ECG Challenge , Cardiology

ECG Challenge: October 2018

10/17/2018 Gregory Taylor, DO , Robert W. Mathews, DO, FACOEP , Scott Sikorski, DO , Jeremy Berberian, MD

A 44-year-old male presents to the ED with intermittent chest pain for 2 weeks, worse with exertion, and resolves with rest. He is currently symptom free. What is your interpretation of his EKG?

Administration & Operations

Implicit Bias and ED Overcrowding: Is There a Connection?

10/16/2018 Carly Loner, MD , Jason Rotoli, MD

Overcrowding in the emergency department can be a significant barrier to delivering efficient and high-quality care, but the impact on delivering equitable health care is less commonly discussed. Imp

Risk Management Pitfalls , Medico Legal , Medical Liability , Administration & Operations

Risk Management: Falls in the Emergency Department

10/16/2018 Ashley Guthrie, DO , Steven Hochman, MD, FACEP

Crowded, busy emergency departments seem susceptible to an increased risk of slip-and-fall accidents that keep administrators awake at night. But does the evidence bear out this assumption?

Pediatric EM , Ophthalmology

When You Hear Hooves, Consider a Zebra

10/16/2018 Yagnaram Ravichandran, MBBS, MD, FAAP , Rajan Arora, MD

Ocular swelling in children is a common complaint. But that doesn't mean the etiology is always common - or benign.

Toxicology

Bleach Ingestion: To Scope or Not to Scope?

10/16/2018 Darren Cuthbert, MD, MPH , Guillermo Ortega, MD , Ann-Jeannette Geib, MD, FACEP , Eric Levy, DO

Bleach can be found in most homes and workplaces across America. This broad, easy availability makes it a candidate for potentially toxic ingestions. When should you assess for structural damage?

Critical Care , Ventilator Management

Doubling Down on Re-Expansion Pulmonary Edema: Treatment Approach and Ventilator Management

10/16/2018 Mark Ramzy, DO, EMT-P

The treatment of choice for a pneumothorax is a chest tube, and when the small pig-tail catheter doesn’t do the job, the answer is to replace it with a larger bore – right? Not so fast.

Nephrology

Catching Up with Contrast-Induced Nephropathy

10/16/2018 Rebecca Lee , R. Gentry Wilkerson, MD, FACEP, FAAEM

The degree to which contrast media is directly responsible for the development of acute kidney injury is hotly debated.

Toxicology , Medications

Tackling Valproate Overdose

10/16/2018 John Mark Sawyer , Nicholas J. Connors, MD

Can you recognize severe valproate overdose? Understanding VPA pharmacokinetics is essential to help guide your treatment plan.

Editor's Forum , Palliative Care

Quality of Life(Saving) Care in the ED

10/16/2018 Tommy Eales, DO

With current trends toward increased boarding time in the ED, emergency care has become a multi-stage event that encompasses a lot more than procedures and decision trees.

Sports Medicine

Emergency Management of Heat-Related Illness

10/16/2018 Wes Troyer, DO , MAJ John Kiel, DO, MPH, CAQ-SM

The best treatment for heat-related illnesses is public education and prevention. How can you help from your ED?

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