Deep Dive in CritCare , Critical Care , Neurology

Deep Dive into the Evidence: Monitoring and Management of Elevated Intracranial Pressure in Severe Traumatic Brain Injury

6/11/2024 Luxi Qiao, MD, MPhil , Josh Wild, DO , Eleni McCaffery, MD , Dominique Gelmann, MD , Dustin Slagle, MD , Sung-Min Cho, DO, MHS

Elevated ICP is an emergent complication associated with injury to the brain. In this Deep Dive, we summarize the existing evidence regarding the monitoring and management of elevated intracranial pre

Otolaryngology , ENT , Airway , Critical Care

Case Series: Successful Management of Primary Post-Tonsillectomy Hemorrhage With IV Tranexamic Acid

6/10/2024 Dillon Schneider , Francisco Javier Andrade Jr., MD , Nancy Churosh, MD , Brian Casillas, MD

We present 2 cases of severe post-tonsillectomy hemorrhage (PTH). Our cases highlight the potential role of IV-administered tranexamic acid (TXA) as an effective treatment option in acutely bleeding p

Toxicology , Toxicology Committee

Xylazine, Illicit Drug Combo: Deadly Cocktail on the Rise

6/7/2024 Brittany (Ladson) Garza, DO, MPH , Laura Szczesniak, MD, PhD , E. Mason Jackson, MD

Emergency physicians must keep multiple things in mind when treating patients presenting with suspected xylazine exposure. First and foremost, it may be difficult to diagnose, as routine urine drug sc

Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock

5/6/2024 Josh Wild, DO , Alex Lucas, MD , Dominique Gelmann, MD

After more than 10 years in the making, the DanGer Shock investigation sheds light on the efficacy of the microaxial flow pump in the treatment of patients with STEMI and cardiogenic shock and planned

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Arterial Lines Part 2 - Waveforms and Damping

5/6/2024 Marcus Gresham, MD , Alexandra Hallagan, MD , Donald Maberry Jr., MD

Arterial lines are helpful tools for monitoring hemodynamics and maintaining easy access for frequent lab draws in the critically ill patient. Interpreting the waveform of the arterial line is necessa

Toxicology

A Case of Paralytic Shellfish Toxin Poisoning in the Aleutian Islands

4/15/2024 Sarah Spelsberg, MD, FAWM, FEWM , Megan Sarnecki, MD , Sara Filmalter, MD, CAQSM, FAWM, DiDMM , Abraham Boxx, BCP, NR-P, FP-C, BSN, FAWM , Heather Edmison, FP-C , Holli Carter, RN, BSN, CCRN, CFRN

Paralytic shellfish poisoning (PSP) is caused by eating filter feeders contaminated by paralytic shellfish toxin from algae. Toxin levels contained in a single shellfish can be fatal to humans. In cas

Toxicology , Cardiology , Addiction Medicine

Dangerous Pill to Swallow: A Case Report

4/15/2024 Alaina Royalty, MD , Matthew Eisenstat, MD, FAAEM

Recent literature shows that illicit benzodiazepines have been associated with significant impairment, have higher potencies than standard benzodiazepines, and are harder to identify via screening met

Ophthalmology

Contact Lenses, a Hot Tub — and a Case of Corneal Keratitis in the ED

4/15/2024 Bryn Dhir, MD , Jared Hicken, DO , AJ Tatge, DO

Identifying ocular infections and potential severity is a critical challenge in the clinical management of patients in the ED. Ophthalmology cases are important in the education and management of pati

OB/GYN , Ultrasound

Role of POCUS in Ruptured Ectopic: A Case Report

4/15/2024 Ava Roth, DO , Sarah E. Fabiano, MD, FACEP, FAAEM

Ectopic pregnancies are the leading cause of maternal mortality within the first trimester of pregnancy.5 The standard of care for workup and diagnosis includes a quantitative β-hCG and ultrasound ima

Psychiatry , Patient Interactions , Health Care Administration

Unique Psychiatric Care: The Role of EmPATH Units

4/15/2024 George V. Koshy, DO, MPH , Eric Melnychuk, DO

Most EDs are not designed to provide comprehensive psychiatric care, leading to suboptimal treatment for psychiatric patients, particularly those with suicidal ideations. Boarding in the ED often resu

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