Posts by JETem

Infant Botulism

Ashley Garispe, DO^* and Steven Cherry, MD^{^}

DOI: https://doi.org/10.21980/J88350 Issue 8:3 No ratings yet.

At the end of this oral board session, examinees will: 1) demonstrate an ability to obtain a complete pediatric medical history, 2) perform an appropriate physical exam on a pediatric patient, 3) investigate a broad differential diagnosis for neuromuscular weakness in a pediatric patient, 4) recognize the classic presentation of infant botulism and implement treatment with botulinum specific antitoxin before confirmatory testing, 5) recognize impending airway failure and intubate the pediatric patient with appropriately dosed medications and ET tube size, and 6) demonstrate effective communication with healthcare team members and parents.

Toxicology Oral Boards

R Retroperitoneal Hematoma US 1 Unannotated. JETem 2023

Trauma by Couch: A Case Report of a Massive Traumatic Retroperitoneal Hematoma

Cassandra Smith, BSN^*, Graham Stephenson, MD^*, Alisa Wray, MD, MAEd^* and Matthew Hatter, BS^*

DOI: https://doi.org/10.21980/J84D2QIssue 8:3 No ratings yet.

Upon arrival at the trauma center, a FAST revealed a large, well-circumscribed abnormality (red outline) deep to the liver (blue outline and star) and gallbladder (green outline and star). The right kidney and hepatorenal space were not clearly visualized. The remainder of the FAST showed no free fluid in the splenorenal space, pelvis, and no pericardial effusion. He had lung sliding bilaterally.

Trauma Visual EM

A Case Report of Invasive Mucormycosis in a COVID-19 Positive and Newly-Diagnosed Diabetic Patient

Konnor Davis, BS^*, Roy Almog, MD^{^}, Yuval Peleg, MD, MBA^{^} and Lindsey Spiegelman, MD, MBA^{^}

DOI: https://doi.org/10.21980/J81M1G Issue 8:3 No ratings yet.

On physical exam, when the patient was asked to try and look to her right, the right eye failed to move laterally/abduct (blue arrow). Additionally, when asked to look straight ahead, the eye was slightly adducted (red arrow). There was a lack of motion of the right eye in abduction when the patient was asked to look to her right (yellow arrow).

Infectious Disease Ophthalmology Visual EM

A Patient with Generalized Weakness – A Case Report

Darby Graham, MS^*, Manparbodh Kaur, MD^{^}, John Costumbrado, MD^{*^} and Sassan Ghassemzadeh, MD^{*^}

DOI: https://doi.org/10.21980/J8593C Issue 8:3 No ratings yet.

The CT of the abdomen and pelvis showed evidence of a large subcapsular rim-enhancing fluid collection with multiple gas and air-fluid levels along the right kidney measuring 8 x 4 cm axially and 11 cm craniocaudally (blue outline) with mass effect on the right renal parenchyma (yellow outline). Another suspected fluid collection adjacent to the upper pole of the right kidney measuring 4 x 3.4 cm was noted (red outline). Bilateral pyelonephritis was suggested without hydronephrosis or nephrolithiasis. The findings suggested complicated pyelonephritis with emphysematous abscess and hematoma formation.

Renal/Electrolytes Infectious Disease Visual EM

How to Build a Low-Cost Video-Assisted Laryngoscopy Suite for Airway Management Training

Erin Falk, MD^* and Adam Blumenberg, MD, MA^{*^}

DOI: https://doi.org/10.21980/J8C068 Issue 8:2 No ratings yet.

Using an anatomically accurate airway simulator, by the end of a 20–30-minute instructional session, learners should be able to: 1) Understand proper positioning and use the video laryngoscope with dexterity, 2) identify airway landmarks via the video screen, and 3) demonstrate ability to intubate a simulated airway.

Innovations Procedures Respiratory

Construction of Soft Prep Cadaver Pericardiocentesis Training Model and Implementation Among Emergency Medicine Residents

Kathryn Oskar, MD^* and Dana Stearns, MD^{^}

DOI: https://doi.org/10.21980/J87930 Issue 8:2 No ratings yet.

By the end of this session, residents will gain increased procedural competence and confidence with pericardiocentesis. Residents will be able to identify necessary supplies for the procedure, identify relevant surface anatomy and ultrasound views, and successfully aspirate fluid from model effusion.

Cardiology/Vascular Innovations Procedures

Flipping Tickborne Illnesses with Infographics

Daniel Johnson, DO^* and Annahieta Kalantari, DO^*

DOI: https://doi.org/10.21980/J83H12 Issue 8:2 No ratings yet.

After participation in this module, learners will be able to 1) list the causative agents for Lyme Disease, Babesiosis, Tularemia, Ehrlichiosis, Anaplasmosis, Tick Paralysis, Rocky Mountain Spotted Fever, and Powassan Virus, 2) identify different clinical features to distinguish the different presentations of tickborne illnesses, and 3) provide the appropriate treatments for each illness.

Infectious Disease Small Group Learning

Peripartum Cardiomyopathy

Victoria L Morris, MD^*, Carolina Mendoza, MD^*, Gowri S Stevens, MD^*, Jessica L Wilson, MD^*and Adeola A Kosoko, MD^*

DOI: https://doi.org/10.21980/J8ZS9M Issue 8:2 No ratings yet.

By the end of this simulation session, learners will be able to: 1) initiate a workup of a pregnant patient who presents with syncope, 2) accurately diagnose peripartum cardiomyopathy, 3) demonstrate care of a gravid patient in respiratory distress due to peripartum cardiomyopathy, 4) appropriately manage cardiogenic shock due to peripartum cardiomyopathy.

Cardiology/Vascular Ob/Gyn Simulation

Acute Exacerbation of COPD

Dominic Pappas, MD^*and Amrita Vempati, MD^*

DOI: https://doi.org/10.21980/J8V070 Issue 8:2 No ratings yet.

By the end of this simulation, learners will be able to (1) assess for causes of severe shortness of breath, (2) manage severe COPD exacerbation by administering appropriate medications, (3) identify worsening clinical status and initiate NIPPV, (4) assess the causes of hypoxia after establishing endotracheal intubation and, (5) identify indication for needle decompression and perform chest tube thoracostomy.

Respiratory Simulation

Botulism due to Drug Use

Timothy Hoffman, MD^* and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J8Q93B Issue 8:2 No ratings yet.

ABSTRACT: Audience: This scenario was developed to educate emergency medicine residents on the diagnosis and management of wound botulism secondary to injection drug use. Introduction: Botulism is a relatively rare cause of respiratory failure and descending weakness in the United States, caused by prevention of presynaptic acetylcholine release at the neuromuscular junction. This presentation has several mimics, including myasthenia gravis

Simulation Toxicology