Trauma

Car Accident and Respiratory Distress: A Trauma-Based Pneumothorax Simulation Case for Medical Students

Brandon Garten, MD*, Bradley Golden, DO^ and AJ Kleinheksel, PhD, MEd†

DOI: https://doi.org/10.5070/M5.52287 Issue 11:3[mrp_rating_result]
By the end of this simulation, learners will be able to: 1) obtain a focused history in the setting of recent motor vehicle accident and respiratory difficulty, 2) identify abnormal respiratory findings consistent with pneumothorax on physical exam, 3) interpret chest x-ray and point-of-care ultrasound to identify the progression of a life-threatening tension pneumothorax,4) assess for potential internal bleeding and hypovolemic shock by integrating imaging findings, vital signs, mental status, and additional components of physical examination, 5) interpret imaging and clinical findings to guide appropriate management decisions, including need for urgent procedural intervention and escalation of care, and 6) deliver a concise oral presentation to an attending physician, including key findings and management plan.
Current IssueSimulationTrauma
Blunt Cerebrovascular Injury. CT Sagital Internal Carotid Unannotated. JETem 2026

Blunt Cerebrovascular Injury: A Visual Case Report with Computed Tomography Angiography Findings Revealing Carotid and Vertebral Artery Dissection

Edmund Hsu, MD*, Andrew T Kinoshita, MD, MPH^, Eleanor Chu, MD† and C Eric McCoy, MD, MPH*

DOI: https://doi.org/10.5070/M5.52229 Issue 11:3[mrp_rating_result]
Computed tomography angiography of the neck showed worsening right ICA dissection with increased size of the pseudoaneurysm to 9 mm and worsening stenosis to greater than 70%. Computed tomography angiography of the neck also showed a new dissection of the V2 segment of the right vertebral artery with a 3 mm pseudoaneurysm and greater than 50% stenosis.
Visual EMCurrent IssueNeurologyTrauma

Escape Intern Orientation! — A Capstone and Team Building Activity for New EM Interns

Megan Rivera, MD*, Meredith Thompson, MD, MAEd^

DOI: https://doi.org/10.5070/M5.52158 Issue 11:2[mrp_rating_result]
By the end of this small group exercise, learners will be able to: 1) identify first, second, and third-degree heart block on a 12-lead ECG; 2) recognize STEMI pattern on a 12-lead ECG; 3) categorize appropriate images that make up an EFAST exam for a trauma patient; 4) recall the proper management of a tension pneumothorax; 5) identify an organized approach to emergency department rapid-sequence intubation (RSI); 6) recognize acute otitis media (AOM); 7) locate the appropriate antibiotic and pediatric dose to treat acute otitis media via the Harriet Lane Handbook; 8) demonstrate how to apply evidence-based guidelines to a clinical case of neonatal pediatric fever; 9) recall common clinical findings of basilar skull fracture; 10) identify important concepts in the management of stroke syndromes; 11) recognize vital sign abnormalities that could indicate sepsis; and 12) review important concepts related to the management of septic patients.
Board ReviewInfectious DiseaseNeurologyTrauma

Clinical Decision-Making Case: Non-Accidental Trauma

H Michelle Greene, DO*, Anne P Runkle, MD*^, Jennifer M Mitzman, MD*^, Christopher E San Miguel, MD, MEd^, Krystin N Miller, MD^, Simiao Li-Sauerwine, MD, MSCR^, Geremiha Emerson, MD^, Sorabh Khandelwal, MD^, Kelsey H Jordan, PhD, MPH^ and Jennifer Yee, DO, MAEd^

DOI: https://doi.org/10.21980/J8.53233 Issue 10:5[mrp_rating_result]
By the end of this clinical decision-making case, learners will be able to: 1) demonstrate familiarity with the CDM case format and case play, 2) describe important historical information to obtain when suspecting non-accidental trauma, 3) recognize potential physical exam findings in non-accidental trauma, 4) justify appropriate diagnostic studies based on clinical findings and current evidence on occult injury in suspected pediatric abuse, and 5) propose an appropriate disposition plan for patients with non-accidental trauma.
Board ReviewCertifying Exam CasesClinical Decision-MakingPediatricsTrauma

Prioritization: Run This Board: Septic Shock, Acute Coronary Syndrome, Small Bowel Obstruction, and Penetrating Chest Trauma

Colleen Donovan, MD1, Nicole Novotny, MD2, Charles Lei, MD3, Alaa Aldalati, MBBS4, Andrew Melendez, DO5, Neil Wallace, MD6, Tiffany Moadel, MD7, Stephanie Stapleton, MD8 and Shagun Berry, DO9

DOI: https://doi.org/10.21980/J8.52355 Issue 10:5[mrp_rating_result]
By the end of this case learners will be able to: 1) Become familiar with format of a prioritization case (a component of the ABEM Certifying Exam), 2) Practice their ability to prioritize multiple patients and provide stabilizing care, 3) Consider changes in status/patient acuity/new cases as presented, 4) Understand how to utilize team resources appropriately.
Abdominal/GastroenterologyBoard ReviewCardiology/VascularCertifying Exam CasesInfectious DiseaseNeurologyOb/GynPediatricsPrioritizationTrauma

Prioritization: Intracranial Hemorrhage, Testicular Torsion, and Tricyclic Antidepressant Toxicity Presenting to a Community Emergency Department

Brian Milman, MD*, Marshall Howell, MD*, Joshua Ginsburg, MD* and Samuel Parnell, MD*

DOI: https://doi.org/10.21980/J8.52346 Issue 10:5[mrp_rating_result]
By the end of this case learners should: 1) Become familiar with the format of a prioritization case (a component of the ABEM Certifying Exam), 2) demonstrate their ability to prioritize multiple patients and provide stabilizing care, 3) consider changes in status/patient acuity/new cases as presented, 4) understand how to utilize team resources appropriately.
Board ReviewCertifying Exam CasesNeurologyPrioritizationToxicologyTraumaUrology

Trauma and Hyperthermia

William Webster, MD *, Dallas Beaird, MD^ and Linda L Herman, MD *

DOI: https://doi.org/10.21980/J8.52308 Issue 10:4[mrp_rating_result]
By the end of this oral board session, examinees will be able to:  1) construct a differential to evaluate a patient with undifferentiated altered mental status and trauma, 2) recognize the signs and symptoms of heat stroke, 3) complete an evaluation of a patient with both hyperthermia and trauma, and 4) demonstrate efficient and correct treatment of a patient with hyperthermia. 
SimulationTrauma

Critical Care Transport: Blunt Polytrauma in Pregnancy

Emma Rolf*, Samuel Kefer, MD^, Jennifer Quinn, BSN, RN†, Ryan Newberry, DO^†, Andrew Cathers, MD^†, Craig Tschautscher, MD^ and Brittney Bernardoni, MD^†

DOI: https://doi.org/10.21980/J81366 Issue 10:3[mrp_rating_result]
At the completion of this simulation participants will be able to 1) perform primary and secondary trauma surveys, 2) assess the neurovascular status of a tibia/fibula fracture, 3) appreciate anatomic and physiologic differences in pregnancy, 4) appropriately order analgesia and imaging, 5) recognize and treat hemorrhagic shock, 6) perform an extended focused assessment with sonography in trauma exam (eFAST) in undifferentiated hemorrhage, 7) identify a displaced pelvic fracture and properly apply a pelvic binder, and 8) obtain and interpret fetal heart rate using ultrasound.
EMSOb/GynSimulationTrauma