ECG Challenge , Cardiology

ECG Challenge: December 2019 - January 2020

12/16/2019 Ben Flitter, MD , Annelies De Wulf, MD, MS, MPH , Christopher Willoughby, MD

A 53-year-old male with unknown past medical history presents by EMS after a syncopal episode, acute shortness of breath, chest pain, and altered mental status. His initial vital signs are notable for

Infectious Disease

A Bump in Mumps: Is Your MMR Knowledge Updated?

12/16/2019 Ryan O'Halloran, MD, MS

The recent rise in the number of people declining vaccinations is leading to a correlating rise in the cases of preventable diseases such as measles and mumps.

Ultrasound , Clinical

Penile Mondor’s Disease: Rare or Just Underdiagnosed?

12/16/2019 Jett MacPherson, MSII , Saundra Jackson, MD, RDMS, FACEP

This condition typically presents acutely as a subcutaneous band on the dorsal penis, often accompanied by pain. The prevalence is estimated to be approximately 1.4%, but it's thought to be under-repo

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Ultrasound , Guided Procedures , Pain Management

Ultrasound Guided Erector Spinae Plane Block for Acute Management of Rib Fractures

12/16/2019 Jessica Sullenbarger, MD , Jane Xiao, MD

Rib fractures - what a pain. Look into this regional nerve block that can help affected patients in your ED.

Orthopedics , Trauma

Forearm Strangulation: An Interesting Cause of Compartment Syndrome

12/16/2019 Amy E. Mulcahy, PA-C, MS, PHPE , Brendan A. Mulcahy, DO, PHP, PA-C

Investigate the pressure of this tangled case of a patient with a limb-threatening injury at first discharged home in the absence of a fracture.

Toxicology , Recreational Drugs , Medications

GHB: A Forgotten Foe Rises

12/16/2019 Garrett Prince, MD , Max Ofoma , Daniel O. Bral, DO, MPH

The classic story of GHB intoxication you may see in your ED — “you are about to intubate a comatose patient and they wake up suddenly.” What next?

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Critical Care , Ventilator Management , Clinical

Your First Shift in the Unit: Demystifying Ventilator Alarms

12/16/2019 Marc Cassone, DO , Anthony Cocciolone, DO , Eric Melnychuk, DO

Ventilator alarms can be the first sign of an acute process and should be addressed immediately. It’s important to understand basic troubleshooting and move beyond DOPES when managing vent alarms.

Informatics , Career Planning

Developing a Career in Clinical Informatics

12/16/2019 Benjamin Co , Christopher Libby, MD, MPH , John T. Finnell, MD, MSC, FACEP, FACMI

Indiana University's Clinical Informatics Fellowship Director John T. Finnell is ready to help solve the enigma about the confluence of the ED and IT.

Clinical , Airway , Ventilator Management

High Flow Nasal Cannula for the Emergency Physician

12/16/2019 Jason Block, MD

A look at this option for delivering supplemental oxygen in patients experiencing hypoxemic respiratory failure in emergency care.

Critical Care , Critical Care Alert

Critical Care Alert: CRASH-3 Review of TXA for TBI

12/16/2019 Ryan Lee, MD , Raymond Green, DO, FACS , Michael Perza, PharmD, BCPS

Released in October 2019, CRASH-3 is the latest trial exploring the benefits of tranexamic acid, this time in traumatic brain injury. The bottom line: TXA hasn't been shown to reduce mortality.

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