Psychiatry , Patient Interactions , Health Care Administration

Unique Psychiatric Care: The Role of EmPATH Units

4/15/2024 George V. Koshy, DO, MPH , Eric Melnychuk, DO

Most EDs are not designed to provide comprehensive psychiatric care, leading to suboptimal treatment for psychiatric patients, particularly those with suicidal ideations. Boarding in the ED often resu

Hematology

Close Call After a Fall: Splenic Rupture and its Life-Threatening Consequences

4/15/2024 Cheri Lotfi , Charles Adams , Reginald Saint-Hilaire, MD

Splenic rupture is generally classified as traumatic or atraumatic. The former is typically the result of blunt abdominal trauma, while the latter can occur due to a variety of pathologic causes. Our

Neurology

Not all Weakness is Stroke: Difficult Diagnosis of Cerebellar Abscess Without MRI Ability

4/15/2024 Samuel Orchard, MD , Sarah E. Fabiano, MD, FACEP, FAAEM

Brain abscesses can be difficult to diagnose and often mimic other intracranial pathology such as stroke or malignancy. These patients may not exhibit infectious symptoms such as fever, leukocytosis,

Administration & Operations , Health Care Administration

Nowhere to Go: Addressing the Boarding Crisis in the Emergency Department

4/15/2024 Richard Ngo, DMD , Carly Rosen, MD , Christina Brown, MD , Andrew Luo, MD , Savanah Harshbarger, MD, MBA , Karan Bains, MD, MBA , Nicholas Stark, MD, MBA

During a pivotal panel discussion hosted by EMRA’s Admin & Ops Committee at ACEP23, leading experts urgently called for a paradigm shift in how ED crowding is perceived and addressed. Far from being a

Gastroenterology

Flood Syndrome: A Ruptured Umbilical Hernia in a Patient with Severe Ascites

4/14/2024 Michael Farney, DO , Earl Quinn Cummings, MD

Flood syndrome is defined as a spontaneous rupture of an umbilical hernia leading to sudden loss of ascitic fluid. It is a rare condition that carries a high mortality rate.

Editor's Forum

The Power of Emergency Medicine: Sculpting the Leaders Within Us

4/14/2024 Morgan Sweere, MD, MPH

Leadership — in addition to being 1 of the 3 main pillars at the heart of EMRA’s mission (the other 2 being education and advocacy) — is part of the hidden curriculum of emergency medicine. How do we

Health Policy Journal Club , Health Policy , Administration & Operations , Social EM

Health Policy Journal Club: Final Destination

4/11/2024 Phillip Groden, MD , Vidya Eswaran, MD , Rachel Solnick, MD

Does triage create a bias that might contribute to mis-diagnosis? The Health Policy Journal Club evaluates a recent study of the Emergency Severity Index.

ECG Challenge , Cardiology , Medical Education

ECG Challenge: April-May-June 2024

4/11/2024 Alec Good, DO , Daniel Regino, DO , Jeremy Berberian, MD

A 64-year-old male with past medical history of HTN, CAD, and prior MI presents due to substernal chest pain. What is your interpretation of his ECG?

Awards , Award Winners

EMRA Annual Award Winners 2024

4/10/2024

Congratulations to the winners of our 2024 EMRA Annual Awards!

Administration & Operations

Eclipse Study: Can Celestial Forces Affect ED Visits and Acuity?

4/10/2024 Aaron J. Grossberg, DO , Jessie K. Cable, DO , Rakael D. Brown, DO , Sagar C. Galwankar, MBBS , Ali Z. Al-Rawi, MD

Our study, examining how eclipses affect human behavior in terms of ED visits and acuity, suggests that the presence of an eclipse does not detrimentally affect human behavior. Human beings are sentie

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