Browsing: Clinical

Critical Care , Critical Care Alert

Critical Care Alert: Reviewing the Evidence for SEP-1

10/9/2019 Omid Manoochehri, MD , Sean M. Hickey, MD

The SEP-1 core measure instituted by CMS has been hotly debated. A new review of literature shows a lack of high-quality evidence to back up the specificity required in the sepsis bundle.

Critical Care , Cardiology

Mini Review: Blunt Cardiac Injury

9/26/2019 Mina Ghobrial, MD

Blunt chest trauma may be more prevalent than you realize. Sharpen your clinical gestalt by understanding the most helpful diagnostic tools, such as troponin, EKG, and echocardiography.

Critical Care , Cardiology , Deep Dive in CritCare

Deep Dive into the Evidence: Cardiac Ultrasound in Cardiac Arrest

9/5/2019 Sean M. Hickey, MD , Bryan Beattie, MD , Susannah Empson, MD , Mina Ghobrial, MD , Jaskirat Gill, MD , Emily Gillespie , Meghan Gorski, DO , Omid Manoochehri, MD , Joshua Novy, MD, MBA, MS , Jonathan Pickos, DO , Mark Ramzy, DO, EMT-P , Yanika Wolfe, MD

Will transesophageal echocardiography become the first imaging incorporated into ACLS protocols?

Social EM

Climate Change is Killing Patients. Let’s Not Make it Worse

8/14/2019 Laura Haselden, MD

A climate assessment from November 2018 comprehensively measured the current and projected state of climate change and its effects on human health. It found what we as emergency physicians should alre

Neurology

Detecting Wernicke-Korsakoff Syndrome

8/14/2019 Lee Johnson , May Li, MD

A missed diagnosis of Wernicke encephalopathy (WE) can lead to Korsakoff syndrome, which carries a 20% mortality rate. Because this life-threatening condition can be easily misdiagnosed, it's importan

Toxicology

Alcoholic Ketoacidosis: Mind the Gap, Give Patients What They Need

8/14/2019 Brendan Innes, MD , Stephanie Carreiro, MD

Patients with alcohol use disorder commonly present to the ED critically ill, with myriad underlying pathologies. Alcoholic ketoacidosis (AKA) should be considered in anyone with prolonged and/or bing

Wilderness Medicine

Everest Trek: High-Altitude Medicine

8/14/2019 David Miranda, MD

In April 2018, during my third year of residency, I completed a wilderness medicine educational trek to Mt. Everest base camp. The trip provided a glimpse of remote medical care in the Himalayan regio

ECG Challenge , Cardiology

ECG Challenge: August 2019

8/14/2019 Sarah Frantz, MD , Jeremy Berberian, MD

An 87-year-old female presents with generalized weakness for the past several days after a recent increase in her diuretic medication by her cardiologist.

Neurology

Take a HINT on Central Vertigo in the Emergency Department

8/13/2019 Michael D. Simpson, MD , Eric Kalivoda, MD

Differentiating benign peripheral conditions from central nervous system lesions like strokes can be difficult. Enter the HINTS exam - the objective measure.

Ultrasound , Cardiology

Differentiating Acute Versus Chronic Right Heart Failure with Bedside Echocardiography

8/13/2019 Andrew Pellet, MD , Amy Zeidan, MD , Jacob Avila, MD

While there are a number of quantitative and qualitative assessments that can be used to evaluate right heart function, 2 measurements in particular can help differentiate acute versus chronic right h