Cardiology , Infectious Disease , Wilderness Medicine , Toxicology

Case Report: Heart Block Stemming from Lyme Disease

10/31/2024 Puja Singh, MD , Marian Gambrell, MD

We present a case of bradycardia and dyspnea in an otherwise healthy young male found to have EKG abnormalities inclusive of third-degree heart block. The culprit? Lyme disease.

Infectious Disease , Cardiology , Wilderness Medicine , Hematology

Babesiosis Induced Atrial Flutter: An Unusual Precipitant of Atrial Flutter

10/31/2024 Darshak Vekaria, MD

Babesiosis can present with a varied clinical presentation, which can make it difficult to diagnose. However, one uncommon clue could be picked up on an ECG.

Wilderness Medicine , Dermatology

A Case of Isolated Focal Frostbite of the Cheek over Cosmetic Dermal Filler

10/30/2024 Sarah Spelsberg, MD, FAWM, FEWM , Andrea Sharp, MD , Sara Filmalter, MD, CAQSM, FAWM, DiDMM , Jessica Pelkowski, DNP, APRN, AGPCNP-BC, ONP-C , Abraham Boxx, BCP, NR-P, FP-C, BSN, FAWM

Dermal fillers are becoming more prevalent - and with them, associated risks. This case shows how the aesthetic procedure may contribute to cold weather injuries.

Toxicology , Pediatric EM , Wilderness Medicine

The Teeny Tiny Mighty: A Case of Pediatric Envenomation With the Western Pygmy Rattlesnake

8/1/2023 Mounir Contreras, MD , Daniel Rivera, MD , Sing-Yi Feng, MD, FACMT

Western pygmy rattlesnake envenomations are a rare occurrence but should not be underestimated, as they cause significant morbidity. FabAV, also known as CroFab® (generic: crotalidae polyvalent immune

Sports Medicine , Wilderness Medicine , Undersea and Hyperbaric

Surf Medicine: Perspectives, Potential Hazards, and the Importance of Preparedness

7/15/2023 Theresa Jo Thomas , Geoff Comp, DO, FAWM

As the popularity of surfing grows, the incidence of surf injuries — both minor and traumatic — will increase accordingly. Knowledge and awareness about the breadth of potential injuries is essential

Critical Care Alert , Critical Care , Wilderness Medicine , EMS , Cardiology

Critical Care Alert: ICE-CRASH Study

5/2/2023 Sara Twadell, MD , Evan McMurray, MD

The ICE-CRASH Study examined the effects of ECMO on neurological outcomes among patients with severe hypothermia. Get the summary and the take-home points pertinent to emergency medicine.

Wilderness Medicine

Wilderness Medicine Highlights

2/12/2022 Elaine Yu, DO, MS, FAWM , Kathryn Kammert, DO

After a 3-year hiatus, EMRA's Wilderness Medicine Committee's premier event returned at ACEP21 in Boston. Find out all about MedWAR 2021.

Cardiology , Wilderness Medicine , Infectious Disease

Pericardial Effusion: A Rare Case of a Potentially Dangerous Manifestation of Lyme Disease

6/12/2021 Amanda dos Santos, MD , Nicholas Jouriles, MD, FACEP

Lyme disease is one of the most common vector-borne diseases in the United States, affecting over 300,000 people annually between June and December. This case report describes a less common cardiac ma

Wilderness Medicine , Toxicology

Managing Envenomation: Be Prepared for Summertime Exposure

6/11/2021 Luke He, MD , John Michael Sherman , Christopher Rajan, DO , Geoff Comp, DO, FAWM

Post-pandemic vacations are picking up steam - and outdoor getaways remain popular. Are you ready to handle bites, stings, and other envenomations?

Pediatric EM , Infectious Disease , Wilderness Medicine

Tick Bites: An Often-Missed Cause of Pediatric Paralysis

2/4/2021 Megan Hoffer, DO , Anne Basil , Aaran Drake, MD, FACEP

The presentation of motor weakness in children is often alarming, difficult to characterize, and involves a large differential of uncommon pathologies. Tick paralysis is a rare but important cause of

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