Browsing: Clinical

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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.
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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.
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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
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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
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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
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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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Ultrasound

Can Transcranial Doppler Be Useful in the ED? A Review of the Literature

9/30/2020 Mikaela Biavati , Daniel Hubbard , Jake Freudenberger, DO , Akash Desai, MD , Tim Montrief, MD, MPH
Transcranial Doppler offers exciting potential - but in what settings? This literature review evaluates its use in trauma, ICU, pediatric, rural, and international settings.
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Airway , Clinical

Love Hurts: Rare Hypersensitivity Reaction in the Emergency Department

9/22/2020 Darren Cuthbert, MD, MPH , David Christopher Cuthbert, MD , Joshua Bucher, MD , James Karz, DO , Jaila Graham , Mohamed Olabi
Human seminal fluid hypersensitivity affects roughly 40,000 women in the U.S.
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19. The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial

9/21/2020 Brian Sumner, MD , Sean M. Hickey, MD
A complex trial meant to determine whether hydrocortisone can improve outcomes for patients with severe COVID-19 was stopped early - but still shows promise for the course.
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Critical Care , Critical Care Alert , COVID-19

Critical Care Alert: Effect of Dexamethasone on Days Alive and Ventilator-Free in Patients with Moderate or Severe Acute Respiratory Distress Syndrome and COVID-19: The CoDEX Randomized Clinical Trial

9/21/2020 Taylor Miller, MD , Sean M. Hickey, MD
The CoDEX trial was conducted to identify the effect of dexamethasone on ventilator-free days in patients with COVID-19 associated ARDS.