Prehospital Care , Administration & Operations

Using Home-Based Community Paramedics to Optimize Emergency Department Utilization for High-Risk Elderly Patients

2/12/2022 Nicholas Cozzi, MD, MBA , Gilbert Nelson, DO , Michael J. Rushton Jr., DO , Philip M. Fennema, EMT-P, CCP , Chad Barnhart, MD, EMT-P , Sean Anderson , Todd Chassee, MD, FACEP , Jeffrey S. Jones, MD, FACEP

Community paramedicine and mobile integrated healthcare are forming a new paradigm. Using paramedics to evaluate and treat medically complex elderly patients in the home setting could have wide-reachi

Critical Care

Atraumatic Splenic Rupture

2/12/2022 Daniel White, DO

Traumatic splenic injury and hemorrhage is a diagnosis familiar to most emergency physicians. However, a condition that some may not be familiar with is atraumatic splenic rupture.

Health Policy

EMRA and YPS Health Policy Primer: Why Attend LAC

2/12/2022

The ACEP Leadership and Advocacy Conference puts advocacy in the spotlight and makes it easy to get involved. Held in-person this year - May 1-4 in Washington, D.C. - ACEP LAC brings together hundreds

President's Message , Representative Council

We Can Make a Difference Together

2/12/2022 Angela Cai, MD, MBA

How does EMRA work for you? EMRA President Angela Cai's story was impacted by every piece of EMRA's representative process.

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Critical Care , Gastroenterology

Balloon Tamponade to Stabilize Life-Threatening Rectal Bleeding

2/12/2022 Matthew Welles, MD , Robert Nocito, MD , Peter Viccellio, MD, FACEP , Scott Weingart, MD, FACEP, FCCM

Balloon tamponade devices specifically designed for upper GI bleeding are well-established as a temporizing measure in life-threatening upper gastrointestinal bleeding, but rarely have been used for l

Infectious Disease

Case Report: West Nile Encephalitis

2/12/2022 Jefferey S. Holoman, DO , Chad Gunsolly, DO

West Nile Virus is the leading cause of mosquito-borne disease in the continental United States. This case report examines a case of headache, weakness, and gait ataxia in a 63-year-old male, with the

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Ultrasound , Urology

Not so FAST: Intraperitoneal Bladder Rupture

2/12/2022 Courtney Smith, MD , Sara Paradise Dimeo, MD

Bladder rupture is a relatively rare condition due to the protection of the bladder in the bony pelvis; most cases of bladder rupture are intraperitoneal. But a small percentage are intraperitoneal r

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Pediatric EM , Endocrinology

Pediatric Emergency Management of Adrenal Insufficiency and Adrenal Crisis

2/12/2022 Amal Malik , Elizabeth Quaal Hines, MD

Adrenal insufficiency (AI) is a rare diagnosis in childhood and adolescence; however, it can become a major cause of morbidity and mortality in pediatric patients.

Gastroenterology

Bouveret Syndrome: A Rare Cause of Gastric Outlet Obstruction

2/12/2022 Collin Stinogel, DO

Gallstone-induced ileus is a rare complication of cholelithiasis. Gastric outlet obstruction caused by a gallstone is even rarer. If a patient presents to you with Bouveret syndrome, will you know how

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Admin Ops Literature Review , Administration & Operations

Admin & Ops Literature Review: Impact of Urgent Care Centers and Telehealth in the ED

2/12/2022 Javed Osmani , Michael Muradian, MD , Christina Brown, MD , Nicholas Stark, MD, MBA

The development of urgent care centers and telehealth systems has been found to have significant impacts on care in the ED in a variety of ways. These studies highlight some ways in which implementati

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