Posts by JETem

Stopping Fistula Hemorrhage without Bleeding Time and Money – A Low Cost, Low Resource Hemodialysis Fistula Model for Emergency Medicine Residents

Mary Jordan, MD*, Thomas Yang, MD, MBA, Med, MS^, Michael Collier, CHSOS** and Lacie Bailey, MD, MHPE, MS*

DOI: https://doi.org/10.5070/M5.52204 Issue 11:2[mrp_rating_result]
After using the task trainer bleeding fistula model, learners will be able to: 1) identify vascular access hemorrhage as an emergency presentation in dialysis patients; 2) execute a stepwise approach to manage a bleeding fistula; 3) demonstrate effective hemorrhage control for a patient with uncontrolled bleeding from their fistula, including choice of appropriate suture material and suturing technique; and 4) discuss pitfalls of hemorrhage control in patients with fistulas, including risks of tourniquet use and complications related to clot formation at the fistula site.  
InnovationsProceduresRenal/Electrolytes

OptimEYEzing Emergency Skills: A Novel Model for Ocular Procedural Education for Emergency Medicine Residents

Carrie Maupin, MD, MHPE*, Ambika Anand, MD, MEHP*, Grace Hickam, MD, MEHP*and Stephen Miller, DO*

DOI: https://doi.org/10.5070/M5.52212Issue 11:2[mrp_rating_result]
By the end of this session, learners will be able to: 1) identify signs and symptoms of ocular emergencies, 2) appraise for indications to perform ocular procedures, 3) demonstrate procedural competence in ocular foreign body removal, fluorescein staining, lateral canthotomy, and intraocular pressure (IOP) measurements, 4) relate increased procedural confidence with ocular procedures.
InnovationsOphthalmologyProcedures

Low-Cost, Reusable Fracture Reduction Task Trainer for Distal Radius Fractures

Gabriela Guez, MD * and Stephanie Stapleton, MD*

DOI: https://doi.org/10.5070/M5.52357 Issue 11:2[mrp_rating_result]
Utilizing this task trainer, learners will be able to 1) identify key anatomic structures, 2) distinguish a Colles from a Smith fracture of the radius, 3) understand fracture reduction technique using traction, translation and angulation, 4) appreciate the amount of force required for manipulation of the distal fracture fragment, and 5) gain hands-on practice using a model with similar haptics to bone and soft tissue.
InnovationsOrthopedicsProcedures

A Novel Low-Cost Phantom for Ultrasound-Guided Fascia Iliaca Nerve Blocks

Laura Nolting, MD* and Heather A Brown, MD, MPH*

DOI: https://doi.org/10.5070/M5.52321 Issue 11:2[mrp_rating_result]
By the end of the training session using the FI phantom and bedside ultrasound, learners should be able to: 1) discuss indications, contraindications, and complications of FI blocks; 2) identify anatomy relevant to performing an FI block on ultrasound; and 3) independently perform an FI block or demonstrate proper needle position for FI block on ultrasound of the phantom.
InnovationsProceduresUltrasound
Appendicolith. CT Annotated 1. JETem 2026

A Case Report of Acute Appendicitis Complicated by Appendicoliths

Faris F Halaseh* and Lindsey C Spiegelman, MD, MBA^

DOI: https://doi.org/10.5070/M5.52213Issue 11:2[mrp_rating_result]
Contrast-enhanced CT of the abdomen and pelvis was obtained. Coronal CT demonstrated a dilated appendix measuring up to 1.2 cm in diameter with multiple appendicoliths (yellow arrows), the largest measuring 1.1 cm. Mild periappendiceal fat stranding was present, consistent with acute appendicitis complicated by appendicoliths. The surrounding bowel and colon were normal in caliber and distribution. An additional coronal view demonstrated a dilated appendix (yellow arrow) containing an appendicolith with periappendiceal inflammatory changes. No evidence of perforation, abscess, or drainable fluid collection was identified.
Visual EMAbdominal/Gastroenterology
Sarcoidosis CT. Lung View. JETem 2026

Case Report: Acute Dyspnea in a Young Female

Brian Kenny, DO* and Marwa Ali, MD*

DOI: https://doi.org/10.5070/M5.52254 Issue 11:2[mrp_rating_result]
The patient underwent computer tomography (CT) imaging of the chest, abdomen, and pelvis. Computer tomography of the chest showed bilateral diffuse pulmonary nodules in a perilymphatic distribution (yellow arrows), and diffusely increased mediastinal and hilar soft tissue densities (blue circle), likely representing lymphadenopathy; a left upper lobe lesion with central cavitation (orange circle) was also seen likely to be associated with the same disease process as the extensive lymphadenopathy. Imaging of the abdomen and pelvis was significant for diffuse hypodensities of the liver and spleen suggesting a multi-system process.
Visual EMRespiratory
The Rash Vasculitis Photo 2. JETem 2026

The Rash That Didn’t Blanch: A Case Report of Adult-Onset IgA Vasculitis with Underlying Cirrhosis and IgA Nephropathy

Elaha Noori, BS*, Tyler Rigdon, MD^, Omar Darwish, DO† and Danielle Matonis, MD^

DOI: https://doi.org/10.5070/M5.52253 Issue 11:2[mrp_rating_result]
Given the patient’s physical exam findings of tender palpable purpura to the lower extremities, dermatology was consulted for suspicion of acute small vessel vasculitis. A punch biopsy for hematoxylin and eosin (H&E) stain and direct immunofluorescence (DIF) was subsequently performed. The H&E demonstrated nonspecific purpura.
Visual EMDermatology
Cricket open fracture dislocation. Photo 4. JETem 2026

A Case Report on an Open Fracture Dislocation Injury of the Proximal Phalanx of the Thumb Resulting from Playing Cricket

Michael R Chiang, MD*, Morgan Kemerling, MD*, Rahul Pentaparthi^ and Avi Ruderman, MD*

DOI: https://doi.org/10.5070/M5.52278Issue 11:2[mrp_rating_result]
There was an open injury to the volar aspect of the right thumb at the interphalangeal joint, with exposed bone. There was no active bleeding from the wound. He had intact sensation to the entire thumb and hand. His radial pulse was normal with normal capillary refill in all digits of his right hand. He had intact wrist flexion, extension, abduction, and adduction; however, he was unable to flex or extend his thumb secondary to the injury. He had no other injuries to the rest of his right upper extremity. An x-ray was obtained which showed a right thumb proximal phalanx intra-articular fracture (proximal fracture fragment outlined in yellow, distal fracture fragment outlined in pink) at the interphalangeal joint with dorsal dislocation of the distal phalanx (outlined in red). There were no radiopaque foreign bodies.
Visual EMOrthopedics