Browsing: Clinical

Airway , Pediatric EM

Difficult to Ventilate and Oxygenate: The Pediatric Airway Overview

6/10/2019 Zaza Atanelov, MD, MPH , Gwen Hooley, MD , Sylvia E. Garcia, MD

Critically ill pediatric patients can make physicians-in-training nervous - and that anxiety is heightened when it comes to a pediatric patient in respiratory distress. This article reviews the basics

Pulmonary

The Elusive Foreign Body: A Case Report

6/10/2019 Divya Mohan, DO , Jamie Adamski, DO, FACOEP, FAAEM

Foreign body aspiration is a frequent complaint in the ED. Finding the culprit, however, is not always straightforward.

Toxicology

Intentional Flecainide Overdose: A Case Report

6/10/2019 James M. Gaylor, MD , Andrew Franco, MD , Leah Manchester, MD , Raquel F. Harrison, MD, FACEP

Flecainide overdose is a rare but serious toxic ingestion. Treatment includes the aggressive administration of sodium bicarbonate and a low threshold to initiate ILE or ECMO.

Infectious Disease

You Can't Spell Fluoroquinolones without N-O

6/10/2019 Sajid Khan, MD , Maryam Arshad, MD

Once routinely prescribed for a variety of infections, fluoroquinolones have been shown to increase the likelihood of a host of negative effects and are now used sparingly. Do you know the 3 condition

Informatics

What Is Informatics? P.S. - It's not just for nerds

6/10/2019 Fran Riley, MD, MSE

Informatics remains an up-and-coming field, and its applications in medicine are far-reaching. Just don't be intimidated by the name.

Behavioral Health

Ketamine's Therapeutic Value in Suicidal Patients

6/10/2019 Timothy Kelly, MD , Steve Rosonke, MD

A dearth of acute interventions for mental and behavioral health means we discharge many of our most at-risk patients home without first being able to significantly reduce their symptoms. Can ketamine

Orthopedics

Iliopsoas Rupture and Hematoma: A Rare Cause of Inability to Ambulate

6/10/2019 Charles Davis , Zach Hampton, DO

Spontaneous iliopsoas injury, most commonly associated with athletes, is a rare cause of atraumatic hip pain - yet it should remain on your differential when evaluating hip or low back pain among the

Airway

Fixing a Cuff Leak: Learning to Improvise with Airway Problems

6/10/2019 Michael Lauria, MD, NRP, FP-C , Tatsuya Norii, MD, FACEP , Codruta Soneru, MD

Cuff defects top the list of structural causes of air leak from endotracheal tubes. Being able to troubleshoot the problem without changing the ETT decreases risk to the patient and saves valuable tim

Toxicology

Early Aggressive Whole Bowel Irrigation to Prevent Severe Lithium Toxicity After Acute Overdose

6/10/2019 Omid Manoochehri, MD , Alex Manini, MD , Josh Wang, MD , Larissa Laskowski, DO , Jeremy Rose, MD

Hemodialysis is the definitive modality of lithium clearance in severe toxicity. In early overdose, however, whole bowel irrigation may prevent lithium absorption and subsequent toxicity if mental sta

ECG Challenge , Cardiology

ECG Challenge: June 2019

6/10/2019 Paige Ostahowski, MD , Mahesh Polavarapu, MD , Jeremy Berberian, MD

A 62-year-old female presents with 1 hour of crushing substernal chest pain. What is your interpretation of this EKG?