Browsing: Clinical

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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.
Cardiology

Primary Cardiac Synovial Sarcoma Complicated by a Malignant Pericardial Effusion

2/11/2020 Ryan Joseph, DO, DTM&H , Charles Kennedy , Meera Gebrael, MD , Shane Jennings, MD, FACEP
In this patient, bedside transthoracic echocardiography was key to discovering the cause of chest pain and shortness of breath.
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OB/GYN

Ticking Time Bomb: Defusing Ectopic Pregnancy

2/11/2020 Blake Briggs, MD , Iltifat Husain, MD
Failure to appropriately manage this increasingly common pathology leads to significant morbidity and mortality. Are you prepared to step in and help?
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Critical Care , Critical Care Alert

Critical Care Alert: Conservative Oxygen Therapy in Mechanically Ventilated Patients - the ICU-ROX Study

2/10/2020 Melissa Villars, MD, MPH , Sean M. Hickey, MD
The ICU-ROX study, designed as the largest RCT of mechanically ventilated ICU patients, investigates whether conservative oxygen therapy could reduce mortality. Are the results enough to tip the scale
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Critical Care , Critical Care Alert

Critical Care Alert: Epinephrine for Out-of-Hospital Cardiac Arrest

1/10/2020 Melissa Villars, MD, MPH , Sean M. Hickey, MD
This review article was trying to take another look at the impact of epinephrine, especially its impact on meaningful neurologic survival, to see if the debates launched by the PARAMEDIC-2 trial were
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Critical Care , Critical Care Alert

Critical Care Alert: Reviewing the Evidence for CITRIS-ALI Study

1/3/2020 Melissa Villars, MD, MPH , Sean M. Hickey, MD
Can vitamin C benefit patients with sepsis-related ARDS? Take a look at the evidence from the CITRIS-ALI study before you take a stance in this ongoing debate.