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

Infectious Disease , Wilderness Medicine , International EM , Dermatology

Cutaneous Larva Migrans: The Rash Is Not What You Think

12/1/2020 Hussain Shakir, MD, FAAP , Louis King, MD

Treating a rash that follows no pattern and appears after a vacation? Check for cutaneous larva migrans. Humans are accidental hosts who often acquire this infestation while walking barefoot on soil t

Ultrasound , POCUS For the Win

POCUS for the Win: Popliteal Artery Occlusion

12/1/2020 Katie VanNatta, DO, MBA, MS , Jake Freudenberger, DO , Akash Desai, MD

POCUS for the Win is a case series for ultrasound enthusiasts to showcase the ability of ultrasound in making diagnoses at the bedside, often before formal imaging. In this case POCUS is used to diagn

Medical Education , Opinion-Editorial , COVID-19

Observations from Intern Year: First 60 Days

12/1/2020 Leslie Jewett, MD

What counts as the "first day"? Is it the intern welcome party? Hospital orientation? When computer access is finally granted? The intern class of 2020 has had a very different experience.

Dermatology , Neurology , Infectious Disease

Coincident VZV Encephalitis and Otomastoiditis

12/1/2020 Aaron Tiffee, MD, FACEP , Kinnari Modi , Christina Chanthanivong

We explore a case of varicella-zoster virus (VZV) reactivation without typical skin findings in a 66-year-old patient who presented with mastoiditis and encephalitis.

Trauma , Social EM , EMS

The Riot Trauma: What Injuries Should You Expect From Non-Lethal Police Weapons and Protests?

12/1/2020 Sriram Venkatesan, FAWM , Capt. Yev Maksimenko, MD, MA, DiMM, FAWM, FP-C

Protests have become a more common occurrence in 2020, and emergency physicians are seeing an increase in riot-related injuries in their hospitals. Become familiar with the weapons in the tactical and

Critical Care , Critical Care Alert , Shock

Critical Care Alert: Fluid Overload and Mortality in Adult Critical Care Patients

11/30/2020 Brian Sumner, MD , Sean M. Hickey, MD

Fluid overload has not been clearly defined in the critical care arena. In situations where patients have renal, cardiac, and pulmonary dysfunction, commonly seen in the ICU, large volume fluid therap

Social EM

Water, Fire, and Medicine: Why Environmental Justice Matters in EM

11/30/2020 Caroline Lee

Environmental catastrophes bring patients into the ED who are uniquely vulnerable, such as individuals without homes, the uninsured, and other marginalized populations. Health professionals should not

Critical Care , Pulmonary , COVID-19 , Deep Dive in CritCare

Corticosteroid Use in COVID-19 Respiratory Failure: Deep Dive into the Evidence

11/30/2020 Taylor Miller, MD , Brian Sumner, MD , Oswald Reid, Jr., MD , Sean M. Hickey, MD

The role of corticosteroids in severe infections, sepsis and ARDS has been a constantly evolving discussion and remains controversial. The recent APROCCHSs, ADRENAL and DEXA-ARDS along with other prio

Social EM , Urology , Health Policy

Failure of Follow-Up: Scrotal Hernia Case Illustrates Health Care Disparities

11/18/2020 Jason W. David, MD, Capt (USAF) , Aaron A. Johnson, DO, Capt (USAF) , Jerad Eldred, MD

Hernias with loss of domain are often a consequence of poor access to surgical care and require extensive planning and management. This case of scrotal hernia illustrates how health care disparities a

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