Posts by JETem

Fitz Hugh Curtis Case Report

Savannah Loehr, BS^* and Cindy Bitter, MD, MPH, MA^{^}

DOI: https://doi.org/10.21980/J82K9G Issue 5:2 No ratings yet.

A sagittal view from computed tomography (CT) of the abdomen and pelvis demonstrated fat stranding beneath the inferior margin of the liver (outlined in red). The axial view showed fat stranding adjacent to the ascending colon without significant colon wall thickening (arrow). Fat stranding can occur as a hazy increased attenuation (brightness) or a more distinct reticular pattern.

Ascending Thoracic Aortic Dissection: A Case Report of Rapid Detection Via Emergency Echocardiography with Suprasternal Notch Views

Brandon Backlund, MD^*, Anastasia Kendrick-Adey, MD^*, Rachel Harper, MD^* and Martin Makela, MD^*

DOI: https://doi.org/10.21980/J8WW6WIssue 5:2 No ratings yet.

Video of parasternal long-axis bedside transthoracic echocardiogram: The initial images showed grossly normal left ventricular function, and no pericardial effusion or evidence of cardiac tamponade. However, the proximal aorta beyond the aortic valve was poorly-visualized in this window.

Cardiology/Vascular Ultrasound Visual EM

Introduction to Wilderness Medicine – A Medical School Elective

Mark A Pittman, MD^*, Trevor Slone, DO^* and Matthew Wilson, MD^{^}

DOI: https://doi.org/10.21980/J8B93X Issue 5:1 No ratings yet.

The primary objective of this course is to provide fourth year medical students an introduction to wilderness medicine. Students will be able to: explain fundamental concepts of practicing medicine in austere conditions; identify and initiate treatment for common wilderness medicine conditions; and utilize the non-medical aspects of providing care in austere environments.

Wilderness Curricula

Peritonsillar Abscess Model for Ultrasound Diagnosis Using Inexpensive Materials

Mustafa N Rasheed, BS^*, Keel E Coleman, MD^* and Timothy J Fortuna, MD^*

DOI: https://doi.org/10.21980/J86G9P Issue 5:1 No ratings yet.

By the end of this instructional session learners should be able to: 1) identify and discuss the indications, contraindications, and complications associated with peritonsillar abscesses, 2) properly identify and measure a PTA through ultrasound, and 3) competently perform ultrasound-guided peritonsillar abscess drainage on a simulator and remove fluid.

ENT Infectious Disease Innovations Procedures

The Eyes Have It: A Low-Cost Model for Corneal Foreign Body Removal Training

Tabitha Ford, MD^*, Megan L Fix, MD^*, Troy E Madsen, MD^* and Susan Stroud, MD^*

DOI: https://doi.org/10.21980/J82S85 Issue 5:1 No ratings yet.

ABSTRACT: Audience: This corneal foreign body simulator is designed to instruct junior emergency medicine (EM) residents and medical students with an interest in emergency medicine. Introduction: Eye complaints are common in the emergency department (ED), accounting for approximately 2 million ED visits each year.1 Corneal foreign bodies (CFB) account for approximately 7.5% of these presentations, and many EM providers are

Ophthalmology Innovations Procedures

Pulseless Electrical Activity Cardiac Arrest

Erik Sembroski, MD^*, Christopher M McDowell, MD^{^} and Matthew M Mannion, BA^{^}

DOI: https://doi.org/10.21980/J8Z055 Issue 5:1 No ratings yet.

After competing this simulation-based session, the learner will be able to: 1) Identify PEA arrest; 2) review the ACLS commonly recognized PEA arrest etiologies via the H &T mnemonic; 3) review and discuss the risks and benefits of tissue plasminogen activator (tPA) for massive PE.

Cardiology/Vascular Respiratory Simulation

Spinal Epidural Abscess

Christine T Luo, MD, PhD^* and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J8T938 Issue 5:1 No ratings yet.

After this simulation case, learners will be able to diagnose and manage patients with spinal epidural abscesses. Specifically, learners will be able to: 1) Obtain a detailed history, including past infectious, surgical, procedural and social history to evaluate for epidural abscess risk factors; 2) describe clinical signs and symptoms of spinal epidural abscesses and understand that initial clinical presentations can be variable; 3) perform a focused neurological exam including evaluation of motor, sensory, reflexes, and rectal tone; 4) order appropriate laboratory testing and imaging modalities for spinal epidural abscess diagnosis, including a post-void bladder residual volume; 5) select appropriate antibiotics for empiric treatment of spinal epidural abscess depending on patient presentation; 6) disposition the patient to appropriate inpatient care.

Infectious Disease Orthopedics Simulation

Make and Break Your Own Hand: A Review of Hand Anatomy and Common Injuries

Gabriel Sudario, MD^*, Alisa Wray, MD, MAEd^* and Robin Janson, OTD, MS, OTR, CHT^{^}

DOI: https://doi.org/10.21980/J8PH0Z Issue 5:1 No ratings yet.

By the end of this session, learners should be able to name and identify all bones of the hand; arrange and construct an anatomically correct bony model of the hand; build functional phalangeal flexor and extensor tendon complexes onto a bony hand model; describe the mechanism of injury, exam findings, and management of the tendon injuries Jersey finger, Mallet finger, and central slip rupture; draw/recreate injury patterns on a bony hand model; and describe the mechanism of injury, exam findings, imaging findings, and management of scapholunate dissociation, perilunate dislocation and lunate dislocation, Bennett’s fracture, Rolando fracture, Boxer’s fracture and scaphoid.

Orthopedics

A Comprehensive Course for Teaching Emergency Cricothyrotomy

Brandon Backlund, MD^*, Richard Utarnachitt, MD^*, Joshua Jauregui, MD^* and Taketo Watase, MD^*

DOI: https://doi.org/10.21980/J8JS9W Issue 5:1 No ratings yet.

After completing this activity, the learner will be able to: 1) correctly describe the indications for and contraindications to emergency cricothyrotomy; 2) correctly describe and identify on the simulator the anatomic landmarks involved in emergency cricothyrotomy; 3) correctly list the required equipment and the sequence of the steps for the “standard” and “minimalist” variations of the procedure; 4) demonstrate proper technique when performing a cricothyrotomy on the simulator without prompts or pauses.

Procedures Respiratory Small Group Learning

Fracture Detectives: A Fracture Review Match Game

Gabriel Sudario, MD^*and Gina Hana, BS^*

DOI: https://doi.org/10.21980/J8F06W Issue 5:1 No ratings yet.

At the end of this session, learners will be able to: recognize and identify various orthopedic injuries on plain film images, describe the mechanism of injury of the various orthopedic injuries, describe the physical examination findings seen in various orthopedic injuries, recall associated injuries and at-risk anatomic structures associated with various orthopedic injuries, and describe the emergency department management of various orthopedic injuries.

Orthopedics Small Group Learning