Browsing: Clinical

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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.
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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
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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
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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
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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
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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?
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Toxicology

Don't Get Burned by Hydrofluoric Acid Toxicity

6/10/2019 Nancy A. Rice, MD, MS , Spencer Greene, MD, MS, FACEP, FACMT
Hydrofluoric acid is found in a variety of products and used in multiple industries, so exposure, while not exceedingly common, is not rare. Know how to treat HF toxicity and prevent contamination amo
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Toxicology

Kratom: A Blurb on the Herb

6/10/2019 Kyle Suen, MD , William Eggleston, PharmD, DABAT
As kratom becomes more ubiquitous in the United States, a growing body of literature calls into question the safety of this herbal supplement.
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Ultrasound , Cardiology

An Atypical Presentation: Cardiac Tamponade and the Value of Point-of-Care Ultrasound

6/10/2019 Christopher M. Tripp, MD , Zachary T. Grambos, MD
Point-of-care ultrasound potentially saved a life in this case of cardiac tamponade in a patient with end-stage renal disease.
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Cardiology

From Dizzy to Torsades de Pointes: A Case Report

6/10/2019 Afrah A. Ali, MBBS , Muhammad Sameed, MBBS
The most common cause of torsades de pointes is acquired prolongation in the QT interval because of medication. Treating it may require pharmacologic pacing or, in some circumstances, mechanical pacin