Posts by JETem

Post-Termination Hemorrhage

Nichole Niknafs, DO* and Alisa Wray, MD^

DOI: https://doi.org/10.21980/J8NW6Q Issue 4:3[mrp_rating_result]
By the end of this simulation, participants will be able to: 1) recognize post-termination hemorrhage and hemorrhagic shock; 2) demonstrate appropriate acute resuscitation for a patient with hemorrhagic shock; 3) review the differential diagnosis for a patient with post-termination hemorrhage; 4) identify the indications for massive transfusion protocol.
Ob/GynSimulation

Thyroid Storm in the Emergency Department

Christopher Eric McCoy, MD, MPH* and Reid Honda, MD*

DOI: https://doi.org/10.21980/J8234RIssue 4:3[mrp_rating_result]
By the end of this simulation-based session, the learner will be able to: 1) Recognize the signs and symptoms of thyroid storm and appropriately diagnose a patient with thyroid storm. 2) Choose appropriate medications for the treatment of thyroid storm. 3) Determine the appropriate disposition for a patient presenting in thyroid storm. 4) Discuss the rationale behind each drug used to treat thyroid storm. 5) List at least three precipitants of thyroid storm.
EndocrineSimulation

A Story About Mesenteric Ischemia

Annahieta Kalantari, DO*

DOI: https://doi.org/10.21980/J8J33Q Issue 4:3[mrp_rating_result]
We aim to teach the presentation and management of cardiovascular emergencies through the creation of a flipped classroom design. This unique, innovative curriculum utilizes resources chosen by education faculty and resident learners, study questions, real-life experiences, and small group discussions in place of traditional lectures. In doing so, a goal of the curriculum is to encourage self-directed learning, improve understanding and knowledge retention, and improve the educational experience of our residents.
Abdominal/GastroenterologyCardiology/VascularSmall Group Learning

Emergency Medicine Curriculum Utilizing the Flipped Classroom Method: Infectious Disease and Immunology

Benjamin Ostro, MD*, Andrew King, MD*, Laura Branditz, MD*, Daniel R Martin, MD, MBA*, Daniel Bachmann, MD*, Ashish Panchal, MD, PhD* and Michael Barrie, MD*

DOI: https://doi.org/10.21980/J8DD1T Issue 4:3[mrp_rating_result]
We aim to teach the presentation and management of infectious disease and immunological emergencies through the creation of a flipped classroom design. The topics include sepsis, sexually transmitted infections (STIs), tropical diseases, angioedema and anaphylaxis, transplant-related emergencies, and collagen vascular diseases. This unique, innovative curriculum utilizes resources chosen by education faculty and resident learners, study questions, real-life experiences, and small group discussions in place of traditional lectures. The goal of our curriculum is to encourage self-directed learning, improve understanding and knowledge retention, and improve the educational experience of our residents.
Infectious DiseaseCurriculum
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Point-Of-Care Ultrasound for the Diagnosis of Extensor Tenosynovitis

James A Frank, MD*, Joshua Lupton, MD* and Bryson Hicks, MD*

DOI: https://doi.org/10.21980/J8Q050Issue 4:3[mrp_rating_result]
Point-of-care ultrasound of the dorsal aspect of the left hand reveals a heterogenous hypoechoic fluid collection surrounding the extensor tendons (axial view) within the retinaculum consistent with edema. Longitudinal view shows anechoic fluid within the tenosynovium which is located between the anisotropic extensor tendon and linear hyperechoic synovial sheath. Longitudinal view also shows some cobblestoning, or tissue edema, superficial to the anisotropic extensor tendon. The patient’s contralateral right dorsal hand was scanned in a longitudinal view and shows no cobblestoning or hypoechoic fluid under the synovial sheath. The patient was diagnosed with tenosynovitis, and started on intravenous antibiotics.
OrthopedicsInfectious DiseaseUltrasoundVisual EM
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Point-of-care Ultrasound in the Diagnosis and Monitoring of Bladder Hematoma vs. Hemorrhage

Esther Kim, BS* and Shadi Lahham, MD, MS*

DOI: https://doi.org/10.21980/J8092FIssue 4:3[mrp_rating_result]
Bladder POCUS demonstrated 500mL of post void residual fluid, indicative of retention. Half of the volume is hyperechoic (red circle); this is likely the bladder wall hematoma. Could also consider sonographic artifact, bladder mass, or cystitis.1-2
GenitourinaryUltrasoundVisual EM
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Asymptomatic CT Iodinated Contrast Extravasation of the Upper Extremity

Eric Liao, MD* and John Costumbrado, MD, MPH*

DOI: https://doi.org/10.21980/J8VK87 Issue 4:3[mrp_rating_result]
The two radiographs demonstrate extravasation of radiopaque iodinated contrast in the lower left upper extremity with most seen in the left antecubital fossa and left proximal forearm. Extravasation is seen in the subcutaneous and subfascial tissue.
Visual EMOrthopedics
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Oral Herpes Zoster

Daniel Polvino, MD*, Grant Wei, MD* and Christopher Bryczkowski, MD*

DOI: https://doi.org/10.21980/J8QS69Issue 4:3[mrp_rating_result]
Physical exam findings revealed vesicular lesions on the lip, hard and soft palates which did not cross the midline. The lesions appeared in the distribution of the maxillary branch (V2) of the trigeminal nerve, consistent with herpes zoster.
DermatologyInfectious DiseaseVisual EM