ECG Challenge , Cardiology , Medical Education

ECG Challenge: July-Aug-Sept 2024

7/16/2024 Jonathan Dillen, MD , Jeremy Berberian, MD

EMRA ECG Challenge

Editor's Forum

Signs of Spring: The Job Hunt Begins

7/16/2024 Morgan Sweere, MD, MPH

We’ve accomplished so much to get to where we are in this step of our training. I think the best plan for after graduating is to simply enjoy our careers. Every one of us has the best job in the world

Palliative Care , Patient Interactions

Palliative Care vs. Hospice: The Role of the Emergency Physician

7/16/2024 Syna Daudfar, DO , Geoff Comp, DO, FAWM , Jonathan Burton, DO

Palliative care providers exist to give expert consultation and assistance with complex decision-making conversations; however, emergency physicians and primary care providers carry initial palliative

Nephrology , Toxicology

Blue Dye, Gotta Try: A Case of Metformin-Associated Lactic Acidosis

7/15/2024 Marlee Thomas, DO , Howard Levitin, MD, FACEP , Ryan Stuart, MD , Maria Lucarelli, MD

MALA is a difficult diagnosis to make due to lack of specific lab testing revealing toxicity. However, this disorder should be considered in patients presenting with marked hemodynamic instability wit

Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: HFNC Oxygen v. Noninvasive Ventilation for Management of Acute Cardiogenic Pulmonary Edema

7/11/2024 Dominique Gelmann, MD , Josh Wild, DO , Luxi Qiao, MD, MPhil

When managing acute cardiogenic pulmonary edema, how do the outcomes differ between high-flow nasal cannula and noninvasive ventilation?

Op-Ed , Diversity and Inclusion , EMRA Board of Directors

Norte: Long Journey Upward Brings Power of Perspective

7/10/2024 Derek Martinez, DO

Your perspective is power. It is your gift. For those of us from marginalized communities, perspective gives us strength. It affects how we treat patients. It affects how we view our specialty. It aff

Infectious Disease , Urology

Not Just Rectal Bleeding: A Case of Fournier’s Gangrene

7/10/2024 Elaine Hsiang, MD , Claire Perrin , Maria Raven, MD, MPH, MS, FACEP

Fournier’s gangrene is a surgical emergency. Time to surgical intervention is the most significant modifiable risk factor for mortality in these necrotizing infections, and early intervention can halv

International EM , Ultrasound

The Art of Chin Chin: A Multi-Year Partnership in the Dominican Republic Advancing POCUS

7/1/2024 Irbert Vega , Robert Fuller, MD, FACEP , Natalie J. Moore, MD , Ybel Fermín Fernández, MD , Heather Hechter, MD , José Raúl Vargas Estévez, MD

When I (lead author Irbert L. Vega, MD) went to the Dominican Republic for my global EM elective, I suddenly found myself in an environment where POCUS was still a nascent technology instead of a stan

Critical Care Alert , Critical Care , Cardiology , Resuscitation

Critical Care Alert: Treatment of Refractory Cardiac Arrest by Controlled Reperfusion of the Whole Body

7/1/2024 Alex Lucas, MD , Josh Wild, DO , Gabriel Colon, MD , Dustin Slagle, MD

ECPR continues to show promising results for patients undergoing cardiac arrest. CARL technology implements a new design that provides comprehensive monitoring and multimodal therapy to address the un

Critical Care Devices , Critical Care , Neurology

Critical Care Device Series: External Ventricular Drain

6/30/2024 Josh Wild, DO , Luxi Qiao, MD, MPhil , Sherard Lacaille , Daniel Zapata, MD

External ventricular drain placement is often considered a lifesaving measure to alleviate severe hydrocephalus or elevated intracranial pressure. This paper reviews current guidelines and steps for p

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