Browsing: Clinical

Mental Health , Psychiatry , Patient Interactions

Case Report: Ketamine for Treatment of Acute Suicidality

1/15/2024 Cheng-Wei Isaac Chuang, MD , Christopher Fox, MD , Christian Munk, DO , Patrick Olivieri, MD

Depression and suicidality are common presenting complaints in the ED and require vast resources to fully evaluate, treat, and determine appropriate dispositions for patients. Our case illustrates how

Toxicology , Cardiology

ECMO…The Ultimate Antidote?

1/15/2024 Mason Jackson, MD , Lindsay Davis, DO, MPH, NRP , Brittany (Ladson) Garza, DO

There is no shortage of literature supporting the role of ECMO in acute coronary syndrome, sepsis, acute respiratory distress syndrome, cardiac arrest, pulmonary embolism, traumatic pulmonary contusio

ECG Challenge , Cardiology

ECG Challenge: Jan-Feb-March 2024

1/15/2024 Lakshmi Kirkire, MD , Logan Weygandt, MD, MPH , Jeremy Berberian, MD

A 74-year-old male with a PMH of HTN, CKD, and HFpEF presents with exertional weakness and near-syncope for the past 2 days. What is your interpretation of his ECG?

Neurology , Nephrology , Toxicology

Valacyclovir-Associated Neurotoxicity in End-Stage Renal Disease

1/15/2024 Chad Barnhart, MD, EMT-P , Matthew Ball, MD , Michael B. Holbrook, MD

Valacyclovir-associated neurotoxicity (VAN) is a relatively rare phenomenon. This case report details a unique presentation of VAN in a hemodialysis-dependent patient. It underscores the importance of

Infectious Disease , Neurology

Neurosyphilis: Keep it in Mind When Symptoms Align

1/15/2024 Cassie Ward, DO , Shannon Lovett, MD, FACEP

New cases of syphilis are on the rise, so have a high index of suspicion in patients with any risk factor or symptoms. Consider neurosyphilis in patients with prior history of syphilis and any headach

Clinical

Roadblock: Difficult Intubations

12/13/2023 Kunj Bhatt, MD , Colin Pesyna, MD , Evan Leibner, MD, PhD

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

Ultrasound

POCUS O’Clock: Cardiac Clock Method of Ultrasound Teaching

12/11/2023 Carolina Vega, MD

An important goal for cardiac point-of-care ultrasound (POCUS) curricula is creating a straightforward method of remembering ultrasound probe orientation.

Patient Interactions , Geriatrics

Is That Really What They Want?

12/10/2023 Justin Brooten, MD

Despite our best intentions when speaking with a patient or their family, subtle aspects of our communication can dramatically influence these conversations and our conclusions regarding the patient’s

Critical Care Alert , Critical Care , Cardiology , Pulmonary , Trauma

Critical Care Alert: Extracorporeal Life Support in Infarct-Related Cardiogenic Shock: ECLS-SHOCK Trial

11/20/2023 ThucAn Bui, DO , Gabriel Colon, MD , Evan McMurray, MD

The ECLS-SHOCK Trial investigated whether extracorporeal life support would benefit patients suffering acute myocardial infarction complicated by cardiogenic shock. Is VA-ECMO always the answer?