ECG Challenge , Cardiology

ECG Challenge: February - March 2020

2/13/2020 Paul Smyser, MD , Jeremy Berberian, MD

A 62-year-old male presents with 1 hour of crushing chest pain radiating to the right shoulder. What is your interpretation of the following ECG and what would you do next?

Career Planning , Pediatric EM

Demystifying the EM to PEM Journey: A Conversation with EM to PEM Attendings

2/12/2020 Gwen Hooley, MD , Zaza Atanelov, MD, MPH

Do you feel a little discomfort seeing a critically ill pediatric patient awaiting your care? Three EM to PEM attendings have some guidance they gathered along their journey towards pediatric emergenc

Nephrology

The Echogenic Kidney

2/12/2020 Bryn Dhir, MD , Colin Ireland, DO , Todd Britt, DO , Alan Janssen, DO, FACOEP-D, FACEP, FAAEM

Ultrasound in the emergency department can reveal the echogenicity of the renal pyramids in Medullary Sponge Kidney. Despite previous episodes and presentations, it is often undiagnosed or overlooked

Disaster Medicine , Prehospital Care

Tactical Medicine: An Evolving EM Subspecialty

2/12/2020 Cameron B. Justice

A Q&A with a tactical medicine pioneer, Dr. John Wipfler III.

Cardiology , Radiology

Aortic Dissection: End the Glow!

2/12/2020 Roli Kushwaha, MD , Anthony Furiato, DO, FACEP , Justin McNamee, DO, FACEP

The key concern in the ED is if there is a way to risk stratify patients for AD and, if so, is there a test with high enough sensitivity and negative likelihood ratio to rule it out.

International EM , Wilderness Medicine

Think Like a Guide: Lessons Learned the Hard Way on International Expeditions

2/12/2020 Tate Higgins , Will Hockett, MD

These lessons from international wilderness expedition leaders will make you more independent, capable, and confident on your next adventure.

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Pediatric EM

Pediatric Nasopharyngeal Tumor

2/12/2020 Ashlee Davis, MD , Sarah E. Fabiano, MD, FACEP, FAAEM

Nasopharyngeal tumors are exceedingly rare but their clinical presentation often includes symptoms commonly seen in the ED. These may include symptoms of more benign conditions, such as rhinitis or si

Pulmonary

A Case of Pulmonary Hypertension in the ED

2/11/2020 Sophia Ahmed, MD, MS , Maci Chapman, MD , Nurani Kester, MD, FACEP

Consider pulmonary hypertension when evaluating patients with shortness of breath because this condition is under-diagnosed and can be easily missed. Follow this case to clue in.

Neurology , Ultrasound , Guided Procedures

Ultrasound Guided Supracondylar Nerve Blocks for Reduction of Distal Radius Fractures

2/11/2020 Heather Roesly, MD , Spencer Tomberg, MD

One of the most common fractures seen in the ED - and one of the most painful to manipulate and reduce prior to splinting. This nerve block can help.

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Toxicology , Pediatric EM , Gastroenterology

Gastric Perforation after Liquid Nitrogen Ingestion: A Scream after Ice Cream

2/11/2020 Natasha Brown, MD , Carlos Dos Santos , Fiona Azbuike, MD

Sweet! Cool! Oh ... The popular food or drink enhancement tactic of adding liquid nitrogen can have alarming effects - possibly fatal.

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