Browsing: Clinical

Disaster Medicine

When Disaster Strikes: Crisis Management from Inside Hurricane Matthew

2/1/2017 Krelin Naidu, DO , Jenna Santiago-Wickey, DO , Gregory Capece Jr., DO , Elizabeth Gignac, DO, FACOEP

When Disaster Strikes: Crisis Management from Inside Hurricane Matthew Emergency department (ED) physicians are trained and expected to think on our feet, to make the best of unusual circumstances an

Infectious Disease

CNS Toxoplasmosis

2/1/2017 Sarah E. Fabiano, MD, FACEP, FAAEM , Harley E. Chapman Jr., CFRN, FP-C, CMTE , Bradley G. Collins, MD

CNS Toxoplasmosis A 26-year-old Spanish-speaking female patient presents to the emergency department (ED) with right-sided weakness after a witnessed seizure. The patient is postictal, combative, and

Critical Care , Critical Care Alert , PGY1

Critical Care Alert: Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage

12/14/2016 Yanika Wolfe, MD

Critical Care Alert: Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage A 57-year-old male with a history of hypertension and diabetes develops a severe headache and nausea.

Clinical , Cardiology , ECG Challenge

ECG Challenge

12/9/2016 Zachary S. Wilson, MD

ECG Challenge Case. A 79-year-old male with a medical history of “some heart problems” presents to the emergency department with 3 days of fatigue and shortness of breath. This ECG is obtained in tri

Critical Care , Airway

Post-Intubation Tracheal Tear Leading to Abdominal Compartment Syndrome

12/6/2016 Rotem Friede, MD , Ben Liss, MD , Alin Gragossian, DO, MPH

Post-Intubation Tracheal Tear Leading to Abdominal Compartment Syndrome A 46-year-old female with a history of asthma and anxiety presents to the emergency department (ED) with progressively worsenin

Palliative Care

Palliative Care, Part 2: A How-To Guide

12/1/2016 Laura E. Creel, MA , Christina Creel-Bulos, RN-BSN, MD

Palliative Care, Part 2: A How-To Guide Editor's note: This is the second in a two-part series. Michael is tired. The emergency department (ED) is inconceivably busy. The waiting room census keeps gr

Pediatric EM , Airway

To Cuff or Not to Cuff...That is the Question

12/1/2016 Kaia Knutson, MD

To Cuff or Not to Cuff...That is the Question You are working a busy shift in the emergency department when you answer the EMS radio: “10-month-old, active compressions, GCS 3, be there in 2!” As yo

OB/GYN , Consults , Consult Corner

Consult Corner OB-GYN

12/1/2016 EM Resident

Consult Corner OB-GYN Victoria Fitz, MD OB/GYN Resident University of North Carolina, Chapel Hill, NC EMR: What is the most effective way to present an OB/GYN consult over the phone? CC: The goal sho

Trauma

Targeted Therapy Through Thromboelastography in Trauma (Now that's a Tongue Twister!)

12/1/2016 Harsha Musunuru, DO , Daniel Hake, MSIV , Anne Newbold, DO

Targeted Therapy Through Thromboelastography in Trauma (Now that's a Tongue Twister!) By measuring the clotting ability of a patient's whole blood sample in real time, the TEG is able to provide a mo

Cardiology

Diagnosis and Treatment of Pneumomediastinum

12/1/2016 John Broach, MD, MPH, FACEP , Douglas D. Campbell, MD

Diagnosis and Treatment of Pneumomediastinum A 22-year-old female arrives in your trauma bay in respiratory distress. She appears slightly anxious and is mildly tachypneic. Vital signs are as follows