Ophthalmology

A Rare Case: Atraumatic, Anterior Segment Ophthalmologic Hemorrhage Requiring Anticoagulation Reversal

10/10/2023 Elijah Abramson, MD , Darius Felton, MD , Solly Elmann , Theodore Gaeta, DO, FACEP

Warfarin-induced spontaneous subconjunctival hemorrhage has been identified in the literature. Clinical judgment should guide emergent reversal of potentially sight-threatening ophthalmologic hemorrha

ECG Challenge , Cardiology

ECG Challenge: Oct-Nov-Dec 2023

10/10/2023 Usama Khan, MD , Jeremy Berberian, MD

A 54-year-old male with a past medical history significant for primary CNS B-cell lymphoma, on chemotherapy and lacosamide for seizure prophylaxis, was admitted to the ICU for hypoxia and neutropenic

Critical Care Alert , Critical Care , Pulmonary , Cardiology , Neurology

Critical Care Alert: TAME Trial: Mild Hypercapnia versus Normocapnia after Out-of-Hospital Cardiac Arrest

9/29/2023 ThucAn Bui, DO , Evan McMurray, MD

This Critical Care Alert examines a study of targeted mild hypercapnia versus normocapnia for patients who achieved ROSC after out-of-hospital cardiac arrest.

Match , Residents Program Interviews , Medical Students

Resident Interview Series: Jasmine Hill, MD, Jose Reyes, MD, Vladimir Bernstein, MD, and Kyle Ackerman, MD, Chief Residents at Cook County Emergency Medicine

9/26/2023 Ashley Sholmire

In this installment of EMRA Resident Interviews we spoke with Jasmine Hill, MD, Jose Reyes, MD, Vladimir Bernstein, MD, and Kyle Ackerman, MD, Chief Residents at Cook County Emergency Medicine

Match , Program Director Interviews , Medical Students

Program Director Interview Series: Joelle Borhart, MD Program Director at MedStar Georgetown University/Washington Hospital Center

9/26/2023 Christopher Walsh , David Bronstein , Katrina Stevens , David Gordon

In the latest installment of our PD Q&A series, we are highlighting the MedStar Georgetown University/Washington Hospital Center Emergency Medicine Residency Program. We spoke with the current PD Dr.

Endocrinology

Cloudy With a Chance of Thyroid Storm: A “Grave” Condition

9/15/2023 Alexa Van Besien, MD , Rakhi Desai, MD , Laura Welsh, MD , Andrew Mittelman, MD

Thyroid storm (TS) commonly occurs in patients with Graves’ disease. Its clinical manifestations overlap with many illnesses; therefore, diagnosis can be challenging. Prompt recognition and evaluation

Toxicology

The Dangers of Delta-8

9/15/2023 Brittany (Ladson) Garza, DO

Marijuana, THC (tetrahydrocannabinol), and CBD (cannabidiol) products are becoming increasingly popularized and legalized in our society. With the proliferation of these products’ use also comes accid

Critical Care Alert , Critical Care , Neurology

Critical Care Alert: Tranexamic Acid for Intracerebral Hemorrhage in Patients on Non-Vitamin K Antagonist Oral Anticoagulants (TICH-NOAC)

9/10/2023 Cassidy Cunningham, DO , Evan McMurray, MD

In this underpowered RCT, no evidence was found that TXA limits HE nor that it improves clinical outcomes by 90 days in NOAC-associated ICH. That being said, there were no major safety concerns noted

Career Planning

Advice to Senior EM Residents (actually, all residents & fellows)

9/10/2023 Gus M. Garmel, MD, FACEP, FAAEM

Senior residents in EM, congratulations on making it to your final year of training! This is certain to be an exciting time. It will also be challenging and stressful. Never forget that the work you d

Pain Management

Effective and Safe Opioid Dosing for Opioid-Tolerant Patients in the ED

9/10/2023 Alexander Steele, MD , Leonie Oostrom-Shah, MD , Brian Gacioch, MD, FACEP, FAAEM , Rita A. Manfredi, MD, FACEP

In patients with advanced cancer, the combination of disease progression over time, as well as habituation to chronic opioids, often leads to the need to increase opioid dosing over the course of illn

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