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.

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

Critical Care , Pulmonary , Airway , Deep Dive in CritCare

ARDS: Deep Dive into the Evidence

11/16/2020 Jonathan Pickos, DO , Brian Sumner, MD , Michael Franczak, MD , Melissa Villars, MD, MPH , Mina Ghobrial, MD , Sean M. Hickey, MD

Acute Respiratory Distress Syndrome (ARDS) is a life-threatening form of respiratory failure characterized by massive inflammation leading to pulmonary edema, decruitment of alveoli, and hypoxemia. De

Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Tranexamic Acid During Prehospital Transport in Patients at Risk for Hemorrhage After Injury (The STAAMP Trial)

11/4/2020 Jonathan Pickos, DO , Sean M. Hickey, MD

The STAAMP Trial results show TXA, with a thus far demonstrated low adverse event rate, should be considered in all trauma patients as early as feasibly possible, and those with more severe forms of s

ECG Challenge , Cardiology

ECG Challenge: October-November 2020

10/9/2020 Matthew Rizzotti, DO , Emily Luvison, MD , Jeremy Berberian, MD

A 72-year-old male with a history of hyperlipidemia presents to the ED after an episode of exertional chest pain which has since resolved. What is your interpretation of his EKG?

Toxicology , Medications

Strong Enough for a Giraffe, But Made for a Human: Alpha 2-adrenergic Agonist Overdose

10/9/2020 Scott H. Witt, MD , Erich Burton, DO

Recognizing alpha 2-agonist overdose and distinguishing it from other etiologies of bradycardia and hypotension is critically important.

Pediatric EM

Altered Mental Status in the Pediatric Patient – A Potentially Dangerous Diagnosis

10/9/2020 Savannah Chavez, MD , Jordan Miller, DO

Meningitis is typically a clinical diagnosis commonly found in younger patients based on symptoms of fever, headache, photophobia, nuchal rigidity, and often with nausea and vomiting.

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