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Fall 2020

3009, 2020

The Approach to Orthopedic Complaints in the Emergency Department

September 30th, 2020|Comments Off on The Approach to Orthopedic Complaints in the Emergency Department

Varsha Aravindabose, OMS-IV at Kansas City University College of Osteopathic Medicine Acute orthopedic complaints comprise a significant number of Emergency Department (ED) visits every year. Yet, studies show that many Emergency Medicine physicians are not confident in their diagnosis and managemen [...]

1709, 2020

Why Talk Flu During a Pandemic?

September 17th, 2020|Comments Off on Why Talk Flu During a Pandemic?

Taylor A. Klein, MS, OMS-IV Nicholas S. Bowman, OMS-IV If conversations in your household are anything like ours, we are rapidly approaching our regularly scheduled influenza debate. The arguments are numerous: “That vaccine never works anyway.” “Any time I get that vaccine, I get the flu from it.” [...]

Summer 2020

2808, 2020

Investigating Inversions To A Tee

August 28th, 2020|Comments Off on Investigating Inversions To A Tee

Jeff Thekkekara, OMS-IV, Kansas City University of Medicine and Biosciences The discovery of the electrocardiogram (ECG) by the Dutch physiologist, Dr. Wilhelm Einthoven, would eventually win him the Nobel Prize in 1924, but he could not have done so without the knowledge that came before him. For e [...]

408, 2020

A Thing Not Looked for Is Seldom Found

August 4th, 2020|Comments Off on A Thing Not Looked for Is Seldom Found

Alyka Glor Fernandez, OMS-IV Mitchell Dean Maulfair, DO A previously healthy 16-year-old male presented to the emergency department with abdominal pain, nausea, and vomiting. He woke up with abdominal pain that steadily worsened and was unrelieved by a dose of over the counter simethicone.  This pro [...]

1307, 2020

Applying Emergency Medicine During a Pandemic – Advice for Orphan Program Medical Students

July 13th, 2020|Comments Off on Applying Emergency Medicine During a Pandemic – Advice for Orphan Program Medical Students

Authors: Andrew Langille DO1, Christina Hornack DO2, Dhimitri Nikolla DO3 Positions/Affiliations: 1ACOEP-RSO Secretary, EM Resident, UT Nashville, Nashville, TN 2ACOEP-RSO President, EM Resident, Adena Regional Medical Center, Chillicothe, OH 3ACOEP RSAC Chair, EM Attending, AHN Saint Vincent, Erie, [...]

2906, 2020

Welcome Emergency Medicine Interns!

June 29th, 2020|Comments Off on Welcome Emergency Medicine Interns!

Greetings and welcome to our new class of Emergency Medicine Interns! You have joined our specialty during an exciting and uncertain time. But excitement and uncertainty are not new to our specialty, nor do I believe they are unique to it. We are often called to react to situations without enough in [...]

2906, 2020

Volunteering as a Medical Student During COVID-19: A Personal Account

June 29th, 2020|Comments Off on Volunteering as a Medical Student During COVID-19: A Personal Account

Kaley Canova-Gaitros, OMS-IV, Kansas City University I am sure that years from now, my classmates and I will all remember what rotation we were pulled from on March 17, 2020 due to the COVID-19 pandemic; I was in my final week of an ENT Surgery rotation.  The next couple of weeks were full of specul [...]

2906, 2020

Interview With Stephanie Davis, DO

June 29th, 2020|Comments Off on Interview With Stephanie Davis, DO

In May 2020, Sean Creegan, OMS III, sat down (virtually) with Dr. Stephanie Davis, DO, and asked about her work on the front lines of the COVID-19 pandemic. This is a transcript of some of the interview. Be sure to listen to the audio version for the complete interview, including our discussion on w [...]

Spring 2020

806, 2020

What Can I Do?

June 8th, 2020|Comments Off on What Can I Do?

