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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 [...]
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 [...]
“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 [...]
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 [...]
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 [...]
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 [...]
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 [...]
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 [...]
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 [...]
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 [...]