Pediatric EM

Progressive Weakness in a Young Child

4/23/2020 Carolina Vega, MD , Earl Hartwig, MD

Juvenile dermatomyositis is a treatable idiopathic inflammatory myopathy that causes progressive proximal muscle weakness and characteristic dermatologic phenomena. Without treatment, there is signifi

Geriatrics , Palliative Care

The Old, Cold Trauma Patient: At Risk of Anchoring Bias

4/23/2020 Nathan Jasperse, BS, BA , Alaina Brinley Rajagopal, MD, PhD, CTropMed , Jennifer Roh, MD

When patient wishes are unknown, strongly consider the risks and benefits of aggressive resuscitation in geriatric patients, as aggressive resuscitation has been shown to lead to worse outcomes in the

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Cardiology

Non-Sustained Ventricular Tachycardia Following Modified Valsalva Maneuver for Atrioventricular Nodal Reentry Tachycardia

4/23/2020 Alexander J. Davies, MD , Lisa Gehm, MD, FACEP

The magic of the modified Valsalva maneuver in cardioverting certain dysrhythmias is not without its own risks.

Cardiology

25-Year-Old STEMI: What a Paradox

4/23/2020 Tung-Lin Jesse Yuan, DO , Brian Monaco, MD

Paradoxical coronary emboli are rare phenomena that nevertheless should remain on your differential when patients with low risk factors for coronary artery disease develop atraumatic chest pain.

Trauma

Pressure! Pushing Down on Me, Pushing Down on You: The Underlying Danger of Pressure Washer Injuries

4/23/2020 Morgan Ritz, MD , Ana Davitt, MD

Although high-pressure injection injuries may only leave small superficial wounds, they can create widespread multilayer soft tissue injuries, deep-space infections, and lead to compartment syndrome.

OB/GYN

Rethinking Emergency Contraception

4/22/2020 Brigit Noon, MD , William W. Dixon, MD

Emergency contraception is a key intervention when treating sexual assault survivors. Two options are currently underutilized in the ED: ulipristal acetate and copper intrauterine device.

Critical Care

Pneumomediastinum Secondary to Medication-Induced Esophageal Microperforation

4/22/2020 Anil Bhagavath, MD , Robert L. Gekle, MD, FACEP

Here's a case you don't see every day: a single dose of over-the-counter cold medicine led to an esophageal perforation, which then resulted in pneumomediastinum.

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Pediatric EM , Toxicology

The Undifferentiated Pediatric Ingestion: What to Expect and How to React

4/22/2020 Zaza Atanelov, MD, MPH , Sonja Eagle , Gregory Jasani, MD , Shiva Kalidindi, MD, MPH, MSEd, FAAP, FACEP , Robyn Hoelle, MD, FACEP

Accidental poisonings account for nearly 70,000 pediatric visits to the ED every year. Which ingestions might be fatal, even at small doses? How will you know what to check in an asymptomatic patient?

Infectious Disease

Should We Be Vaccinating Our Patients Against Influenza?

4/22/2020 Bruce J. Grattan Jr., DO, MS, RD

ED vaccination strategies have been successful and reimbursable and are advocated by several major clinical practice advisory groups. So why aren't we offering flu vaccines routinely?

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Gastroenterology

Hooked on Colonics: Colon Cleansing Gone Wrong

4/22/2020 Darren Cuthbert, MD, MPH , David Christopher Cuthbert, MD , Joshua Bucher, MD

Retained foreign bodies are not uncommon in emergency medicine, but this case presented unusual circumstances as the patient had consulted a Reiki master for a regimen of colon cleansing.

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