Pain Management , Neurology

Tickle Your Brain to Numb the Pain: EM Use of Sphenopalatine Ganglion Block for Migraine Headaches

6/12/2021 Chiamara Anokwute , Luke Wohlford, MD, MPH

The most prevalent medical problems around the globe are in the sphere of headache disorders. Let's discuss the procedure, use, and relevance of Sphenopalatine Ganglion (SPG) blockade in the abortive

Cardiology , Wilderness Medicine , Infectious Disease

Pericardial Effusion: A Rare Case of a Potentially Dangerous Manifestation of Lyme Disease

6/12/2021 Amanda dos Santos, MD , Nicholas Jouriles, MD, FACEP

Lyme disease is one of the most common vector-borne diseases in the United States, affecting over 300,000 people annually between June and December. This case report describes a less common cardiac ma

COVID-19 , Wellness

Heart of EM: Lessons in Vulnerability

6/12/2021 Diana Halloran, MD

Completing an EM intern year during the pandemic was...daunting. Along with seeing so much sadness these past months, every day I wonder – did I matter? Did I make a difference?

Cardiology

Shockingly Dangerous Hypokalemia

6/12/2021 Christopher Cardillo, DO , Ross Ellison, MD, FACEP

Unstable cardiac rhythms can signal hypokalemia

ECG Challenge , Cardiology

ECG Challenge: June-July 2021

6/11/2021 Sahar Khan, MD , Jeremy Berberian, MD

A 55-year-old female presents from home due to a brief episode of unresponsiveness and AMS. What is your interpretation of her ECG? (Bonus points if you identify the less obvious abnormality.)

Pulmonary , Infectious Disease

Pulmonary Manifestations Following IV Injection of Crushed Suboxone: A Case of Excipient Lung Disease

6/11/2021 Anthony Halupa, DO

Include excipient lung disease (ELD) in the differential diagnosis when evaluating and treating a patient with a history of intravenous drug use presenting with respiratory failure and typical finding

Wilderness Medicine , Toxicology

Managing Envenomation: Be Prepared for Summertime Exposure

6/11/2021 Luke He, MD , John Michael Sherman, MD , Christopher Rajan, DO , Geoff Comp, DO, FAWM

Post-pandemic vacations are picking up steam - and outdoor getaways remain popular. Are you ready to handle bites, stings, and other envenomations?

Trauma

ZAP! Unexpected Electrical Injury: A Case Report

6/11/2021 Vahini Koka, DO , Peter Nemes, DO , Benjamin D. Goodman , Angel Chudler, DO

Electrical injuries range in severity from minor cutaneous burns to life-threatening internal organ damage and death. These injuries account for at least 30,000 non-fatal incidents and 1,000 fatalitie

Infectious Disease , Sepsis

Sick as a Dog: A Case of Overwhelming Post-splenectomy Infection

6/11/2021 Ashley Rider, MD , Tsuyoshi Mitarai, MD , Jennifer Wilson, MD, MS

Although it is rare, it is important to recognize C. canimorsus sepsis, as it is associated with high mortality rate and the patient can deteriorate rapidly.

President's Message , COVID-19 , Career Planning

Looking Beyond the Uncertainty

6/11/2021 RJ Sontag, MD

Navigating uncertainty through challenging times has been a hallmark of the past year, and it became even more apparent in the spring with the release of the report about the changing EM workforce. We

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