Browsing: Clinical

Wilderness Medicine

A SCUBA Scary Case of Shoulder Pain

2/4/2021 Nicholas A. Russo, MD , Gregory Sugalski, DO, FACEP , Michael Ullo, MD , Joseph P. Underwood III, MD

The Divers Alert Network records more than 1,000 diving-related injuries each year. Treatment for patients with decompression sickness should not be delayed.

Social EM , Pain Management

Treatment of Opioid Withdrawal with Buprenorphine in the Emergency Department

2/4/2021 Tony Spadaro, MD, MPH , Jeanmarie Perrone, MD, FACMT

A 2015 study showed that when patients with opioid use disorder were started on buprenorphine with a behavioral intervention in the ED, they were 80% more likely to remain in treatment at 30 days.

Gastroenterology

Amyand's Hernia: A Rare Cause of Acute Inguinal Pain

2/4/2021 Amanda A. Baker, DO

Abdominal hernias are not uncommon, but one type can lead to unusual presentations. Find out more about Amyand's hernia, named after the French surgeon who was surprised by an appendix wrapped in an i

Wilderness Medicine , Event Medicine

Disaster Medicine: Perspectives from the Experts

2/4/2021 Sophia Gorgens, MD

Disaster medicine is a growing niche in emergency medicine. Two experts in the field, Paul Auerbach, MD, MS, FACEP, and Thomas Kirsch, MD, MPH, FACEP, share insights in this Q-and-A.

Infectious Disease

Coinfection of Trichomoniasis with Other Sexually Transmitted Infections

2/4/2021 Allen Le , MAJ John Kiel, DO, MPH, CAQ-SM

What is the prevalence of gonorrhea, chlamydia, and trichomonas co-infection rates, and if rapid testing for trichomoniasis is unavailable in the emergency department, should the clinician empirically

Wellness , COVID-19

The Biggest Lie We Tell Ourselves: I Am Not Stressed

2/4/2021 Lauren Fisher, MD

Physician suicide was already double the national average pre-COVID. Before social isolation, before PPE fatigue, before our jobs became even harder. One of the biggest problems with stress is that we

ECG Challenge , Cardiology , COVID-19

ECG Challenge: February-March 2021

2/3/2021 Elizabeth Shanahan, MD , Jeremy Berberian, MD

A 48-year-old male with a past medical history of asthma and recent positive COVID-19 test presents to the ED with acute onset of palpitations and chest pressure followed by a brief syncopal episode.

Administration & Operations , Admin Ops Literature Review , Telemedicine

Financial Impacts of ED Observation Units: Literature and Strategies Review

2/3/2021 Clinton Lam , Jared Ditkowsky, MD , Vineet Kumar Sharma, MD, MS , Nicholas Stark, MD, MBA

The emergency department observation unit (EDOU) is a specialized unit designed for efficient, ongoing medical treatment, assessment, and reassessment of patients before the decision can be made to di

Editor's Forum , Wellness , COVID-19

New Vaccines: Feat of Medicine

2/3/2021 Priyanka Lauber, DO

There has never been a time when a novel virus that ravaged the world was sequenced, studied, and understood down to its genetic makeup so quickly in the entire span of humanity's existence.

COVID-19 , Social EM

EM Docs in the Streets: A Call for Community Engagement During the COVID-19 Pandemic

1/6/2021 Spencer Kerl, DO , Justin Pile, DO , Nick Kulas, DO , Patrick Boyle, DO

The COVID-19 pandemic has prompted EM residents from Chicago's Swedish Hospital to reach out to their community, visiting local businesses to help educate and protect citizens.