Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Impella®

8/28/2024 Josh Wild, DO , Brian Sumner, MD

Mechanical circulatory devices continue to evolve, allowing greater support of the sickest patients. This article discusses the Impella heart pumps, developed to address high-risk percutaneous coronar

Hematology

Methemoglobinemia: A Case of the Blues

8/12/2024 Phillip A. Barnett, DO , Devan K. Barnett , Douglas R. Bethea

Methemoglobinemia — a serious but treatable condition that presents with generalized cyanosis, an oxygen saturation percentage of mid- to high 80s, high pO2, dark-colored blood, and hypoxia resistant

Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: Noninvasive Ventilation for Preoxygenation During Emergency Intubation

7/29/2024 Alex Lucas, MD , Josh Wild, DO , Gabriel Colon, MD , Luxi Qiao, MD, MPhil , Dustin Slagle, MD

Tracheal intubation is a critical procedure on patients who are already in crisis. Is it better to choose a mask or non-invasive ventilation for preoxygenation?

Patient Interactions , Medications

Introducing the ‘Fiver’: A Modernized Alternative to the ‘B-52’ for Acute Agitation Control

7/22/2024 Matthew J. Christensen, MD, LT, MC, USN

Violence against health-care workers caused by acutely agitated patients is an unfortunate reality for many of us. When attempts at verbal redirection do not successfully de-escalate the situation, ex

ECG Challenge , Cardiology , Medical Education

ECG Challenge: July-Aug-Sept 2024

7/16/2024 Jonathan Dillen, MD , Jeremy Berberian, MD

EMRA ECG Challenge

Palliative Care , Patient Interactions

Palliative Care vs. Hospice: The Role of the Emergency Physician

7/16/2024 Syna Daudfar, DO , Geoff Comp, DO, FAWM , Jonathan Burton, DO

Palliative care providers exist to give expert consultation and assistance with complex decision-making conversations; however, emergency physicians and primary care providers carry initial palliative

Nephrology , Toxicology

Blue Dye, Gotta Try: A Case of Metformin-Associated Lactic Acidosis

7/15/2024 Marlee Thomas, DO , Howard Levitin, MD, FACEP , Ryan Stuart, MD , Maria Lucarelli, MD

MALA is a difficult diagnosis to make due to lack of specific lab testing revealing toxicity. However, this disorder should be considered in patients presenting with marked hemodynamic instability wit

Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: HFNC Oxygen v. Noninvasive Ventilation for Management of Acute Cardiogenic Pulmonary Edema

7/11/2024 Dominique Gelmann, MD , Josh Wild, DO , Luxi Qiao, MD, MPhil

When managing acute cardiogenic pulmonary edema, how do the outcomes differ between high-flow nasal cannula and noninvasive ventilation?

Infectious Disease , Urology

Not Just Rectal Bleeding: A Case of Fournier’s Gangrene

7/10/2024 Elaine Hsiang, MD , Claire Perrin , Maria Raven, MD, MPH, MS, FACEP

Fournier’s gangrene is a surgical emergency. Time to surgical intervention is the most significant modifiable risk factor for mortality in these necrotizing infections, and early intervention can halv

International EM , Ultrasound

The Art of Chin Chin: A Multi-Year Partnership in the Dominican Republic Advancing POCUS

7/1/2024 Irbert Vega , Robert Fuller, MD, FACEP , Natalie J. Moore, MD , Ybel Fermín Fernández, MD , Heather Hechter, MD , José Raúl Vargas Estévez, MD

When I (lead author Irbert L. Vega, MD) went to the Dominican Republic for my global EM elective, I suddenly found myself in an environment where POCUS was still a nascent technology instead of a stan

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