Pediatric EM , Orthopedics , Social EM

Utility of Follow-Up Skeletal Surveys in Suspected Child Maltreatment

12/1/2020 Shahfar Khan, MD, FAAP , Brian D. Novi, DO , Norrell Atkinson, MD, FAAP

In 2018, statistics show 15,605 children and adolescents were conﬁrmed victims of physical abuse in the United States. It is vital to ensure a safe disposition for pediatric patients, as further harm

Neurology , Pediatric EM

MRI Confirmed Bell's Palsy Presenting with Multiple Cranial Nerve Involvement

12/1/2020 Gabrielle Ransford, MD , Vipin Philip, MD , Joel M. Clingenpeel, MD, MPH, FACEP

Bell's palsy, also called idiopathic facial nerve palsy, is the paralysis of facial motor function without an identifiable cause. It typically presents with sudden onset unilateral facial paralysis an

Heart of EM , COVID-19 , Wellness

Heart of EM: I Answered

12/1/2020 Sharland Johnson, MD

In the midst of the COVID-19 pandemic, with the hospital bursting at the seams and patients growing sicker and sicker as they edged toward a lonely death, I answered.

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.

Dermatology , Neurology , Infectious Disease

Coincident VZV Encephalitis and Otomastoiditis

12/1/2020 Aaron Tiffee, MD, FACEP , Kinnari Modi , Christina Chanthanivong

We explore a case of varicella-zoster virus (VZV) reactivation without typical skin findings in a 66-year-old patient who presented with mastoiditis and encephalitis.

Infectious Disease

Lefamulin: Potential Role of a New Antibiotic in Community Acquired Pneumonia

12/1/2020 Mortatha Al-Bassam, MD , Vir Singh, MD, MBS , Bobby Desai, MD , Latha Ganti, MD, FACEP

A novel antibiotic that may play a role in ED management of community acquired pneumonia is lefamulin. What is this medication? How could it fit in the ED paradigm for pneumonia treatment?

EMS , Consults , Medical Education

The Physician's Role in Providing EMS Feedback

12/1/2020 Courtney Shay, MD

As resident doctors, we are tasked with leading resuscitations, explaining our thought processes, and debriefing our team. All too often our pre-hospital peers are forgotten members of this team. We m

Trauma , Social EM , EMS

The Riot Trauma: What Injuries Should You Expect From Non-Lethal Police Weapons and Protests?

12/1/2020 Sriram Venkatesan, FAWM , Capt. Yev Maksimenko, MD, MA, DiMM, FAWM, FP-C

Protests have become a more common occurrence in 2020, and emergency physicians are seeing an increase in riot-related injuries in their hospitals. Become familiar with the weapons in the tactical and

Neurology , Endocrinology , Social EM

Nonketotic Hyperglycemic Hemichorea: A Bad Case of the Wiggles

12/1/2020 Ideen Zeinali, MD , Matthew Edwards, MS , Giuliano De Portu, MD, FACEP

One of our nation's greatest health challenges is the management of type 2 diabetes mellitus, which is expected to swell by more than 50% by 2035. Many of these diabetic patients will lack both primar

Infectious Disease , Wilderness Medicine , International EM , Dermatology

Cutaneous Larva Migrans: The Rash Is Not What You Think

12/1/2020 Hussain Shakir, MD, FAAP , Louis King, MD

Treating a rash that follows no pattern and appears after a vacation? Check for cutaneous larva migrans. Humans are accidental hosts who often acquire this infestation while walking barefoot on soil t

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