Infectious Disease , International EM

A Case of Severe Malaria in the Emergency Department

10/9/2020 Alex Iteen, MD

Malaria is a rare diagnosis in the U.S. As such, providers outside of infectious disease specialists or those with experience in travel medicine or global health may not be familiar with the disease.

Social EM , Sepsis , Hematology

Septic Thrombophlebitis as a Consequence of Intravenous Drug Use Disorder

10/9/2020 Ali Elsaied, DO , Kuljit Kaur, DO , Darragh Cullen, DO

This is a unique case of Lemierre's syndrome in a person who injects drugs (PWID) without a history of recent oropharyngeal infection or the presence of a central venous catheter.

Nephrology

Cervical Cancer as a Cause of Acute Renal Failure

10/9/2020 Jordan Miller, DO , Christina Hornack, DO , Michael Pallaci, DO, FACEP, FACOEP , Michael Weinstock, MD

Cervical cancer, the second-leading cause of death among women ages 20-39, can be a rare form of acute renal failure.

Editor's Forum , COVID-19 , Wellness

#PetsOverCOVID19

10/9/2020 Priyanka Lauber, DO

COVID-19 has brought a lot of negatives and challenges, so I will look for and take a positive wherever I can find it. One bright note this year: Pet adoptions are on the rise as people realize the he

Cardiology , Toxicology , Medications

Acute Hyperkalemia Masking Flecainide and Metoprolol Toxicity

10/9/2020 Matthew Baltz, MD , Jeremy Berberian, MD

Antidysrhythmic drugs are broadly categorized into Vaughan-Williams classifications, and their effects should be carefully noted.

Urology

Can Urine Color Guide Management?

10/9/2020 Laura A. Scieszka, MD , Tricia Swan, MD, FACEP, FAAP, MEd

Purple urine bag syndrome, first reported in 1978, is a subset of catheter-associated urinary tract infection.

Psychiatry , Administration & Operations

ED Psychiatric Petitioning: An Unvarnished Glance

10/9/2020 Molly Enenbach , Gwen Levitt, DO, DFAPA

As providers on the front line in the emergency department, resident physicians need to pause and understand the process of petitioning patients for psychiatric placement, as this is essential to bett

Social EM , Patient Interactions

Language Justice: One Step Toward Health Equity

10/9/2020 Joe Gannett, MD , Hayley Musial, MD

Patient safety has been a prime issue in health care since the 1999 Institute of Medicine (IOM) report To Err is Human, which led to adverse event tracking and quality improvement measures in almost e

Neurology , Orthopedics , Urology

The Smallest Red Flag: A Case of Non-Urologic Urinary Retention

10/9/2020 Sarayna McGuire, MD , Derick Jones, MD, MBA , Patti Paris, MD, MBA, FACEP

It is important to consider that acute urinary retention can be a subtle clue of a neurologic process warranting emergent CT imaging to rule out vertebral fracture and MRI to rule out spinal cord comp

Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Hydrocortisone on Mortality or Respiratory Support Among Critically Ill with COVID-19 Patients

10/8/2020 Oswald Reid, Jr., MD , Sean M. Hickey, MD

While the treatment for SARS-CoV-2 continues to evolve, the emergency department remains a primary place for early medical intervention. There is growing evidence to support that initiating steroids w

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