Browsing: Clinical

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

Cardiology , Toxicology

Naloxone in Cardiac Arrest

8/13/2019 Kasha Bornstein, MSc Pharm, EMT-P , Tim Montrief, MD, MPH

Naloxone is a potent opioid receptor antagonist with an excellent safety profile and ability to reverse opioid-associated respiratory depression. Is it as effective when you're faced with patients in

Neurology , Trauma

Jackhammer Dissection

8/13/2019 Mary Katherine Montes de Oca , Zane P. Osborne, MD, MBA, FACEP , Sarah E. Fabiano, MD, FACEP, FAAEM

If a patient presents with recent trauma, neck pain, headache or neck manipulation with signs or symptoms of stroke, cervical artery dissection should be considered.

Cardiology

What to Consider with Double Sequential Defibrillation in Refractory VF

8/13/2019 Patrick McCarville, MD , Natalie Sullivan, MD , Evan Kuhl, MD , David Yamane, MD

Are you considering double sequential defibrillation in patients with refractory VF?