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

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.

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.

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.

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

CCA - fludrocortison hydrocortisone for septic shock.jpg

Critical Care Alert , Critical Care , Sepsis , Shock

Critical Care Alert: Effectiveness of Fludrocortisone and Hydrocortisone vs. Hydrocortisone Alone Among Patients with Septic Shock

6/26/2023 Gabriel Colon, MD , Evan McMurray, MD

In a recent study, fludrocortisone added to hydrocortisone was associated with increased hospital survival, shorter hospital lengths of stay, and decreased vasopressor duration when compared to hydroc

CCD - HFNC Woman Reading on High Velocity Therapy.png

Critical Care Devices , Critical Care , Pulmonary , Airway

Critical Care Device Series: Heated High-Flow Nasal Cannula (HFNC)

6/20/2023 Christine Yang, MD , Dustin Slagle, MD , Robert Jared Klemisch, MD

Heated high-flow nasal cannula (HFNC) is capable of delivering 100% humidified and heated oxygen at higher flow rates, providing important support for patients with respiratory distress. Learn more ab

Critical Care Devices , Critical Care , Cardiology

Critical Care Device Series: Cardiac Implantable Electronic Devices (CIED)

6/5/2023 Logan Brich , Brendan Innes, MD , Achyut Kamat, MD, FACEP

Given the prevalence of cardiac implantable electronic devices in the United States, it is important for emergency physicians to understand the basic operation and be able to recognize and address com

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