Posts by JETem

Calciphylaxis Photo LLE. JETem 2025 1

A Case Report of Calciphylaxis

Kim Hoang, BS*, Tien Lu, MD^, Alex Dang, MD^, Danielle Matonis, MD^

DOI: https://doi.org/10.21980/J8KW8V Issue 10:3[mrp_rating_result]
On arrival for this visit, the patient was nontoxic appearing with stable vital signs. The physical exam was notable for deep, ulcerated, bilateral anterior leg wounds with purulent drainage and large areas of eschar (see photographs).
Visual EMDermatologyInfectious DiseaseRenal/Electrolytes
Iatrogenic Bowel Perforation Following Dental Procedure. CT. Unannotated. JETem 2025

Case Report: Iatrogenic Bowel Perforation Following Dental Procedure

Claire DeLong, DO* and Frederick Fiesseler, DO*

DOI: https://doi.org/10.21980/J8CD38 Issue 10:3[mrp_rating_result]
The patient’s abdominal CT demonstrated a metallic foreign body in the left side of the abdomen within the small bowel, without surrounding induration or abscess. Radiology questioned whether the metallic foreign object perforated the bowel. Seen in the cross-sectional CT image, there is a hyperdense linear structure transversing the small intestinal wall, given that a portion of the structure was located outside of the lumen of the bowel.
Visual EMAbdominal/Gastroenterology

The Silent Saboteur: Teaching the Clinical Implications of Occult Hypoxemia & Social Determinants of Health via a Pulmonary Embolism Case

Eugene Marrone, MD*, John Cafaro, MD* and Jared Klein, DO*

DOI: https://doi.org/10.21980/J8FD14 Issue 10:2[mrp_rating_result]
By the end of this oral board case, learners will be able to: 1) obtain appropriate history of present illness (HPI) and physical exam elements for the undifferentiated chest pain patient, 2) identify elements of history and physical exam that are compatible with pulmonary embolism, 3) formulate a differential diagnosis for chest pain and perform the appropriate work-up to narrow this differential diagnosis, 4) appropriately manage pulmonary embolism, 5) review and discuss the diversity, equity and inclusion (DEI) elements of the case, and 6) review and discuss the importance of social determinants of health (SDH) in disposition decisions and patient outcomes.
Cardiology/VascularCertifying Exam CasesSocial Determinants of Health

Diabetic Ketoacidosis and Necrotizing Soft Tissue Infection

Matthew Henschel, DO* and Stephanie Songey, DO^

DOI: https://doi.org/10.21980/J89M0K Issue 10:2[mrp_rating_result]
At the end of this oral board session, examinees will: 1) Demonstrate the ability to obtain a complete medical history and physical exam. 2) Identify and appropriately treat DKA. 3) Identify, treat, and make appropriate consults for NSTI. 4) Demonstrate effective communication of the treatment plan with the patient.
Certifying Exam CasesEndocrineInfectious Disease

My Broken Heart

Kelly N Roszczynialski, MD, MS*, Alana E Harp, MD^, Cameron A Fisk, MD*,Kristen M Ng, MD, MEHP† and Ashley C Rider, MD, MEHP*

DOI: https://doi.org/10.21980/J85W7RIssue 10:2[mrp_rating_result]
By the end of this simulation session, learners will be able to: 1) assess the hemodynamics of an LVAD patient by using a Doppler to determine mean arterial pressure, 2) Manage an arrhythmia in an LVAD patient with a suction event by addressing preload, 3) Identify and treat the source of hypovolemia (a massive lower gastrointestinal hemorrhage), 4) Perform clear closed-loop communication with other team members.
Cardiology/VascularSimulation

Stabilization of Cardiogenic Shock for Critical Care Transport, a Simulation

Matthew Heffernan, MD*^, Jennifer Quinn, MSN*^, Craig Tschautscher, MD*^, Ryan Newberry, DO*^, Andrew Cathers, MD*^ and Brittney Bernardoni, MD*^

DOI: https://doi.org/10.21980/J82354 Issue 10:2[mrp_rating_result]
ABSTRACT: Audience: This simulation is designed for critical care transport providers but can be easily adapted for the inpatient setting. It is applicable to an interdisciplinary team including nurses, respiratory therapists, medical students, emergency medicine residents, and emergency medicine attendings. Introduction: Cardiogenic shock carries an incredibly high burden of morbidity and mortality.  Acute myocardial infarction accounts for 81% of cardiogenic
Cardiology/VascularEMSSimulation

Innovative Ultrasound-Guided Erector Spinae Plane Nerve Block Model for Training Emergency Medicine Physicians

Jose Correa Ibarra, MS*, Amelia Crowley, PA-C*, Sydney Hughes Lindros, MS^, Kevin B Walker, MD, FASA*, Caroline Astemborski, MD* and Phillip Moschella, MD, PhD*

DOI: https://doi.org/10.21980/J8PW7DIssue 10:2[mrp_rating_result]
This innovation model is designed to facilitate hands-on training of the ultrasound-guided ESP nerve block using a practical, realistic, and cost-effective ballistics gel model. By the end of this training session, learners should be able to: 1) identify relevant sonoanatomy on the created simulation model; 2) demonstrate proper in-plane technique; and 3) successfully replicate the procedure on a different target on the created training model.
InnovationsProceduresUltrasound

Orthopaedic Surgery Didactic Session Improves Confidence in Distal Radius Fracture Management by Emergency Medicine Residents

Ian T Watkins, MD*, Jessica L Duggan, MD*, Aron Lechtig, MD*, Andrew Bauder, MD^, Luke He, BS†, Alexy Ilchuk, BS^, Amanda Doodlesack, MD†**, Carl Harper, MD^† and Tamara D Rozental, MD^†

DOI: https://doi.org/10.21980/J8K365 Issue 10:2[mrp_rating_result]
By the end of this didactic session, learners should be able to: 1) assess DRF displacement on pre-reduction radiography and formulate reduction strategies, 2) perform a closed reduction of a DRF, 3) apply a safe and appropriate plaster splint to patient with a DRF and assess the patient’s neurovascular status, 4) assess DRF post-reduction radiography for relative fracture alignment, and 5) understand appropriate follow-up and necessary return precautions. 
OrthopedicsProceduresSmall Group Learning