International EM , Medical Education

Responding to the Demand: EM Residency Programs and Global Health Experiences

4/10/2019 Danielle Rush Stevens, MD , Ryan Joseph, DO, DTM&H , Browning S. Wayman, MD, DTM&H , Andrew E. Muck, MD, FACEP

Although the majority of residency programs offer elective opportunities, few provide the foundation for formal global health experiences. Yet the benefits of international clinical rotations for a ph

Pediatric EM

ED Management of Inborn Errors of Metabolism

4/10/2019 Shagun Kaur, MD , Yagnaram Ravichandran, MBBS, MD, FAAP , Kuntal Sen, MD

Inborn errors of metabolism can present with a variety of nonspecific signs and symptoms. While individually rare, as a class of disorders they are not uncommon and should be recognized and treated ap

Infectious Disease

How to Give Your Patients Bacteria and Not End Up in M&M

4/10/2019 Joshua Davis, MD

Probiotics are moving from "alternative" practice into mainstream medical management.

Hematology

Hemolytic Anemia from Combined Use of Dapsone and Hydrochlorothiazide

4/10/2019 Rana Prathap Padappayil, MBBS , Vrinda Kumar, MBBS , Lisa Ann Kirkland, MD, FACEP

This case study highlights the need to investigate patients who present with non-specific complaints with a potentially life-threatening cause in mind.

Prehospital Care

Extending the Window: Updates in Prehospital Stroke Alert Identification Clinical Scenario

4/9/2019 Brittany Beel, MD

The DAWN and DEFUSE trials have expanded the window for stroke intervention. How is that affecting prehospital care?

Ultrasound , Guided Procedures

Ultrasound-Guided Subclavian Vein Cannulation: The Vessel to Remember

4/9/2019 Ashley Miller, MD , Marsia Vermeulen, DO, FACEP

Ultrasound-guided subclavian vein access is a safe, effective and efficient option for central venous cannulation. Using ultrasound can decrease the time to cannulation in addition to many of the fear

Infectious Disease

Rare Occurrence of Lemierre's Syndrome: A Case Report

4/9/2019 Kevin Hanson, MD , Chadd Kraus, DO, DrPH, MPH

The advent of antibiotics turned Lemierre's Syndrome into "the forgotten disease." But this easily misdiagnosed condition can potentially be fatal.

Toxicology , Toxins

Wilderness Toxins: Can You Identify the Poison?

4/8/2019 Geoff Comp, DO, FAWM , Charles Duke, MD, PhD , Heath A. Jolliff, DO, FACMT, FAAEM, FACEP

The prompt identification of a potential environmental toxin allows for early treatment and management. Specific identification as well as recognition of pertinent signs and symptoms are important ski

President's Message

EMRA Continues Advocating for You

4/8/2019 Omar Maniya, MD, MBA

It's been an exciting spring for advocacy. We stay alert so that every time a decision that affects EM residents' lives is being made, the EM residents' voice on the matter is heard loud and clear.

Editor's Forum

Unsafe Nursing Ratios Incapacitate EDs, Endanger Patients

4/8/2019 Tommy Eales, DO

Decreasing the nurse-to-patient ratio immediately increases the frequency of medication errors and all-cause mortality for all patients in the ED — not only the critically ill ones who just arrived.

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