Spring 2023
Mass Casualty Incident Simulations Should Be Strongly Encouraged and Widely Available for Medical Students
Authors: Rachel Steffes OMS-II, Megan Unrath OMS-II, Andres Toledo OMS-II, Alissa Leyman OMS-II Location/School Affiliation: Kansas City University College of Osteopathic Medicine - Kansas City Campus Keywords (3): Emergency Preparedness, Mass Casualty Training Simulation, Medical Education Short Au [...]
Damage Control Resuscitation – Pathophysiology and Practices for Emergency Medicine Physicians
Author: Thomas Mathis MS-3, AEMT, USAR MC Campbell University School of Osteopathic Medicine Introduction Damage Control Resuscitation (DCR) is a methodology for stabilizing severely injured trauma patients with massive hemorrhage by aggressively pursuing hemostasis and proactively addressing the le [...]
Emergency Department Management of Vascular Trauma Resulting from a Dog Bite to Upper Extremity
Authors: CM Emerson MS41, MN Greco MS41, TJ O’Neil MS41, CE White MS41; SM O’Neil, MD, FACS2,3 1Campbell University School of Osteopathic Medicine, 2Martinsville Surgical Associates, 3SOVAH Health ABSTRACT: Introduction Dog bite injuries are a common presenting complaint to emergency departments acr [...]
Flecainide Fakeout
Flecainide Induced Atrial Flutter Causing Monomorphic Wide Complex Tachycardia Authors: Dr. Graham Clifford, DO; Dr. Justin Sauter, DO; and Dr. Ben Arnold, MD Introduction: A 65-year-old male with a past medical history of atrial flutter on metoprolol, flecainide and eliquis reported to the Emergenc [...]
Fall 2022
Lingering COVID-19 Symptoms Among Young Adults
Matthew J. Gold, OMS-III; Marshall Johnson, OMS-III; Alexandra Mathis, OMS-II; Shaheen Mehrara, OMS-III; Daniel Ruiz, OMS-IV; Caroline Houston, OMS-III; Jonathan Kalenik, OMS-III; Mayra Rodriguez, PhD, MPH Author Affiliations · Mayra Rodriguez, PhD, MPH, Edward Via College of Osteopathic Medicine [...]
Symptomatic Ocular Toxoplasmosis: A Case Report
Anthony Tran, OMS IV and Anastasia Alpizar, OMS IV William Carey University College of Osteopathic Medicine Abstract Toxoplasma gondii is a parasite with the potential to infect humans, especially those who are immunocompromised. If the parasite reaches the retina of the eye, it can cause ocular t [...]
A Review of Prehospital Blood Product Transfusion for Trauma: Past Advances, Current Trends, and Future Potential
Thomas Mathis MS-3, AEMT, USAR MC Abdul-Rahman Saleh MS-3, MLS Kevin Le MS-3, EMT-B Campbell University School of Osteopathic Medicine Introduction Blood products are an essential component of trauma resuscitation. In the experience of both the Afghan and Iraq Wars as well as that of operating r [...]
Unexpected Methemoglobinemia: A Case Report
Coral Byrns, OMS-IV VCOM-Auburn Abstract This case is to serve as a refresher on methemoglobinemia and the different pathologies, both well understood and newly discovered, that surround it. Patient X, a 66-year-old African American female, was seen in the emergency department with complaints of d [...]
Summer 2022
Altitude Induced Angioedema of the Lips
Grace Bunemann MS41, Madison Greco MS41 1Campbell University School of Osteopathic Medicine Abstract Introduction High-Altitude Illness and its related disorders (Acute Mountain Sickness, High-Altitude Cerebral Edema, and High-Altitude Pulmonary Edema) have often been documented to occur at altit [...]
Enterococcus Faecalis Endocarditis Disguised as Back Pain and Fever of Unknown Origin
Blake, A. OMS-III Abstract: Bacterial endocarditis is a life-threatening, deadly infection that impacts the lives of several people each year in both developed and developing countries. Although the recognition, diagnosis, and treatments have improved, the mortality rate remains concerning. It is vit [...]
Preparing a Better Obstetrics Consult in the Emergency Department
Braden Zoller, OMS-III1; K. Daniel Miller, D.O.2 Affiliations: 1Kansas City University, Kansas City, MO. 2Chief of Obstetrics, William Newton Hospital, Winfield, KS. In 2018, visits to the emergency department (ED) related to pregnancy, childbirth, and the puerperium were the fifth most common prese [...]
Trash Talk: Decreasing our Carbon Footprint in the ED
Austin Bennett, OMS IV West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia Prior to medical school, I worked as an ED Tech. Some of my duties included unpacking the boxes of supplies from the manufacturers and stocking the patient care rooms. I also often helped my friend Edgar in [...]
Impact of Resource Allocation on Opioid Related Fatalities in Vermont as Measured Using Geographic Information Systems
Shanes, A, OMS II*, Shecter, I, OMS II*, Bograkos, W, M.A., D.O. University of New England College of Osteopathic Medicine, Biddeford, Maine *co-authors Introduction: The opioid epidemic poses a huge public health concern nationwide. The State of Vermont is invested in curbing opioid-related fatalit [...]
Fall 2021
COVID Induced Takotsubo Cardiomyopathy: A Case Report
Kara Hatlevoll DO, MS, FAWM*, Harshit Singh*, Jaime Weber MS*, Natalie Griego MD *These authors contributed equally to this work. Abstract Case Presentation: An 82-year old patient with preexisting COVID-19 pneumonia and significant cardiac risk factors presented via EMS to the emergency department [...]
Soiled Airways: Suction Catheters and Decontamination Techniques
Parham Salehi Saee1, MS4; Dhimitri A Nikolla, DO2 Affiliations: 1Lake Erie College of Osteopathic Medicine, Erie, PA. 2Department of Emergency Medicine, Saint Vincent Hospital, Allegheny Health Network, Erie, PA. Introduction Usually, blood or vomit in the oropharynx, a soiled airway can obscur [...]
Spring 2021
COVID Induced Takotsubo Cardiomyopathy: A Case Report
Kara Hatlevoll DO, MS, FAWM*, Harshit Singh*, Jaime Weber MS*, Natalie Griego MD *These authors contributed equally to this work. Abstract Case Presentation: An 82-year old patient with preexisting COVID-19 pneumonia and significant cardiac risk factors presented via EMS to the emergency department [...]
Soiled Airways: Suction Catheters and Decontamination Techniques
Parham Salehi Saee1, MS4; Dhimitri A Nikolla, DO2 Affiliations: 1Lake Erie College of Osteopathic Medicine, Erie, PA. 2Department of Emergency Medicine, Saint Vincent Hospital, Allegheny Health Network, Erie, PA. Introduction Usually, blood or vomit in the oropharynx, a soiled airway can obscur [...]
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 [...]
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 [...]
Fall 2020
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 [...]
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
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 [...]
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 [...]
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, [...]
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 [...]
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 [...]
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
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 [...]
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 [...]
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
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. [...]
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 [...]
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 [...]
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 [...]
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 [...]