1. A 2-year-old male presents with parents after a prolonged seizure of 5 minutes. The parents state that he has been lethargic over the past day with poor oral intake. Finger stick glucose is 452. The patient is poorly responsive and begins seizing again. The best initial therapy is: A. Intravenous [...]
Aaron Markwith, OMS-II Edward Via College of Osteopathic Medicine For years, I counseled patients on the importance of taking care of themselves. Obesity, diabetes, high blood pressure, high triglycerides, and high cholesterol seemed to dominate every patient chart I encountered. I knew the risks as [...]
Jordan Johnson, OMS III LECOM-Bradenton The familiar feeling of descent woke me as I emerged from a much needed nap on my flight from Miami to Denver for the 2017 ACOEP Scientific Assembly. I had fallen asleep to the soothing sound of Pathoma, a common occurrence for medical students. However, not e [...]
Size: 6 residents per year Program length: 3 years Institution bed size: 425 ED Visits per year: 69,000 ACGME accreditation status: Initial Accreditation Away rotations: One month of pediatric emergency medicine at UPMC Children’s Hospital of Pittsburgh. Two months of Level 1 Trauma at UPMC Pre [...]
Dhimitri Nikolla, DO, PGY-3 ACOEP-RSO President AHN Saint Vincent Hospital, Erie, PA INTRODUCTION With the widespread availability of intraosseous (IO) needles and ultrasound, emergent central lines placed with landmark-guidance (LG) are becoming a thing of the past. While IO access is faster and ul [...]
Jillian Blalock OMS-III WVSOM When I made the decision to return to my hometown of Wheeling, West Virginia to complete my clinical requirements for medical school, I did so because I already knew the area; I would not have the “transition period” or feel the need to “get settled” like many of my cla [...]
Aishwarya Sharma, OMS II OUHCOM The room is bright white, clear and aseptic. White walls, white bed, white curtains. And in the middle of it all is a sobbing woman. I watch her tear-streaked face as she assesses her surroundings, fear in her eyes. I am supposed to be getting the history and physical [...]
Welcome to the spring edition of The Fast Track! The ACOEP Resident-Student Organization (RSO) has had a busy winter planning for a busy spring! First, Spring Seminar is right around the corner April 3-7, 2018 in San Diego, CA! The majority of RSO events will be Friday, April 6th. We will have Rapid [...]
Spring is upon us! And so is a new edition of The Fast Track! This is an edition of experiences. From street medicine to domestic violence, our authors share personal experiences that shed light on issues that are not only critical to emergency medicine, but basic human rights. As residents and stud [...]
Nevertheless, it is easy to get stuck in the microcosm of the doctor-patient relationship and forget that there is a breadth of bureaucracy that allows us to do the job we love doing. There are many organizations fighting for our ability to practice emergency medicine with reliable evidence, a neces [...]