Posts by JETem

Left Ventricular Assist Devices

Khuansiri Narajeenron, MD, MSc*^, Wirachin Ying Hoonpongsimanot, MD, MS^ and Megan Boysen Osborn, MD, MHPE^

DOI: https://doi.org/10.21980/J8JP4Z Issue 2:2[mrp_rating_result]
Upon completion of this cTBL module, the learner will be able to: 1) Properly assess LVAD patients’ circulatory status; 2) appropriately resuscitate LVAD patients; 3) identify common LVAD complications; 4) evaluate and appropriately manage patients with LVAD malfunctions.
Cardiology/VascularTeam Based Learning (TBL)

Emergency Medicine Dermatology

Shannon Toohey, MD, MAEd*

DOI: https://doi.org/10.21980/J8DW21 Issue 2:2[mrp_rating_result]
By the end of this educational session, the learner will: 1) List the six primary types of rash (maculopapular, petechial/purpura, diffuse erythematous, non-erythematous, vesiculo-bullous, and pustular). 2) Be able to accurately describe various types of lesions and rashes with appropriate terminology; 3) Understand the use of the Modified Lynch Algorithm and how it can be used to narrow down the differential diagnosis in patients presenting with rash.
DermatologyTeam Based Learning (TBL)

Pediatric Sepsis Case Scenario

Ilene Claudius, MD*, Sandra Montero, RN*, Madhu Hardasmalani, MD^, Kellyn Pak, RN* and Y. Liza Kearl, MD^

DOI: https://doi.org/10.21980/J8MK5XIssue 2:2[mrp_rating_result]
Pediatric sepsis is a low-frequency, high impact condition. Nurses and physicians do not see it often, but must recognize and treat children with sepsis efficiently when they present. This makes pediatric sepsis education particularly amenable to simulation scenarios.
PediatricsInfectious DiseaseSimulation

Status Epilepticus in the Emergency Department

Jonathan Lee, BS* and Alisa Wray, MD*

DOI: https://doi.org/10.21980/J8RC7VIssue 2:2[mrp_rating_result]
At the end of this simulation session, the learner will: 1) Demonstrate the management of status epilepticus 2) Justify when airway intervention is needed for status epilepticus 3) Describe risk factors for status epilepticus 4) Prepare a differential diagnosis for the causes in status epilepticus.
NeurologySimulation
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Acute Necrotizing Ulcerative Gingivitis (ANUG)

Nicholas E. Kman, MD* and Vinny P. Kumar, MD*

DOI: https://doi.org/10.21980/J8S88H Issue 2:2[mrp_rating_result]
Physical examination revealed inflamed gingiva, ulceration, and soft tissue necrosis (Image 1) along with mandibular lymphadenopathy (not shown). Given her symptoms, poor oral care, and her immunocompromised state, she was given a diagnosis of Acute Necrotizing Ulcerative Gingivitis (ANUG) or Vincent’s Angina.
ENTInfectious DiseaseVisual EM
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Acute Aortic Dissection Presenting Exclusively as Lower Extremity Paresthesias

Ryan Gibney, BS*, Jonathan Patane, MD* and Steven Bunch, MD*

DOI: https://doi.org/10.21980/J8NK57 Issue 2:2[mrp_rating_result]
Chest x-ray and CT angiogram was performed to evaluate his thoracic and abdominal vasculature. Chest x-ray did not show any significant widening of the mediastinum. The CT angiogram demonstrated an intimal tear along the aortic arch separating a true and false aortic lumen, consistent with an acute aortic dissection. The true lumen (highlighted in blue in images 1-5) can be identified by continuity with an undissected part of the aorta. While the false lumen (highlighted in red in images 1-5) can be identified by its crescent shape and larger cross-sectional area.
Cardiology/VascularVisual EM
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Galeazzi Fracture

Reid Honda, MD*

DOI: https://doi.org/10.21980/J8HS39 Issue 2:2[mrp_rating_result]
The X-ray showed an acute comminuted fracture of the distal diaphysis of the radius with disruption of the distal radioulnar joint, consistent with a Galeazzi fracture. The patient was then splinted and taken for operative reduction and internal fixation the following day.
OrthopedicsVisual EM
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Bowel Perforation complicating an incarcerated inguinal hernia

Adam Sigal, MD* and Jamie Slotkin, DO^

DOI: https://doi.org/10.21980/J8D30BIssue 2:2[mrp_rating_result]
The AP and lateral pelvis x-rays revealed two sewing needles, 60 mm in length, within the soft tissue over the anterior right lower hemipelvis. In addition, the AP view showed emphysema involving the right hemiscrotum (arrow), concerning for perforated bowel.
Abdominal/GastroenterologyVisual EM