hemorrhage control programs such as Stop The Bleed remain a versatile option for responders of all backgrounds.

Cardiology , Nephrology , Toxicology

BRASH Syndrome: A Vicious Cycle

8/10/2021 Emily Newton , Gabrielle Ransford, MD , Anjeza Cipi, MD

BRASH syndrome is an uncommon but often fatal condition in which an acute renal injury initiates a vicious cycle of bradycardia, hyperkalemia, hypotension and worsening renal failure in patients who t

Critical Care , Deep Dive in CritCare , Cardiology

Targeted Temperature Management: Deep Dive Into the Evidence

8/10/2021 Ryan Lee, MD , Dustin Slagle, MD , Mustafa Rasheed, MD , Marshall Howell IV, MD , Javed Osmani , Elizabeth Avakoff, DO, MPH , Brian Sumner, MD

This EMRA Critical Care Committee Deep Dive will review the current available literature on targeted temperature management for cardiac arrest.

Endocrinology

Bilateral Adrenal Hemorrhages Due to Pheochromocytomas and MEN2A Syndrome

8/10/2021 Kevin Vinokur, DO , Christopher Mendoza, MD, MA, FACEP

Multiple endocrine neoplasia (MEN) syndromes are rare, inherited disorders, and adrenal hemorrhage is a rare cause of abdominal pain. We present a case of bilateral adrenal hemorrhages due to pheochro

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