Browsing: Clinical

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?

Pediatric EM , Ophthalmology

When You Hear Hooves, Consider a Zebra

10/16/2018 Yagnaram Ravichandran, MBBS, MD, FAAP , Rajan Arora, MD

Ocular swelling in children is a common complaint. But that doesn't mean the etiology is always common - or benign.

Critical Care , Ventilator Management

Doubling Down on Re-Expansion Pulmonary Edema: Treatment Approach and Ventilator Management

10/16/2018 Mark Ramzy, DO, EMT-P

The treatment of choice for a pneumothorax is a chest tube, and when the small pig-tail catheter doesn’t do the job, the answer is to replace it with a larger bore – right? Not so fast.

Nephrology

Catching Up with Contrast-Induced Nephropathy

10/16/2018 Rebecca Lee , R. Gentry Wilkerson, MD, FACEP, FAAEM

The degree to which contrast media is directly responsible for the development of acute kidney injury is hotly debated.

Toxicology , Medications

Tackling Valproate Overdose

10/16/2018 John Mark Sawyer , Nicholas J. Connors, MD

Can you recognize severe valproate overdose? Understanding VPA pharmacokinetics is essential to help guide your treatment plan.