Current Issue

Do’s and Don’ts of Taking Care of Deaf Patients

Luke Johnson, MD^*, Sarah Smetana, MD^*, Wyatte Hall, PhD^{^}, Aaron D Weaver, MD^* and Jason Rotoli, MD^*

DOI: https://doi.org/10.21980/J8336T Issue 10:1 No ratings yet.

By the end of this didactic, the learner will demonstrate increased comfort with communication with DHH patients via improved awareness of communication pitfalls and through approaches to communicating with DHH patients in a limited capacity, such as without timely access to interpreters or in an environment where staff are unfamiliar with DHH patients. An in-depth assessment of cultural awareness and description of proper communication techniques, necessary equipment, or interpreter working relationships is beyond the scope of this project.

Current Issue Miscellaneous (stats, etc)

Medical Simulation Anywhere and Anytime: Simulation in a Backpack

Janice Shin-Kim, MD^* and Adam Blumenberg, MD^*

DOI: https://doi.org/10.21980/J8Z94WIssue 10:1 No ratings yet.

By the end of this simulation experience learners will be able to: 1) Recognize and manage emergencies through immersive simulation experiences with an inflatable manikin and pre-programmed free software system; 2) demonstrate knowledge and skills to resuscitate patients with medical emergencies; 3) enhance confidence and competence in responding to medical emergencies using portable, low-tech resources; and 4) foster interdisciplinary collaboration and effective communication during scenarios.

Current Issue Innovations Simulation

Alcohol Withdrawal

Patrick Meloy, MD^*, Dan Rutz, MD^{^} and Amit Bhambri, MD^†

DOI: https://doi.org/10.21980/J87S8Q Issue 10:1 No ratings yet.

At the end of this oral boards session, learners will: 1) demonstrate the ability to perform a detailed history and physical examination in a patient presenting with signs and symptoms of alcohol withdrawal, 2) investigate the broad differential diagnoses, including electrolyte abnormalities, trauma in the intoxicated patient, mild alcohol withdrawal, and delirium tremens, 3) list appropriate laboratory and imaging studies to include complete blood count (CBC), complete metabolic panel (CMP), magnesium level, computed tomography (CT) scan of the brain; 4) understand the management of hypoglycemia with concurrent administration of thiamine to prevent Wernicke’s encephalopathy and subsequent Korsakoff syndrome, 5) appropriately treat acute alcohol withdrawal with intravenous (IV) hydration and benzodiazepines, phenobarbital, or alternative medications, and 6) understanding the need for the complex management of these patients, appropriately disposition the patient to the intensive care unit after consulting with critical care specialists.

Current Issue Oral Boards Pharmacology Toxicology

Acetaminophen Toxicity

Rachel Whittaker, MD^* and Navneet Cheema, MD^*

DOI: https://doi.org/10.21980/J8435R Issue 10:1 No ratings yet.

At the end of this practice oral board session, examinees will be able to: 1) demonstrate an ability to obtain a complete medical history in an oral boards structured interview format, 2) review appropriate laboratory tests and imaging to evaluate abdominal pain, 3) investigate a broad differential diagnosis for right upper quadrant abdominal pain, 4) recognize chronic acetaminophen toxicity, 5) initiate the appropriate treatment for chronic acetaminophen toxicity, 6) demonstrate effective communication with the patient, consultants, and the admitting team.

Current Issue Toxicology

Journal Court: A Novel Approach to Incorporate Medicolegal Education into an Emergency Medicine Journal Club

Kevin McGurk, MD^*, Mary Jordan, MD^* and Bradley Davis, DO^*

DOI: https://doi.org/10.21980/J8093TIssue 10:1 No ratings yet.

By the end of this exercise, participants should: 1) identify the four necessary elements for a malpractice claim, 2) understand the basic structure of medical malpractice litigation, and 3) critically analyze medical literature representing diverging viewpoints or conclusions.