Taylor Klein, NRAEMT, MSc, OMS-III On Sunday, March 15th, 2020, I was on my OB-GYN rotation and was present for three deliveries.  The residents and attendings were pimping me on various OB emergency facts as I had just come off of my ED elective and had shared with them my plans to apply to EM.  By [...]

1305, 2020

Awake Proning for COVID-19 Pneumonia

May 13th, 2020|Comments Off on Awake Proning for COVID-19 Pneumonia

Dhimitri A Nikolla, DO Emergency Physician AHN Saint Vincent, Erie PA Introduction Proning is a method of positioning hypoxemic patients to improve oxygenation. It reduces mortality in mechanically ventilated patients with severe Acute Respiratory Distress Syndrome (ARDS),1 and has been recommended [...]

3004, 2020

Making a Cost-effective Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD) Simulation System

April 30th, 2020|Tags: , , |Comments Off on Making a Cost-effective Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD) Simulation System

Authors: Paige Reinfeld, MS, OMS-II Shriman Balasubramanian, MS, OMS-II Michael Polito, OMS-II Nicole Kiess, OMS-II Adithya Nagaraja, OMS-II School: TouroCOM – Middletown,NY Social Media: @simclubtouro Introduction Airway management remains an essential skill for various healthcare disciplines, with [...]

Winter 2020

2411, 2020

An Acute Case of Phenytoin Toxicity in the Emergency Department

November 24th, 2020|Comments Off on An Acute Case of Phenytoin Toxicity in the Emergency Department

Akstinas, J. OMS-IV, Miguel, E. DO Mesa View Regional Hospital, NV Rocky Vista University Abstract Case Presentation: A 38-year-old woman with a past medical history of depression, vertigo, and a seizure disorder presented to the Emergency Department (ED) with complaints of dizziness for four days. [...]

1711, 2020

Medical Schools Should Turn to Virtual Reality in the Wake of COVID-19

November 17th, 2020|Comments Off on Medical Schools Should Turn to Virtual Reality in the Wake of COVID-19

Harshit Singh1*, Jaime Weber, MS1*, Angela Pierce, PhD2 1OMS-III, Kansas City University, College of Osteopathic Medicine 2Phase II Director, Kansas City University, College of Osteopathic Medicine *These authors contributed equally to this work. The global spread of a novel coronavirus in 2019 and [...]

1610, 2020

The Seemingly Impossible Task of Mourning During Medical Education

October 16th, 2020|Comments Off on The Seemingly Impossible Task of Mourning During Medical Education

Andrew Griffin, OMS-III Kansas City University of Medicine and Biosciences A couple of weeks into my surgery rotation, I came home from an extended shift when I checked my phone to read dozens of condolences on one of my friend’s Facebook walls alluding to that something severe had happened. Not wan [...]

2003, 2020

The Medical Student’s Brief Guide to the 3-Minute Emergency Medicine Presentation

March 20th, 2020|Comments Off on The Medical Student’s Brief Guide to the 3-Minute Emergency Medicine Presentation

Alyka Glor Fernandez The Emergency Department (ED) is busy. Resident and attending physicians are occupied every minute of their shifts with patient care, procedures, orders, and charting. In addition, they are responsible for teaching and supervising medical students who rotate in the ED. While our [...]

1002, 2020

The EM Algorithm: A Simplified Approach For Early Success In Emergency Medicine

February 10th, 2020|Comments Off on The EM Algorithm: A Simplified Approach For Early Success In Emergency Medicine

Samuel James Nobilucci, DO, MSM-HCA, EMT-P Emergency medicine (EM) is a complex and adaptive specialty that blends the knowledge base of a general practitioner with aspects from nearly every other specialty. Be it pediatrics, geriatrics, infectious disease, surgery, or any number of organ-based focu [...]

2901, 2020

Medical Paintball

January 29th, 2020|Comments Off on Medical Paintball

Anastasia Ambrosio, OMS III ACOEP RSO Student Conference Chair Kansas City University of Medicine and Biosciences The nurses, the PAs, and even a stray patient in the hallway stared at me, all alarmed. I was excited to get a pimping question right. Muffled heart sounds, hypotension and JVD: the tria [...]

