JETem - Journal of Education and Teaching Emergency Medicine

Latest Articles

Expanding Neck Mass. CT Coronal Unannotated. JETem 2026

A Rapidly Expanding Neck Mass with Risk of Airway Compromise: A Case Report

Hannah Sloan^*, Emmelyn J Samones, CCRP^{^} and William Michael Downes, MD^{^}

DOI: https://doi.org/10.5070/M5.52999Issue 11:4[mrp_rating_result]

Computed tomography (CT) scan of the neck soft tissue with contrast 15 days prior to current presentation demonstrated a centrally necrotic left thyroid mass measuring 10.1 cm and adjacent tumor thrombus within the adjacent left internal jugular vein extending superiorly to level of C1 without intracranial extension. There was regional mass effect with associated mild narrowing of the left common carotid artery and multiple additional lesions in right thyroid lobe, largest 2.9 cm. There was a necrotic left lower cervical lymph node of 1.1 cm with concern for nodal metastasis.

Acute Neurologic Decline in the ED: A Case Report on Recognizing ARIA in the Age of Anti-Amyloid Therapy

Christopher Blanton, MD^*, Joel Hines, MD^*, Joshua Ginsburg, MD^*and Samuel Parnell, MD^*

DOI: https://doi.org/10.5070/M5.61894Issue 11:4[mrp_rating_result]

Computed tomography of the brain without contrast revealed extensive right parieto-occipital vasogenic edema (red arrows on the CT brain axial and coronal images). The finding of vasogenic edema led to further investigation with MRI of the brain without contrast. This revealed extensive hyperintense areas in the right parietal and occipital lobes on T2-weighted (purple arrows on the T2-weighted MRI axial and coronal images) and FLAIR sequences (orange arrows on T2 FLAIR sagittal image).

Current Issue

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 EM Cardiology/Vascular Current Issue Procedures

Infectious Flexor Tenosynovitis. Photo 3. JETem 2026

Infectious Flexor Tenosynovitis of the Lower Extremity: A Case Report

Daniela Usuga, MD^*and Dustin Harris, MD^*

DOI: https://doi.org/10.5070/M5.52282Issue 11:4[mrp_rating_result]

X-rays of the foot, ankle, and tibia-fibula were obtained which showed no acute fractures or dislocations. A CT of the right lower extremity with IV contrast demonstrated fluid along the flexor hallucis longus and flexor digitorum longus tendons with scattered foci of air, and the hypodensities on the plantar aspect of the foot (red highlight), were concerning for infectious tenosynovitis. The CT scan also showed diffuse soft tissue edema, the dark attenuation on imaging (blue highlighted), predominantly along the dorsal midfoot.

Visual EM Current Issue Infectious Disease Orthopedics

Simple Auricular Hematoma (“Cauliflower Ear”) Task Trainer

Laura Bailey, MSN-Ed^*, William Shaffer, MS^{^†}, Byron Thatcher, PhD, MSN^* and Aubrey Bethel-Schmitz, MD^{^}

DOI: https://doi.org/10.5070/M5.52387 Issue 11:3[mrp_rating_result]

By the end of this session, learners will be able to: 1) identify the landmarks used to drain auricular hematomas, 2) demonstrate the ability to numb, incise, and drain an auricular hematoma, and 3) review methods for applying dressings to auricular hematomas.

ENT Innovations

The Three Breath Method: Teaching Coping Mechanisms for Processing Patient Death

Sarah Petelinsek, BA^*, Genae Christensen, MBA^*, Alexander Franke, MD^{^}, Christine Raps^{^}, Allison Beaulieu, MD^{^}, Megan Fix, MD^{^}, Gabrielle Langmann, MD^† and Patrick G Hughes, DO^*

DOI: https://doi.org/10.5070/M5.53087 Issue 11:3[mrp_rating_result]

After watching the video, proposed viewers should be able to: 1) describe the Three-Breath technique, and its potential impact on healthcare providers' ability to manage stress and process patient death, 2) evaluate the effectiveness of the Three-Breath guided meditation in improving emotional reconciliation and reducing stress for emergency medicine physicians, and 3) demonstrate the Three-Breath technique and implement it into their own practice.

Lectures Miscellaneous (stats, etc)

Clinical Decision Making: Acute Ischemic Stroke with Large Vessel Occlusion

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

DOI: https://doi.org/10.5070/M5.60864 Issue 11:3[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 an acute stroke, 3) outline key diagnostic tests to rule out other causes of acute neurologic deficits, 4) outline acute management strategies for acute ischemic stroke, 5) propose an appropriate disposition plan for patients with an acute ischemic stroke.

Certifying Exam Cases Clinical Decision-Making Neurology

PRIMER: Premedical Introduction to Mentored Emergency Research: Connecting Undergraduate Assistants and Emergency Medicine Residents in a Community Hospital Setting

M Kaitlin Parks, DO^{*^}, Justin L Cupps, MIH3^†, Jessica Meador, DO, MPH^{*^}, Melody Kashef^**, Danielle R Kirsch, PhD^{^^} and Sonja Settle, MLIS

DOI: https://doi.org/10.5070/M5.52386 Issue 11:3[mrp_rating_result]

The purpose of this project is to design a didactic training to provide undergraduate research assistants the necessary training to enhance resident research projects in the emergency department.

Curricula Curriculum Lectures Miscellaneous (stats, etc)

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/Vascular Small 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.