Cardiology/Vascular

Awaiting Stress: An Interprofessional In-situ Simulation to Optimize Team Management of Cardiac Arrest in an Emergency Department Observation Unit

Ashley Christine Rider, MD, MEHP*, Michael Losak, MD*, Brooke Stimmel, RN^, Stephanie Galang, RN^, Jennifer Hunter, PA-C^, Kelly Roszczynialski, MD, MS*

DOI: https://doi.org/10.5070/M5.52393Issue 11:4[mrp_rating_result]
By the end of this simulation session, learners will be able to: 1) prioritize and coordinate team-based tasks within the CDU environment upon recognizing patient decompensation and cardiac arrest, 2) optimize clinical decision unit (CDU) team member roles and interprofessional communication, 3) adapt resuscitation principles in the resource-variable setting of a CDU to manage a critically ill patient.
Cardiology/VascularCurrent IssueSimulation
Intravenous Leiomyomas with Intracardiac Leiomyomatosis. CT Chest Annotated. JETem 2026

Case Report on Rare Presentation of Intravenous Leiomyomas with Intracardiac Leiomyomatosis

Star Q Lopez, JD, MBA, LLM, MA*, Natalie Llauro, MD, MS*, Anvesh Macherla, MD^, Lindsey Spiegelman, MD, MBA† and Roozbeh Houshyar, MD**

DOI: https://doi.org/10.5070/M5.52111Issue 11:4[mrp_rating_result]
Postoperatively, a CT of the abdomen and pelvis with contrast showed a lobulated soft tissue density (arrowheads) measuring 4.5 x 3 cm in the right pelvis. A subsequent MRI of the pelvis showed a 3.7 x 2.8 cm lobulated structure in the right pelvis above the vaginal cuff thought to be most consistent with an unusual cluster of venous structures. Following this, a CT venogram of the abdomen and pelvis revealed residual filling defects in the infrarenal IVC, extending through the right common iliac vein and multiple internal iliac branches.
Visual EMCardiology/VascularCurrent IssueOb/Gyn
Shockingly Unreliable. Pre Cardioversion ECG. JETem 2026

Shockingly Unreliable: A Case Report of Failure of Synchronized Cardioversion Device to Capture, Resulting in Ventricular Fibrillation and Cardiac Arrest

Clifford J Buckley, MD*^, Bradley J McClintic, MD*, Andrew L Juergens II, MD*^ and Shea Standley, DO*

DOI: https://doi.org/10.5070/M5.53094Issue 11:4[mrp_rating_result]
The initial electrocardiogram (ECG) demonstrated wide-complex tachycardia (WCT) at 150 BPM (Pre-Cardioversion ECG).
Visual EMCardiology/VascularCurrent IssueProcedures

Dangerous Dysrhythmias in the ED: An Interactive EKG Workshop for Emergency Medicine Clerkship Learners

Jordan Ancmon, DO* and Jacob Feldman, MD, MSADE*

DOI: https://doi.org/10.5070/M5.52195 Issue 11:3[mrp_rating_result]
By the end of this session, learners will be able to: 1) identify common tachyarrhythmias and pulseless rhythms using EKGs, 2) differentiate stable from unstable tachyarrhythmias based on hemodynamics, symptoms, and EKG findings in acutely ill ED patients, 3) apply appropriate critical resuscitative actions to manage stable tachyarrhythmias, unstable tachyarrhythmias, and pulseless rhythms during emergency department resuscitations, in accordance with ACLS (Advanced Cardiopulmonary Life Support) principles, and 4) construct a rapid, ED-focused decision-making algorithm to guide the identification and management of tachyarrhythmias and pulseless rhythms.
Cardiology/VascularSmall Group Learning

ECG Bootcamp – A Novel Emergency Medicine Small Group Session

Kimberly Sokol, MD, MS, MACM*, Anthony Lucero, MD*, Melissa Kemp, DO ^, Nayana Singh, BS†, and Ian Sprouse, BS*

DOI: https://doi.org/10.5070/M5.52155 Issue 11:3[mrp_rating_result]
By the end of this group exercise, learners will be able to: 1) Recognize an emergent ECG that needs action immediately, 2) Demonstrate an understanding of normal vs abnormal pediatric ECGs, 3) Identify ECG manifestations of toxicologic conditions, 4) Describe the key characteristics of an ECG in a patient with a pacemaker and problems thereof, 5) Compare and contrast common ECG findings in patients with certain congenital/hereditary cardiac conditions, 6) Manage a patient presenting in extremis with torsades de pointes in the emergency department.
Cardiology/VascularSmall Group Learning
Rapidly Progressive Painless Acute Aortic Dissection. CT Axial Level of the Liver. JETem 2026

Rapidly Progressive Painless Acute Aortic Dissection: A Case Report

Justin Yang, MD, Tyler Rigdon, MD* and Kristin Lewis, MD, MA*

DOI: https://doi.org/10.5070/M5.52348Issue 11:3[mrp_rating_result]
A POCUS of the abdomen at that time demonstrated findings concerning for a dissection flap in the abdominal aorta (green arrows), and a new mild to moderate pericardial effusion was seen on a repeat cardiac POCUS suggesting an evolving aortic dissection (blue arrows). The patient’s CTA revealed a type A AAD with extension from the aortic root to the bilateral external and internal iliac vessels as well as the coronary arteries (red arrows).
Visual EMCardiology/Vascular
Cerebral Venous Thrombosis. CT Coronal Unannotated. JETem 2026

Computed Tomography Findings of Cerebral Venous Thrombosis: A Case Report

Alex Y Koo, MD*^, Samuel Shulimson, DO*^, and Joelle Borhart, MD*^

DOI: https://doi.org/10.5070/M5.52331Issue 11:3[mrp_rating_result]
The emergency physician ordered a non-contrast head CT and CT venogram of the head given worsening symptoms with disequilibrium and CVT risk factors of postpartum coagulopathy. The non-contrast head CT demonstrated a hyperdensity occlusion of the left transverse sinus (blue arrow). This serpiginous hyperdensity is called the “cord” or “string” sign, which is thrombosis within the vein. The CT venogram of the head demonstrated occlusion of the left transverse (red arrows) and sigmoid sinus (yellow arrow).
Visual EMCardiology/VascularNeurology

Enhancing Emergency Medicine Resident Education: A Weekly Education Series to Augment Electrocardiogram Education

Tyler West, MD*, Jarren Adam, DO^ and Kevin Watkins, MD*

DOI: https://doi.org/10.5070/M5.52141Issue 11:1[mrp_rating_result]
The goals of the curriculum were to establish an asynchronous ECG curriculum to help improve standardization of EM resident education, expose EM residents to a more comprehensive ECG curriculum, increase active learning in this arena, and decrease the administrative burden while not dedicating further conference time towards ECG education. 
Cardiology/VascularCurricula