Critical Care , Critical Care Alert , Cardiology

Critical Care Alert: ECMO Facilitated CPR for Out-of-Hospital Cardiac Arrest with Refractory Ventricular Fibrillation - The ARREST Trial

12/1/2020 Jonathan Pickos, DO , Sean M. Hickey, MD

What is possible with highly coordinated ECMO-facilitated cardiopulmonary resuscitation? A recent study demonstrates the value of exploring interesting alternatives such as ECMO cannulation in the eme

Airway , Research

Updates in the Airway

12/1/2020 Cameron Upchurch, MD , Joshua Kornegay, MD

The year of 2019 ushered in an abundance of interesting, practice-informing, and excellently conducted research regarding airway and peri-intubation management that is potentially applicable to the em

Neurology , Pediatric EM

MRI Confirmed Bell's Palsy Presenting with Multiple Cranial Nerve Involvement

12/1/2020 Gabrielle Ransford, MD , Vipin Philip, MD , Joel M. Clingenpeel, MD, MPH, FACEP

Bell's palsy, also called idiopathic facial nerve palsy, is the paralysis of facial motor function without an identifiable cause. It typically presents with sudden onset unilateral facial paralysis an

EMS , Consults , Medical Education

The Physician's Role in Providing EMS Feedback

12/1/2020 Courtney Shay, MD

As resident doctors, we are tasked with leading resuscitations, explaining our thought processes, and debriefing our team. All too often our pre-hospital peers are forgotten members of this team. We m

Social EM

Is Your Patient a Victim of Human Trafficking?

12/1/2020 Nicole E. McAmis , Angela C. Mirabella , Elizabeth M. McCarthy , Cara A. Cama, MBA

Do you know how to recognize potential victims of human trafficking in your ED? Know the signs and have strategies in place to offer care.

Social EM

Concealed but Not Forgotten: Human Trafficking and the ED

12/1/2020 Lindsay Davis, DO, MPH, NRP , Bryce Taylor, DO, MS

Emergency physicians are in a unique position to recognize human trafficking, as the emergency department may be the first or only contact a victim has with the medical community. This is why it is im

ENT , Otolaryngology

Nobody Nose: A Case Report of Spontaneous Nasal Septal Abscess

12/1/2020 Ashley Werbin, DO , Andrew Schaffrinna, MD

Nasal septal abscesses are an uncommon diagnosis in emergency medicine, with limited analysis and discussion in the otolaryngology literature. Spontaneous incidents are rarer still.

Rheumatology , Infectious Disease , Orthopedics

Septic Arthritis in a Patient with a Confounding History

12/1/2020 Loren Touma, DO, MS , Michael Samodio, DO

Septic arthritis is a rheumatologic emergency, which may lead to permanent joint damage and a mortality rate of 10-15%. If left untreated, non-gonococcal septic arthritis can destroy articular cartila

Pediatric EM , Orthopedics , Social EM

Utility of Follow-Up Skeletal Surveys in Suspected Child Maltreatment

12/1/2020 Shahfar Khan, MD, FAAP , Brian D. Novi, DO , Norrell Atkinson, MD, FAAP

In 2018, statistics show 15,605 children and adolescents were conﬁrmed victims of physical abuse in the United States. It is vital to ensure a safe disposition for pediatric patients, as further harm

Neurology , Endocrinology , Social EM

Nonketotic Hyperglycemic Hemichorea: A Bad Case of the Wiggles

12/1/2020 Ideen Zeinali, MD , Matthew Edwards, MS , Giuliano De Portu, MD, FACEP

One of our nation's greatest health challenges is the management of type 2 diabetes mellitus, which is expected to swell by more than 50% by 2035. Many of these diabetic patients will lack both primar

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