5-Step Approach to Marine Envenomations
When medical toxicologist Matthew Sztajnkrycer, MD, FACEP, was a second-year resident, he answered a truly strange telemetry call. EMS had arrived on scene of
Emerging Drugs of Abuse
A number of new synthetic drugs have penetrated the United States markets and our emergency departments over the past several years. Poison control centers have experienced an
Approach to Alcohol Withdrawal Syndrome
A 43-year-old homeless Hispanic male presents to the emergency department (ED) complaining of generalized pain and weakness. On exam he is anxious, diaphoretic
Fractures and Fat Globules: Fat Embolism Syndrome
EMS brings in a 20-year-old male who jumped from an overpass in a suicide attempt. He arrives with normal hemodynamics and is found to have bilatera
Clinical Utility of BNP in Acute Congestive Heart Failure
You are working in the acute side of your emergency department when EMS brings in a patient in respiratory distress on CPAP. EMS reports a 58
A Brief History of Emergency Medical Services in the United States
Pre-hospital emergency care in the modern age is often described as a “hierarchy” of human and physical resources utilized in the ac
EMRA Sports Medicine Fellowship Playbook
The EMRA Sports Medicine Division is excited about its mission to increase awareness, resources, and opportunity for those emergency medicine (EM) residents a
ED-ECMO: Coming Soon to an ED Near You
A 52-year-old man experiences crushing sub-sternal chest pain while walking through the mall and slumps to the floor. EMS performs an EKG and notes tombstone ST
Redefining the (Emergency) Physician-Astronaut
(All images courtesy of NASA. Above, emergency physician Scott Parazynski, MD, participates in an Extravehicular Activity during STS-120, the 23rd shutt
Cannabinoid Hyperemesis Syndrome: The Anti-Munchies
Introduction "The munchies” is a common term familiar to both casual and chronic marijuana users that amusingly describes the appetite-stimulating