Critical Care , Critical Care Alert

Critical Care Alert: Adjunctive Corticosteroid Treatment in Patients with Septic Shock (ADRENAL Trial)

12/1/2018 Susannah Empson, MD , Yanika Wolfe, MD , Meghan Gorski, DO

The ADRENAL trial was designed to test the hypothesis that hydrocortisone results in lower mortality than placebo among patients with septic shock. Find out what investigators discovered.

Medical Education , EMS

Understanding EMS Provider Education and How to Participate as a Resident

10/17/2018 Geoff Comp, DO, FAWM , Rachel Munn, DO , Vishnu Mudrakola, MD , Eric Cortez, MD, FACEP

The most effective medical education is designed with specific learners in mind. Using that as a guiding principle, the emergency medicine faculty and residents at Doctors Hospital came up with an eng

Clinical , Medical Students

Unraveling the Mystery of Dizziness in the ED: A Guide for the Student Clerkship

10/17/2018 Kevin Wilcox, DO , Krystle Shafer, MD

Dizziness is the third most common complaint reported in the ED. Asking the right questions and teasing out the details of this vague complaint can lead to proper management and reduced negative outco

International EM

Small Bowel Obstruction Secondary to Ascariasis Infection

10/17/2018 Jett MacPherson, MSII , Saundra Jackson, MD, RDMS, FACEP , Wesley Wallace, MD, FACEP

The etiologies of small bowel obstructions may vary between underdeveloped and developed nations, but the presenting signs and symptoms of an acute bowel obstruction are similar. When it occurs in a r

Sports Medicine

Berlin Concussion Summary and Active Rehabilitation for Concussion Management

10/17/2018 Dustin Harris, MD

An important question still being researched is how much rest to prescribe after a concussion. With the advent of active rehabilitation, along with other techniques, we can better manage our concussio

Visual Diagnosis

Diagnose This Condition

10/17/2018 Matin Shah, MD

A 3-month-old female born at 37 weeks via vacuum-assisted vaginal delivery presented as a referral to the emergency department from an outpatient imaging center after obtaining a computed tomography (

Prehospital Care

Emerging Prehospital Protocols

10/17/2018 Noah Bernhardson, MD, MS, NRP , Cameron B. Justice , Jared L. Ross, DO, FF/EMT-T

Evolving EMS protocols impact the care patients receive before they present to the ED, so emergency physicians should stay up-to-date on these changes in order to offer high-quality integrated care.

Trauma , Prehospital Care , EMS

The Use of Low Titer Group O Whole Blood in Emergency Medicine

10/17/2018 Christa A. L. Arefieva, MS, MSIV , Bryan Chen, MD , Theodore T. Redman, MD, MPH , Andrew D. Fisher, MPAS, PA-C, LP

Trauma is the leading cause of death for people ages 46 and younger in the U.S. - yet up to 20% of trauma deaths are potentially survivable. Can the use of low titer Group O whole blood improve outcom

ECG Challenge , Cardiology

ECG Challenge: October 2018

10/17/2018 Gregory Taylor, DO , Robert W. Mathews, DO, FACOEP , Scott Sikorski, DO , Jeremy Berberian, MD

A 44-year-old male presents to the ED with intermittent chest pain for 2 weeks, worse with exertion, and resolves with rest. He is currently symptom free. What is your interpretation of his EKG?

Toxicology

Bleach Ingestion: To Scope or Not to Scope?

10/16/2018 Darren Cuthbert, MD, MPH , Guillermo Ortega, MD , Ann-Jeannette Geib, MD, FACEP , Eric Levy, DO

Bleach can be found in most homes and workplaces across America. This broad, easy availability makes it a candidate for potentially toxic ingestions. When should you assess for structural damage?

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