Browsing: Clinical

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Palliative Care , Critical Care , Behavioral Health , Dermatology

DENIAL OF DEATH : The Phenomenon of Tumor Neglect

6/10/2020 Rebecca Kreston, MD, MSPH , Payal Patel, MD , Shana Ross, DO, MS
Challenges with health care literacy, lack of insurance, and simple human fear can sometimes lead patients to delay seeking help - or even deny a problem exists. Tread lightly to offer the best care i
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Toxicology , Wilderness Medicine

Itsy Bitsy Spider, Big Time Danger: Systemic loxoscelism

6/10/2020 Michael D. Simpson, MD , Monisha Veerapeneni
Although spider bite is a common complaint in the ED, systemic loxoscelism is a rare and deadly consequence of undiagnosed brown recluse bites. Use the NOT RECLUSE mnemonic to keep from missing it.
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Ophthalmology , Toxicology

Managing the Effects of Riot Control Agents

6/5/2020 Peter D. Akpunonu, MD , Haedan Eagar , Ben Doty
As protests have turned violent in response to the death of George Floyd, riot control agents have gained national attention. Exposures are now commonplace, and it's important for emergency physicians
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Critical Care , Critical Care Alert

Critical Care Alert: Preliminary Report on Remdesivir for the Treatment of COVID-19

6/1/2020 Taylor Miller, MD , Sean M. Hickey, MD
The Adaptive COVID-19 Treatment Trial (ACTT), while controversial, is the first major trial to suggest benefit from remdesivir for hospitalized COVID-19 patients. Unfortunately, study results don't sh
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Critical Care , Critical Care Alert

Critical Care Alert: Hydrocortisone, Vitamin C, and Thiamine for Sepsis and Septic Shock

5/26/2020 Taylor Miller, MD , Sean M. Hickey, MD
In the quest to conquer sepsis, a new randomized controlled trial has tested hydrocortisone, vitamin C, and thiamine as a treatment.
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COVID-19 , Administration & Operations

How are EDs Leading in the COVID-19 Pandemic?

5/18/2020 Jared Ditkowsky, MD , Nicholas Stark, MD, MBA , Phillip Tseng, MD, MBA, MEd , Andrew Luo, MD , Nicholas Cozzi, MD, MBA , Ynhi Thomas, MD, MPH, MSc
Nearly every aspect of patient care — from triage to discharge, from documentation to intubation — has been revised in an effort to streamline care of COVID-19 patients. Concerns around minimizing pro
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Infectious Disease

Understanding and Combating Antibiotic Resistance

5/18/2020 Rubayet Hossain, MD , Vinitha Jacob, MD
Most antibiotics in use today fall into just 10 categories - but there are more than 100,000 known antibiotic-resistance genes spanning almost every known antibiotic class. Yet the rate of development
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Critical Care , Critical Care Alert

Critical Care Alert: Dexamethasone Treatment for ARDS

5/7/2020 Taylor Miller, MD , Sean M. Hickey, MD
The first RCT studying the use of dexamethasone in ARDS shows promise for the emergency medicine setting.
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ECG Challenge , Cardiology

ECG Challenge: April-May 2020

4/23/2020 Danielle Miano, MD , Gregory Steinberg, DO , Jeremy Berberian, MD
A 33-year-old male presents to the emergency department because of palpitations. He reports a history of similar episodes in the past that always respond to adenosine. What is your interpretation of t
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EMS

EMS Ride-along Etiquette

4/23/2020 Christopher D. Laube, EMT-B
Riding along with an ambulance crew is a great way to see the side of emergency medicine most ED-based physicians don't get to see. Just know your role and follow the code of the road.