701, 2020

When to Consider Plasmapheresis in the Emergency Department

January 7th, 2020|Tags: , , |Comments Off on When to Consider Plasmapheresis in the Emergency Department

Samuel Nobilluci DO Jordan Miller DO Ari Leib MD Adena Regional Medical Center Case presentation A 88-year-old Caucasian female walks into the emergency department after her primary care physician told her she had an abnormal lab. She reports that she otherwise feels fine and denies visual changes, [...]

Winter 2019

1903, 2019

“Just Get the Flu Shot!”: Update of Influenza Prevention and Treatment

March 19th, 2019|Comments Off on “Just Get the Flu Shot!”: Update of Influenza Prevention and Treatment

Andrew Leubitz, DO, MBA Good Samaritan Hospital Medical Center Influenza in the Emergency Department: It happens at least once per shift, sometimes it seems like every other patient presents this way… a new patient pops up on the board, a 20 or 30-something year old whose chief compliant is “everyth [...]

103, 2019

Calling Consults, Part 1: A Resident’s Perspective

March 1st, 2019|Comments Off on Calling Consults, Part 1: A Resident’s Perspective

Christopher Swyers, DO, PGY-3 One of the most important jobs of an emergency physician is realizing when he or she needs help. Whether it’s simply ensuring good follow up, getting a patient to surgery, or getting a sub-specialist’s expertise, calling a consult is a critical skill. Experience is ofte [...]

2702, 2019

Mass Casualty Shootings and the Implications of the Impact if Left Unchecked

February 27th, 2019|Comments Off on Mass Casualty Shootings and the Implications of the Impact if Left Unchecked

Lindsey Roden, MPH ACOEP Staff August 3, 2010, eight people killed in Manchester, CT. June 17, 2015, nine people killed in Charleston, SC. December 2, 2015, 14 people killed in San Bernardino, CA. June 12, 2016, 49 people killed in Orlando, FL. October 1, 2017, 58 people killed in Las Vegas, NV. Feb [...]

2002, 2019

The Winter Student Symposium – I Didn’t Know What to Expect

February 20th, 2019|Comments Off on The Winter Student Symposium – I Didn’t Know What to Expect

Zach Mauro OMS-III, EMT-P ACOEP-RSO Conference Co-Chair The Winter Student Symposium - I didn't know what to expect "ABCDE and a secondary survey will never fail you!" "If you don't already, you're going to love ultrasound at the end of today!" "We [as residency programs] want to know why you want t [...]

1202, 2019

DEATH AS A HEALTHCARE PROVIDER

February 12th, 2019|Comments Off on DEATH AS A HEALTHCARE PROVIDER

Taylor Klein, OMS-II, NRAEMT AZCOM I’d be surprised to encounter someone working in healthcare who doesn’t remember their first experience with death.  We are taught that it’s inevitable; we can’t save everyone. We know that we will eventually encounter patients who are beyond the help of medical in [...]

3001, 2019

Ischemic Stroke in Pregnancy: Thinking Outside the Womb?

January 30th, 2019|Comments Off on Ischemic Stroke in Pregnancy: Thinking Outside the Womb?

Hailey Bossio, MD Kent Hospital, Warwick, RI INTRODUCTION The incidence of stroke is common – someone in the United States has a stroke every 40 seconds. In the management of stroke, expediency is key. Like the majority of hospitals, Kent Hospital has a stroke protocol in place, but this does not in [...]

2301, 2019

Bupropion: The “Poor Man’s Cocaine”? A Case Report

January 23rd, 2019|Comments Off on Bupropion: The “Poor Man’s Cocaine”? A Case Report

Ryan A. Anderson, D.O. Chief Resident, Lehigh Valley Health Network CASE A 33-year-old male is brought to the emergency department after being found down in his bathroom. He is slightly confused but has normal vital signs. A white powder was found at the scene, and the patient claims he was snorting [...]