Current Issue Cardiology/Vascular Miscellaneous (stats, etc)Small Group Learning

A Cold Case: Myxedema Coma

Andrew M Namespetra, MD^*, Matthew J Petruso, DO^* and Andrew M Bazakis, MD^*

DOI: https://doi.org/10.21980/J8VM0J Issue 10:1 No ratings yet.

At the conclusion of the simulation, the learner is expected to: 1) Recognize the key features on history and examination of a patient presenting in myxedema coma and initiate the appropriate workup and treatment, 2) Describe clinical features and management for a patient with myxedema coma, 3) Develop a differential diagnosis for a critically ill patient with altered mental status, 4) Discuss the management of myxedema coma in the ED, including treatments, appropriate consultation, and disposition.

Current Issue Endocrine Simulation

Drowning Complicated by Hypothermia

Alexander Close, MD^*and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J8QS7P Issue 10:1 No ratings yet.

At the conclusion of the simulation session, learners will be able to: 1) obtain a relevant focused history, including circumstances of drowning and/or cold exposure; 2) outline different clinical presentations of hypothermia, loosely correlated with core temperature readings; 3) discuss management of hypothermia, including passive external rewarming, active external rewarming, active internal rewarming, and extracorporeal blood rewarming; 4) discuss pathophysiology of drowning; 5) identify appropriate disposition of patients who present after drowning; and 6) identify appropriate disposition of hypothermic patients.

Current Issue Cardiology/Vascular Simulation Wilderness

Wolff A et al. Right atrial thrombosis. Parasternal long US 3 annotated

A Case Report of Right Atrial Thrombosis Complicated by Multiple Pulmonary Emboli: POCUS For the Win!

Andrea Wolff, MD^*, Evan Leibner, MD^* and Jill Gualdoni, MD^{^}

DOI: https://doi.org/10.21980/J8TM07 Issue 10:1 No ratings yet.

Pulmonary POCUS was performed by the ED physician (GE Venue, C1-5-RS 5MHz curvilinear transducer), and lung examination was unremarkable with no pleural effusion, pneumothorax, or infiltrate. Subxiphoid views (GE Venue, 3Sc-RS 4MHz phased-array transducer) were obtained because this patient’s COPD with severe pulmonary hyperexpansion made parasternal and apical 4-chamber views suboptimal. A large thrombus can be seen within the right atrium (movie 1, images 1, 2). This has a serpiginous, rounded appearance and is mobile, appearing to swirl within the right atrium with intermittent extrusion through the tricuspid valve. A pacemaker wire is also visible within the right ventricle as a non-moving, hyperechoic, linear structure with posterior enhancement artifact. Pericardial effusion is not present.

Visual EM Cardiology/Vascular Current Issue Ultrasound

RPA Neck. CT Lateral. Unannotated. JETem 2025

Retropharyngeal Abscess in an Adult Patient Presenting with Neck Fullness and Dysphagia: A Case Report

Justin Rederer, DO^*, Tanner Folster, DO^{^}and Sara Dimeo, MD, MEHP^{^}

DOI: https://doi.org/10.21980/J8M36G Issue 10:1 No ratings yet.

Contrast-enhanced CT soft tissue of the neck showed evidence of a prevertebral/retropharyngeal fluid collection, extending from the odontoid tip to the inferior C4 vertebral body margin, measuring 5.4 x 1.0 x 3.3 centimeters (cm) in size (yellow lines) without gross airway narrowing.

Visual EM Current Issue ENT

The Advantage of Using Video Laryngoscope in Puncture and Incisional Drainage of Peritonsillar Abscess: A Case Report

Daisuke Goto, MD^*, Jin Takahashi, MD, MPH, PhD^* and Hiraku Funakoshi, MD, MPH, PhD^*

DOI: https://doi.org/10.21980/J8G935 Issue 10:1 No ratings yet.

Incision of the peritonsillar abscess was performed with the assistance of the C-MAC video laryngoscope which provided a clear, illuminated, and unobstructed view of the incision site. Local anesthesia with 1% xylocaine was administered, and the abscess was incised with a scalpel and drained with a forceps.

Visual EM Current Issue ENT Procedures