Cardiology

ST Elevation Myocardial Infarction in a Biventricular Paced Rhythm

10/10/2022 Priyanka Ravindran, MD , Rabia Iqbal, DO , Jason Kolb, MD

More studies are needed to create sensitive and specific criteria for coronary-related ischemia in patients with biventricular pacemakers, but high clinical suspicion, changes in EKG, and early recogn

Pulmonary , Ultrasound

Real-Time Ultrasonography in Malignant Pericardial Effusion with Tamponade and Concomitant Pulmonary Embolism

10/10/2022 Kandria Ledesma, MD , Omar Amr, MD

In the setting of a malignant pericardial effusion with tamponade and pulmonary embolism, medical management can be difficult due the need for heparinization as well as pericardiocentesis. In a peri-s

Pediatric EM

Verapamil in SVT: No Need to Drop the Beat

10/10/2022 Gregory Wu, MD , Weston Christensen, MD, MMSc , Cecily Swinburne, MD, MPH

When a pediatric patient presents to the ED with pSVT and vagal maneuvers have failed, choice of AV nodal blocking agent is important. Our case shows that calcium channel blockers offer several advant

Gastroenterology

Update on State-of-the-Art Imaging and Stool Tests for IBD in the ED

10/10/2022 Samuel J. S. Rubin, PhD , William W. Dixon, MD

For patients with IBD flare, maintain a broad differential diagnosis, promptly initiate appropriate workup for earlier intervention and better outcomes, obtain stool samples as early as feasible for l

Op-Ed , Pediatric EM , Ultrasound

Yes, We Scan: Change Core US Requirements to Include Pediatrics

10/10/2022 Jenn Purcell, DO , Justin Hanson, DO , Jacob Pope, DO , Sarah Kleist, MD , Casey Wilson, MD, RDMS, FAEMUS

If pediatric abdominal ultrasound is routinely and deliberately taught to EM residents, a cultural shift away from obtaining abdominal CTs in children would be the desired outcome.

ECG Challenge , Cardiology

ECG Challenge: October-November 2022

10/10/2022 Mary Voelker, DO , Jeremy Berberian, MD

A 68-year-old female with a past medical history of hypertension presents to the emergency department via private vehicle for recurrent intermittent episodes of unresponsiveness that started just prio

Health Policy Journal Club , Health Policy , Health Equity , Health Care Administration , Social EM , COVID-19 , Administration & Operations

A New Pandemic

10/6/2022 Rachel Kelly, MD , Vidya Eswaran, MD

The effects of COVID-19 on the health care system continue to evolve. While patients stayed away during lockdown, they are now flooding emergency departments with more acute illnesses due to lack of p

Match , Medical Students , Program Director Interviews

Program Director Interview Series: Arlene Chung MD, MACM | EM Residency Program Director at Maimonides Medical Center, Brooklyn, NY

9/23/2022 Syd Park

In this month’s addition to the Program Director Interview Series, we bring you Arlene Chung MD, MACM. Dr. Chung is the PD at Maimonides Medical Center in Brooklyn, NY - and she wants you to get to kn

Health Policy Journal Club , Health Policy , Health Equity , Health Care Administration , Social EM , COVID-19 , Administration & Operations

GREAT SHOT

9/6/2022 Laura Haselden, MD , Vidya Eswaran, MD

COVID-19 vaccine campaigns saved lives and reduced the number and severity of COVID cases in the United States. What did this mean to the business of health care? Significant cost savings.

Critical Care , Critical Care Alert , Cardiology , Airway

Critical Care Alert: PREPARE II - A Randomized Clinical Trial

8/22/2022 Taylor Miller, MD , Evan McMurray, MD

Critical Care Alert: The PREPARE II trial investigated whether a fluid bolus would impact cardiovascular collapse in critically ill patients undergoing intubation.

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