Match , Residents Program Interviews , Medical Students

Resident Interview with Dr. Ashley Kowalkowski, PGY-2 and Incoming Chief Resident at Spectrum Health Lakeland

7/31/2023 Ashley Sholmire , Isabella Maki , Dakota Burke, MS-III

In our first installment of our Resident Q&A series, we are highlighting the Spectrum Health Lakeland Emergency Medicine Residency Program. We spoke with the incoming Chief Resident, Ashley Kowalkowsk

Critical Care , Cardiology , Critical Care Roadblock

Roadblock: AFib with RVR

7/25/2023 Kunj Bhatt, MD , Sean M. Hickey, MD , Mark Andreae, MD

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Transvenous Pacemaker

7/24/2023 Alexandra Hallagan, MD , Christian Kasianko, MD , Amrita Vempati, MD

Temporary transvenous pacing (TTVP) utilizes central venous access to pass an electrode into the right ventricle. TTVPs are one of the most infrequently performed procedures by emergency physicians;

Critical Care Alert , Critical Care , Airway

CCA: Effect of NIV after Extubation in Critically Ill Patients with Obesity

7/24/2023 Alex Lucas, MD , Evan McMurray, MD

The EXTUB-OBESE study showed a decrease in extubation failure rates when extubating to non-invasive ventilation for obese patients vs. standard oxygen therapy.

Critical Care Alert , Critical Care , Trauma

Critical Care Alert: Prehospital Tranexamic Acid for Severe Trauma: PATCH-Trauma Trial

7/24/2023 Alexandra Hallagan, MD , Cassidy Cunningham, DO , Evan McMurray, MD

The PATCH-Trauma Trial confirms short-term benefits of tranexamic acid (TXA) for prehospital treatment of the bleeding trauma patient, despite no evidence of long-term functional benefits.

Urology , Trauma , Sports Medicine , Pediatric EM

Kidney Chronicles: A Pediatric Blunt Renal Trauma Case Report

7/15/2023 Natalie Zink , Joseph Q. McDaniels , Katherine Rogers , Bradley Morganstern

Unintentional injury is a major cause of morbidity and mortality in the pediatric age group, with urogenital injury occurring in 10-20% of blunt abdominal trauma cases.1,2 Depending on the severity, s

Critical Care , Ultrasound

Aortic Occlusion: A Rare Presentation of Back Pain

7/15/2023 Adam Ahmad Chaustre , Kevin Vinokur, DO

Back pain is a common chief complaint in the emergency department. However, not all back pain is simple lumbago, and as emergency physicians, it is crucial to be aware of more insidious causes of back

Critical Care , Pulmonary , Neurology , Radiology

Management of Concomitant Stroke and Pulmonary Embolism

7/15/2023 L. Paige Smith, DO , Ronald Scheer, DO

Concurrent acute ischemic stroke and submassive pulmonary embolism is a rare occurrence, and there is no sufficient evidence to support a particular method of management. It is important to weigh the

Editor's Forum

The Necessity of ‘Paying It Forward’

7/15/2023 Thuy Nguyen, MD

Experience is often touted to be the best teacher. But sometimes, we — as residents in the midst of our training and in the early stages of our careers — can choose to be the best teacher.

ECG Challenge , Cardiology

ECG Challenge: July-Aug-Sept 2023

7/15/2023 Erica Burmood, DO , Kelby Schaeffler, MD , Jeremy Berberian, MD

A 22-year-old female with no significant past medical history presents to the emergency department with wheezing after a recent upper respiratory infection. The patient is treated with a continuous 15

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