President's Message , Leadership , Wellness

From Burnout to Breakthrough

12/10/2024 David Wilson

Burnout isn't just a buzzword in EM - it’s a lived reality. EMRA President Dave Wilson reflects on a key treatment for burnout: belonging. Build your lifelong professional community, starting with EMR

Genitourinary , Infectious Disease , Patient Interactions

Pneumolabium: A Case Report of COVID Turned Fournier’s Gangrene

12/10/2024 Miranda Teixeira, MD

It’s easy to fall prey to diagnostic anchoring, especially on busy shifts. But reliance on initial triage information can obscure life-threatening conditions.

Vascular , Critical Care

Bad Arterial Material: A Case of Leriche Syndrome

12/10/2024 Aditi Ranade, MD , Connor Welsh, MD , Patrick Eiben, MD

Aortoiliac occlusive disease, otherwise known as Leriche syndrome, mostly affects older individuals with classic risk factors for peripheral artery disease (PAD). Although typically a progressive dise

Cardiology

Emergency Department Approach to LVAD Patients

12/10/2024 Anam Chaudhry, DO , Jeremy Berberian, MD , Nisha Gandhi, MD

Nearly 6.7 million Americans over the age of 20 have been diagnosed with heart failure – and more than 2,500 receive a left ventricular assist device. Do you know how to triage and treat LVAD patients

Toxicology , Pharmacology

Case Report: A Review of Metformin-Associated Lactic Acidosis

12/10/2024 Madeleine Silverstein, MD , Avirale Sharma, MD , Vivek Medepalli, MD , Andrea Nillas, MD , Jedidiah Leaf, MD , Dazhe Cao, MD

In the emergency department, it can be difficult to get a complete medication history, especially in patients who have altered mental status or are too acutely ill to provide a meaningful history. Yet

Ophthalmology , Trauma , Ultrasound

Acute Right Eye Pain and Vision Loss: A Workout Gone Wrong

12/10/2024 Corey Michelson, MD , Philippe Stanier, MD , Sydney DeArmond, PA

Patients with suspected ocular trauma are at risk of vision loss - and emergency physicians must recognize the danger. This is one situation where an emergent ophthalmology consult is critical, as you

Spinal Epidural Abscess - suggested heading.jpg

Orthopedics , Neurology , Infectious Disease

Navigating the Diagnostic Challenge: Recognizing Spinal Epidural Abscesses in Emergency Medicine

12/10/2024 Katie Tucker , Boyd Burns, DO, MBA, MHA, FACEP

Back pain is one of the top 5 reasons for emergency department visits in the United States. Among these billions of visits, you will find an extremely difficult-to-diagnose, yet life-threatening, cond

Orthopedics , Neurology , Toxicology

Delayed Presentation of Gluteal Compartment Syndrome Complicated by Sciatic Neuropathy Following Prolonged Immobilization Due to Opioid Overdose: A Case Report

12/10/2024 Georgina Koutouzis, DO , Vanna Albert, MD

Compartment syndrome is an orthopedic emergency that can be difficult to identify but can lead to significant morbidity and mortality if unidentified or left untreated. A major risk factor for develop

Toxicology , Dermatology

Case Report: Severe Chronic Argyria Secondary to Silver Supplement Use

12/10/2024 Brian Evans, MD , Jonathan Bartolomei, MD , Cory Howard, MD

Colloidal silver is a popular, yet unregulated, supplement used for a spectrum of perceived health benefits. However, the FDA issued a final rule deeming it “not generally recognized as safe and effec

Airway , Vascular , Ultrasound

Silent Strangulation: A Unique and Unpredictable Encounter of a Spontaneous Thyroid Hematoma in the Emergency Department

12/3/2024 Tibor Nagy, DO , Austin King , David Gregory, MD

Airway management of expanding neck hematomas can challenge even the most expert of emergency clinicians. Management becomes even more challenging in atypical presentations.

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