1501, 2019

A Case and Discussion of Accidental Hypothermia in the Setting of Trauma

January 15th, 2019|Tags: |Comments Off on A Case and Discussion of Accidental Hypothermia in the Setting of Trauma

Dhimitri Nikolla, DO, PGY-4 AHN Saint Vincent Hospital Erie, PA CASE A 22-year-old male presented as a trauma alert completely unresponsive. He was found down by a bystander, unresponsive with significant facial trauma presumed to be from assault. Upon arrival, the patient had apneic respirations be [...]

901, 2019

How Can YOU Save a Life? – PulsePoint: Empowering Superheroes

January 9th, 2019|Tags: |Comments Off on How Can YOU Save a Life? – PulsePoint: Empowering Superheroes

Anthony Unger, OMS-3, BS Lake Erie College of Osteopathic Medicine My uncle believed he was a healthy man. Surviving cancer at a young age caused him to live a very positive and compassionate life. It was no surprise he signed up for a 100-mile bike ride supporting our veterans. He completed the two [...]

Fall 2019

2510, 2019

5 Tips for Maintaining Wellness During Dedicated Board Prep

October 25th, 2019|Comments Off on 5 Tips for Maintaining Wellness During Dedicated Board Prep

Melinda Kizziah, OMS-III West Virginia School of Osteopathic Medicine Summer is over and if you’re a second-year medical student, you are gearing up for another busy but exciting year of medical school.  With first year under your belt, you’re probably feeling more confident and prepared to move one [...]

Summer 2019

1908, 2019

The ACOEP-RSO Is Working for You

August 19th, 2019|Comments Off on The ACOEP-RSO Is Working for You

The ACOEP-RSO (American College of Osteopathic Emergency Physicians - Resident-Student Organization) provides emergency medicine (EM) residents and student members a wealth of opportunities and benefits. From RSO events at Scientific Assembly and Student Symposiums, to the Resident Education Package [...]

508, 2019

ACOEP-RSO Advocating for Better Emergency Care and Training

August 5th, 2019|Comments Off on ACOEP-RSO Advocating for Better Emergency Care and Training

The ACOEP-RSO has been proudly representing its members at the biannual All Emergency Medicine Residents Organization and Students (AEROS) group meetings, where we have collaborated on several projects to advocate for emergency medicine (EM) residents and students regarding many issues such as maint [...]

508, 2019

An Unusual Case of Septic Shock from a Urinary Tract Infection

August 5th, 2019|Comments Off on An Unusual Case of Septic Shock from a Urinary Tract Infection

Peter Nesbitt, OMS-IV @LECOM, Erie, PA Dhimitri Nikolla, DO @AHN Saint Vincent Hospital, Erie, PA CASE 60 year-old male with quadriplegia due to spinal cord injury and chronic Foley catheter presented to the emergency department (ED) with hematuria and confusion. The catheter was exchanged one day p [...]

807, 2019

Interviewing The Interviewers

July 8th, 2019|Comments Off on Interviewing The Interviewers

Christina Powell, DO Past Director of Student Affairs, ACOEP-RSO University of Maryland Medical Center, Class of 2022 As we transition to yet another cycle of daunting applications, painfully edited personal statements, and hours waiting anxiously by the phone for interview offers to enter the email [...]

1006, 2019

Tricks of the Trade: The ED 3-minute Walk Test

June 10th, 2019|Tags: , , , |Comments Off on Tricks of the Trade: The ED 3-minute Walk Test

Christopher Hart, OMS-II @LECOM-Erie Dhimitri A Nikolla, DO, PGY-4 @AHN Saint Vincent Hospital INTRODUCTION Emergency physicians often have difficulty dispositioning patients presenting to the emergency department (ED) with acute dyspnea caused by exacerbations in either chronic obstructive pulmonar [...]

