Neurology

Take a HINT on Central Vertigo in the Emergency Department

8/13/2019 Michael D. Simpson, MD , Eric Kalivoda, MD

Differentiating benign peripheral conditions from central nervous system lesions like strokes can be difficult. Enter the HINTS exam - the objective measure.

Ultrasound , Cardiology

Differentiating Acute Versus Chronic Right Heart Failure with Bedside Echocardiography

8/13/2019 Andrew Pellet, MD , Amy Zeidan, MD , Jacob Avila, MD

While there are a number of quantitative and qualitative assessments that can be used to evaluate right heart function, 2 measurements in particular can help differentiate acute versus chronic right h

Cardiology , Toxicology

Naloxone in Cardiac Arrest

8/13/2019 Kasha Bornstein, MSc Pharm, EMT-P , Tim Montrief, MD, MPH

Naloxone is a potent opioid receptor antagonist with an excellent safety profile and ability to reverse opioid-associated respiratory depression. Is it as effective when you're faced with patients in

Neurology , Trauma

Jackhammer Dissection

8/13/2019 Mary Katherine Montes de Oca , Zane P. Osborne, MD, MBA, FACEP , Sarah E. Fabiano, MD, FACEP, FAAEM

If a patient presents with recent trauma, neck pain, headache or neck manipulation with signs or symptoms of stroke, cervical artery dissection should be considered.

Cardiology

What to Consider with Double Sequential Defibrillation in Refractory VF

8/13/2019 Patrick McCarville, MD , Natalie Sullivan, MD , Evan Kuhl, MD , David Yamane, MD

Are you considering double sequential defibrillation in patients with refractory VF?

Cardiology

A Quarrel, a Broken Heart, and a Dissection Walk into an ED…

8/13/2019 Sara Urquhart, MA, RN , Ashlee Barker, MD , Matthew Flannigan, DO, RDMS , William Merhi, DO, FACC

Spontaneous coronary artery dissection and Takotsubo syndrome rarely occur in the same patient at the same time - but when that patient appears, will you be able to act decisively?

President's Message , Career Planning

Osteopathic Medicine: What Exactly Is a DO?

8/12/2019 Kara A. Smith, MS , Dhimitri Nikolla, DO , Omar Maniya, MD, MBA

MDs and DOs work side by side in the same residency programs and emergency departments all across the nation every day, providing quality care and strong teamwork.

Leadership Reports

Emergency Medicine Residents Oppose ACGME Changes to the Common Program Requirements

8/12/2019 Allison Beaulieu, MD , Tommy Eales, DO , Karina Sanchez, MD , Haig Aintablian, MD , Dhimitri Nikolla, DO , Nehal Naik, MD

The future of emergency medicine hangs in the balance as the EM community grapples with the ACGME's new Common Program Requirements.

Critical Care , Critical Care Alert

Critical Care Alert: The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS)

8/12/2019 Joshua Novy, MD, MBA, MS , Sean M. Hickey, MD

Fluid resuscitation guidelines for severe sepsis and septic shock presently address only the initial phase of resuscitation. The RIFTS trial examines the efficacy of a restrictive IV fluid resuscitati

Critical Care , Cardiology

A Review of ECMO in the ED: History, Mechanics, Common Indications, and Future Implications

8/12/2019 Mina Ghobrial, MD , Katherine Nugent, MD

As the use of extracorporeal membrane oxygenation becomes more prevalent, emergency physicians should understand the history of ECMO, how it works, when it's indicated, and what role it plays in the e

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