Browsing: Clinical

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.

Critical Care , Critical Care Alert

Critical Care Alert: Prevention of Early Ventilator-Associated Pneumonia After Cardiac Arrest

4/21/2020 Sarah Ring, MD , Sean M. Hickey, MD

Can prophylactic antibiotics affect the incidence of ventilator-associated pneumonia following out-of-hospital cardiac arrest?

International EM

#MedMissionHacks

4/21/2020 Timothy Bikman, DO , Landon P. Wood, DO , Laura Forman, MD, FACEP

The global hyper-awareness from exposure to 24/7 news and social media has left many people wanting to get more involved in medical missions. How can you make the most of a medical mission?

COVID-19 , Opinion-Editorial

I Am Glad You Are at Home. . .

4/16/2020 Jefferey S. Holoman, DO

Are you tired of sheltering in place during the coronavirus pandemic? Disgruntled with the same 4 walls and familiar faces that mark your experience with COVID-19? An emergency physician wants you to

COVID-19 , Wellness

Weathering the Storm: What Psychiatrists Want You to Know

4/13/2020 Jessi Gold, MD, MS , Margaret Duncan

Overwhelming volume and acuity, an alarming lack of PPE, the anguish of seeing your patients die alone, the jarring incongruence of layoffs and salary cuts - COVID-19 brings with it a major threat to