Browsing: Clinical

ECG Challenge , Cardiology , Clinical

ECG Challenge - June 2017

6/6/2017 Maryam Arshad, MD

ECG Challenge - June 2017 Case. A 54-year-old woman presents with weakness, poor appetite, and weight loss for several days. She also reports profuse non-bloody diarrhea. Vital signs are unremarkable

Medical Education , Simulation

Medical Simulation 102: Introduction to Simulation in EM Residency

6/6/2017 Xiao C. "Tony" Zhang, MD, MS , Shehni Nadeem, MD , Scott Pasichow, MD, MPH, FACEP

Medical Simulation 102: Introduction to Simulation in EM Residency The goal for simulation is not task completion but optimization. Medical simulation was first formalized with roots in military medi

Critical Care

Beyond ATLS: What the Manual Doesn't Tell You

6/5/2017 Ram Parekh, MD , Clark Owyang, MD

Beyond ATLS: What the Manual Doesn't Tell You All these factors coalesce in the trauma bay to create a downward spiral of shock where life-saving interventions wrestle with each other as the patient

Critical Care

Positively Useful: A Brief ED Guide to NIPPV

6/5/2017 Julie Dodson, MD , Jeffrey Goodloe, MD, NREMT-P, FACEP , Chance Dodson, MSII , Boyd Burns, DO

Positively Useful: A Brief ED Guide to NIPPV It is important for the emergency physician to be comfortable directing and troubleshooting NIPPV in order to promote optimal patient outcomes. Paramedics

Toxicology , Medications

Take-Home Naloxone: Preventing Death in an Era of Abuse

6/5/2017 Thomas del Ninno, MD , R. Gentry Wilkerson, MD, FACEPP , Danya Khoujah, MD

Take-Home Naloxone: Preventing Death in an Era of Abuse The United States is in the midst of an opioid epidemic, resulting in a significant increase in overdose deaths.1 From 2000 to 2014, there was

Hematology

Blood Transfusion Reactions: TACO, TRALI, and Other Considerations

6/5/2017 Joseph R. Giles, MD , Gary F. Pollock, MD, FACEP

Blood Transfusion Reactions: TACO, TRALI, and Other Considerations A 67-year-old woman with no known medical problems presents to the emergency department (ED) with severe anemia identified by her pr

Disaster Medicine , Sepsis

Preshospital Sepsis Alerts: A Stemi or Stroke Equivalent?

6/5/2017 Michael Spigner, MD, EMT-CC , Alanna O'Connell, DO

Preshospital Sepsis Alerts: A Stemi or Stroke Equivalent? “This is Medic 19 bringing in a Sepsis Alert, ETA 5 min.” With that alert, you mobilize your team and prepare for the patient. When they arr

Toxicology

Don't Kid Around: SGLT-2 Inhibitors and the Risk for Euglycemic DKA

6/5/2017 Sajid Khan, MD , Maryam Arshad, MD

Don't Kid Around: SGLT-2 Inhibitors and the Risk for Euglycemic DKA A 62-year-old female presents with cough and generalized weakness for one day. She has no other symptoms and physical exam is unrem

Critical Care , Cardiology

Dual Defibrillation: The Achilles' Heel of Refractory V-Fib?

6/5/2017 Dhimitri Nikolla, DO

Dual Defibrillation: The Achilles' Heel of Refractory V-Fib? Proposed theories as to why DD may be efficacious include the delivery of more energy to overcome the defibrillation threshold as well as

Infectious Disease

Top 10 Zika Facts for Emergency Physicians

6/5/2017 Francesco Adami

Top 10 Zika Facts for Emergency Physicians Zika has gained worldwide attention as an emerging virus, especially with regard to dangerous complications affecting the unborn. In an increasingly interco