Browsing: Clinical

Gastroenterology

Flood Syndrome: A Ruptured Umbilical Hernia in a Patient with Severe Ascites

4/14/2024 Michael Farney, DO , Earl Quinn Cummings, MD

Flood syndrome is defined as a spontaneous rupture of an umbilical hernia leading to sudden loss of ascitic fluid. It is a rare condition that carries a high mortality rate.

Health Policy Journal Club , Health Policy , Administration & Operations , Social EM

Health Policy Journal Club: Final Destination

4/11/2024 Phillip Groden, MD , Vidya Eswaran, MD , Rachel Solnick, MD

Does triage create a bias that might contribute to mis-diagnosis? The Health Policy Journal Club evaluates a recent study of the Emergency Severity Index.

ECG Challenge , Cardiology , Medical Education

ECG Challenge: April-May-June 2024

4/11/2024 Alec Good, DO , Daniel Regino, DO , Jeremy Berberian, MD

A 64-year-old male with past medical history of HTN, CAD, and prior MI presents due to substernal chest pain. What is your interpretation of his ECG?

Op-Ed , Social EM

Sustainability in Health Care: What is the Role of Small-Scale Accountability?

4/8/2024 Sabrina Ciervo

In the ED, simple cost-effective interventions leading to small-scale success toward sustainability are excellent starting points to establish environmental accountability beginning at the department

Op-Ed , Addiction Medicine , Recreational Drugs

The Fentanyl-Tainted Drug Supply Requires EDs to do More

3/26/2024 Timothy Kelly, MD

The ever-growing frequency of patients presenting to the emergency department with fentanyl overdoses — and fentanyl’s surging presence in cocaine and other black-market drugs — demands that we, as em

Infectious Disease

Case Report: Malaria, Dengue, and COVID-19 in a Migrant Entering the United States

3/25/2024 Russell Baker, DO , Brian Elmore, MD , Cynthia Rincon, DO

Migrants are vulnerable to various tropical diseases as they traverse regions enroute to the United States. These diseases include malaria, mosquito-borne arboviruses, and helminth diseases. The congr

Neurology

Tension Pneumocephalus: Rare Brain Air Complication Requires Emergent Care

3/19/2024 Jibril Ashiru-Balogun, MD , Danielle Biggs, MD

Tension pneumocephalus — which can result from air accumulation under pressure within the skull cavity — is a potentially fatal condition and may require emergency surgery. It is difficult to diagnose

Addiction Medicine , Toxicology , Medications

Case Report: A Review of Clonidine Overdose Management

3/19/2024 Rachel Martin, MD , Andrew Morgan, DO , Mark Gustafson, DO

Clonidine is a widely available drug and has been seen as the culprit in an increased number of intentional and accidental overdoses. Symptoms of toxicity include hypertension or hypotension, bradycar

Airway , Critical Care , Prehospital Care

Hidden Triggers: Unmasking Anaphylaxis

3/18/2024 Lynnsey Moss, MD , Andrew Michalak, MD , Ray Isenburg, DO

Anaphylaxis is a true and potentially life-threatening emergency. Understanding that this condition has broader diagnostic criteria than are commonly recognized will help with early recognition and tr