Spring 2019

2904, 2019

Substance-Induced Psychosis in the Emergency Department

April 29th, 2019|Comments Off on Substance-Induced Psychosis in the Emergency Department

Kara Smith, CUSOM MSIII Case Presentation: A 32-year-old Caucasian man is brought to the Emergency Department by EMS after being found hiding naked in a tunnel of a nearby playground. EMS reports he would not let anyone touch him en route. During your interview, the man stops tells you he shed his c [...]

404, 2019

What is the Etiology of this Electrocardiogram Finding?

April 4th, 2019|Tags: , |Comments Off on What is the Etiology of this Electrocardiogram Finding?

Dhimitri A Nikolla, DO, PGY-4 LECOM-Erie CASE An elderly male with a past medical history of dementia, on warfarin for a remote history of pulmonary embolism, presented via ambulance from a skilled nursing facility due to the facility’s reports of altered mental status and decreased oral intake. On [...]

2603, 2019

Acute Lower Extremity Paralysis: A Sign of Decompensated Hyperthyroidism

March 26th, 2019|Comments Off on Acute Lower Extremity Paralysis: A Sign of Decompensated Hyperthyroidism

John Oh, MD Ashley Lauria, DO Kent Hospital Emergency Medicine Residency Introduction This case describes a young male who presented to the Emergency Room (ER)  with a chief complaint of sudden onset bilateral lower extremity paralysis. He was found to have thyrotoxic periodic paralysis (TPP), which [...]

Winter 2019

306, 2021

Knee Injury After a Skateboarding Accident

June 3rd, 2021|Tags: |Comments Off on Knee Injury After a Skateboarding Accident

Parham Salehi Saee, MS3; Nathan C Ellis, MD; Dhimitri A Nikolla, DO; Melody ‎Milliron, DO Affiliations: ‎ 1Lake Erie College of Osteopathic Medicine, Erie, PA.‎ ‎2Department of Emergency Medicine, Saint Vincent Hospital, Allegheny Health Network, Erie, ‎PA. ‎ Corresponding Author:‎ Dhimitri A. Nikol [...]

1203, 2021

Acute Renal Infarction Leading to Sudden Perirenal Hemorrhage

March 12th, 2021|Comments Off on Acute Renal Infarction Leading to Sudden Perirenal Hemorrhage

Jesse Dalton, DOAshley Lauria, DO Kent Hospital Emergency Medicine Residency Abstract Introduction Renal infarction is a rare, but clinically important diagnosis due to its significant morbidity and ‎mortality. Atrial fibrillation is a major risk factor for thromboembolic disease that can lead to ‎re [...]

2411, 2020

An Acute Case of Phenytoin Toxicity in the Emergency Department

November 24th, 2020|Comments Off on An Acute Case of Phenytoin Toxicity in the Emergency Department

Akstinas, J. OMS-IV, Miguel, E. DO Mesa View Regional Hospital, NV Rocky Vista University Abstract Case Presentation: A 38-year-old woman with a past medical history of depression, vertigo, and a seizure disorder presented to the Emergency Department (ED) with complaints of dizziness for four days. [...]

1711, 2020

Medical Schools Should Turn to Virtual Reality in the Wake of COVID-19

November 17th, 2020|Comments Off on Medical Schools Should Turn to Virtual Reality in the Wake of COVID-19

Harshit Singh1*, Jaime Weber, MS1*, Angela Pierce, PhD2 1OMS-III, Kansas City University, College of Osteopathic Medicine 2Phase II Director, Kansas City University, College of Osteopathic Medicine *These authors contributed equally to this work. The global spread of a novel coronavirus in 2019 and [...]

1610, 2020

The Seemingly Impossible Task of Mourning During Medical Education

October 16th, 2020|Comments Off on The Seemingly Impossible Task of Mourning During Medical Education

Andrew Griffin, OMS-III Kansas City University of Medicine and Biosciences A couple of weeks into my surgery rotation, I came home from an extended shift when I checked my phone to read dozens of condolences on one of my friend’s Facebook walls allu