ENT , Otolaryngology

To Be, or Not To Be: An Esophageal Perforation Story

7/15/2023 Jennifer Melgar, MD , Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C , Zhanna Roit, MD

Esophageal perforation is a life-threatening condition caused by foreign body ingestion and can easily be missed. Therefore, suspicion for perforation should remain high until proven otherwise. Unfort

Sports Medicine , Wilderness Medicine , Undersea and Hyperbaric

Surf Medicine: Perspectives, Potential Hazards, and the Importance of Preparedness

7/15/2023 Theresa Jo Thomas , Geoff Comp, DO, FAWM

As the popularity of surfing grows, the incidence of surf injuries — both minor and traumatic — will increase accordingly. Knowledge and awareness about the breadth of potential injuries is essential

OB/GYN , Neurology

Intracranial Hemorrhage in a Postpartum Patient Secondary to Preeclampsia and HELLP

7/15/2023 Neelou Tabatabai , Kristyn Flynn, DO , Krista Pursglove, DO , Katherine Fredlund, MD

Our case report supports the importance of maintaining a high clinical suspicion for intracranial hemorrhage when a postpartum female presents to the emergency department with acute neurological sympt

EMS , Prehospital Care

Medical Direction in EMS: Get the Doc On the Line!

7/15/2023 Ava Omidvar , Kyle Cohen

The field of EMS — and alongside it, the role of the EMS physician — is growing each year. Thanks to this rapid growth in the past few decades, the idea of medical direction is evolving and developing

Neurology

From Weight Loss to Neurological Deficits: A Case of Wernicke’s Encephalopathy Stemming From Prescription Weight Loss Medication

7/15/2023 Steven Foster, DO , Adrianna Kyle, DO

Wernicke’s encephalopathy can have a subtle presentation and should be considered in any patient with altered mental status who is at risk for nutritional deficiency.

Ultrasound , Medical Education

Making the Model: Fast-Prep POCUS DIY Models

7/15/2023 Carolina Vega, MD

A leading goal for any point-of-care ultrasound (POCUS) curriculum is creating excellent, low-cost, rapid-assembly models for teaching. Associated goals include minimizing the assembly units and maxim

Advocacy , Administration & Operations , Health Care Administration

Overview: What Every EM Resident Needs to Know About Reimbursement in 2023

7/15/2023 Aaron R. Kuzel, DO, MBA , Nicholas Cozzi, MD, MBA , Brian Hiestand, MD , Alexa Golden, MD , Jamie Shoemaker, MD , David McKenzie

Physician reimbursement has been one of the most volatile areas of advocacy this year. Graduating EM residents need to know the basics in order to navigate contracts and practice effectively.

Critical Care Alert , Critical Care , Sepsis , Shock

Critical Care Alert: Methylene Blue in Septic Shock

7/6/2023 Emily D. Geyer, MD , Mustafa Rasheed, MD , Evan McMurray, MD

Can methylene blue play a role in treating your patient with septic shock? This randomized control trial shows earlier vasopressor discontinuation and shorter ICU and hospital lengths of stay - but no

Critical Care , Airway , Pain Management

Post-Intubation Sedation in the ED: The Basics

7/5/2023 Christine Yang, MD , Christian Kasianko, MD , Alex Lucas, MD , Allison Donahue, MD , Erin Bell, MD , Samantha Strickler, DO, FACEP

Emergent intubation requires critical thinking and precision. The same level of care should be extended to managing post-intubation sedation. This summary explores the most commonly used analgesics an

Critical Care Alert , Critical Care , Cardiology , Radiology

Critical Care Alert: The CT FIRST Cohort Study

6/26/2023 Annemarie Daecher, MD , Dustin Slagle, MD , Evan McMurray, MD

While it didn’t improve survival to hospital discharge or neurologic recovery vs the current standard of care, the sudden death CT (SDCT) protocol significantly improved the time and diagnostic abilit

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