Browsing: Clinical

Ophthalmology

Spontaneous Proptosis in the ED

12/15/2018 Dinh B Vuong, MD , Lawrence Brown, PhD , Alison B Huggins, MD , Marie Somogyi, MD

The eye is a critical organ in our everyday life. When a patient presents to the ED with an eye emergency, it's crucial to quickly assess whether their vision is at risk - and take action to preserve

Visual Diagnosis , Airway

Diagnose This Condition

12/15/2018 R. Steven Stefancic, MD

A male in his mid-40s presents with sore throat, difficulty breathing, vocal change, and drooling. He appears anxious and uncomfortable; initial vitals show a febrile, tachycardic patient.

Cardiology

Rupturing Thoracic Aortic Aneurysm: A Case Report

12/15/2018 Caroline Trippel, DO

Ruptured thoracic aortic aneurysms are almost uniformly fatal. What can you do to provide the early detection and treatment that can offer hope of survival?

Airway

Tracheal Bronchus: A Case Report

12/15/2018 Adam A. Johnson, MD , Rick McPheeters, DO

Up to 5% of the population has a right superior lobe bronchus arising directly from the trachea proximal to the carina. It can cause complications with airway management if unrecognized, and can be th

Simulation

EMRA SIMWars at ACEP18

12/15/2018 Jake Freudenberger, DO , Shyam Murali

ACEP18 bore witness to an incredible SimWars competitions! With creative cases, sharp competitors, and hilarious actors, this year’s contest delivered a new level of simulation competition.

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

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

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

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