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Latest Articles

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Pizza and Paintballs: A Cost-Effective Model for Incision and Drainage Simulation Training

Patrick McNeal, DMSc, PA-C*, Andrea D Boan, PhD, MSCR, MSPAS, PA-C* and Emily Douglas, DMSc, MSPAS, MSc (PH), PA-C*

DOI: https://doi.org/10.21980/J8.52047 Issue 10:4[mrp_rating_result]
Upon completing this lab session, the participant should have the capability to: 1) describe the indications, contraindications, and reasons for performing I&D of an abscess, 2) select the necessary equipment for performing I&D of an abscess, 3) demonstrate the necessary steps for performing an I&D procedure on a simulated abscess.
Infectious DiseaseInnovationsProcedures
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Abdominal Pain and Vaginal Discharge: An Eye-Opening Simulation Case about Human Trafficking

Nicole E Exeni McAmis, MD*^†, Richard S Feinn, PhD**, Monica R Saxena, MD, JD†and Kelly N Roszczynialski, MD, MS†

DOI: https://doi.org/10.21980/J8.52150 Issue 10:4[mrp_rating_result]
At the conclusion of this case, learners should be able to: 1) review red flags of identifying victims of human trafficking in healthcare settings, 2) identify common indicators and injuries associated with human trafficking, 3) demonstrate a trauma-informed care approach when interviewing potential victims, 4) list and provide patients with national resources for human trafficking,5) understand federal and state mandatory reporting laws and the role of the healthcare provider, 6) determine best treatment options in patients with limited healthcare access, including counseling on empiric treatment of sexually transmitted infection (STI), 7) review management options for an undesired pregnancy according to local institutional policies and state laws for the senior case.
Abdominal/GastroenterologySimulationSocial Determinants of Health
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The EMazing Race: A Novel Gamified Board and Clinical Practice Review for Emergency Medicine Residents

Brendan Freeman, DO, MHPE1,2,3, Kevin Vinokur, DO4, Michael Zimmerman, MD5,6 and Lukasz Cygan, DO7

DOI: https://doi.org/10.21980/J8.52075 Issue 10:4[mrp_rating_result]
By the end of this 2-hour session, learners will demonstrate their knowledge on the following board-related emergency medicine topics: Ob/GYN – links to 13.7 Complications of Delivery in Core Model of EM 2022, Renal/GU – links to 15.0 Renal and Urogenital Disorders in Core Model of EM 2022 and Splinting – links to 18.1.8.2 Extremity bony trauma, fracture in Core Model of EM 2022.
Ob/GynOrthopedicsRenal/ElectrolytesSmall Group LearningUrology
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In Too Deep: A Point-of-Care Ultrasound (POCUS) Escape Room

Brandon M Wubben, MD*

DOI: https://doi.org/10.21980/J8.52100 Issue 10:4[mrp_rating_result]
By the end of this session, the participant will be able to: 1) evaluate and identify the nature of metallic foreign bodies using POCUS; 2) identify common emergency department fractures on X-Ray and identify relevant sonoanatomy for ultrasound-guided regional anesthesia applications relevant to those fractures; and 3) identify normal lower extremity venous POCUS sonoanatomy and demonstrate understanding of proximal versus distal anatomical location within the lower extremity venous system.
Current IssueSmall Group LearningUltrasound
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Ultrasound Guided Peripheral Nerve Block Workshop: How to Take Your Residents from Zero to Hero

Ashley Foreman, MD*, Jacqueline Sippel, MD*, Emily Ollmann, MD* and Nicole Dorinzi, MD*

DOI: https://doi.org/10.21980/J8.52156Issue 10:4[mrp_rating_result]
After completing this small group workshop, the resident should be able to: 1) recognize the indications for the serratus anterior plane block, the posterior tibial block and the ulnar, median, and radial nerve blocks and the anatomical locations that would benefit from these blocks, 2) identify proper probe selection and placement, in addition to patient positioning, in order to perform these blocks, as well as anesthetic choice and dosing, 3) demonstrate knowledge of anatomical landmarks and areas to avoid evidenced by probe placement and positioning, 4) describe the steps to perform these nerve blocks, and 5) demonstrate knowledge of contraindications to these blocks as well as potential complications of these procedures and how to mitigate them.
ProceduresSmall Group LearningUltrasound
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Code Social: Integrating SDoH into Emergency Resident Education

Layla Abubshait, MD*^, Sandra Guirguis, MD*, Savannah Pocquette, DO*, Timothy Cofer, DO* and Angelina Birrell-Lopez, MD*

DOI: https://doi.org/10.21980/J8.52163 Issue 10:4[mrp_rating_result]
The educational objectives of this activity are to: 1) enhance residents' understanding and recognition of (SDoH) in emergency medicine; 2) develop residents' skills in addressing SDoH within the emergency medicine setting; 3) foster a patient-centered approach that promotes health equity in emergency medicine; and 4) identify local resources available to address various SDOH.
Small Group LearningSocial Determinants of Health
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Troubleshooting the Trach: Emergent Tracheostomy & Laryngectomies Modified Team-Based Learning Activity

Caroline Astemborski, MD, MEHP* and Emily Grass, MD, MEHP^

DOI: https://doi.org/10.21980/J8.52033Issue 10:4[mrp_rating_result]
By the end of the session, participants will be able to: identify the major anatomy of tracheostomies and laryngectomies, 2) demonstrate step-by-step management of emergent tracheostomy airways, 3) describe common complications of tracheostomies, 4) understand the management of tracheal innominate artery complication.
ProceduresRespiratoryTeam Based Learning (TBL)

Myopericarditis and Pulmonary Edema

Lubna Ahmad Saffarini, MBBS*^

DOI: https://doi.org/10.21980/J8.52187 Issue 10:4[mrp_rating_result]
At the end of this oral board session, learners will be able to: 1) Demonstrate the ability to evaluate and treat a somnolent and hypoxic patient, 2) Identify a critical airway situation and manage it with a holistic approach, 3) Interpret the history, physical examination, ECG, and chest x-ray findings and discuss the list of differential diagnoses, 4) Identify a state of cardiogenic shock induced by myopericarditis and treat it appropriately, 5) Assess the presence of pericardial effusion and cardiac tamponade utilizing bedside echocardiography.
Current IssueCardiology/VascularCertifying Exam Cases
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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
Nonketotic Hyperglycemia Hemichorea. MRI Unnnotated. JETem 2025
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Case Report of a Patient Presenting with Nonketotic Hyperglycemia Hemichorea

Jay Patel, DO*, Kayla Pena, MD*, Joshua Bucher, MD* and Amanda Esposito, MD*

DOI: https://doi.org/10.21980/J8.52115Issue 10:4[mrp_rating_result]
Laboratory tests indicated elevated blood glucose levels (198 mg/dL) with no urinary ketones, anion gap of 12, thyroid stimulating hormone (TSH) of 12 UIU/ml, and an increased glycated hemoglobin (HbA1c) of 14.9%. After initial stroke evaluation with neurology, imaging studies, including computed tomography (CT)/CT angiography (CTA) of the brain and neck, were unremarkable, ruling out structural lesions or acute stroke. Neurology recommended an MRI which showed T1 shortening within the left basal ganglia involving both the caudate nucleus and the lentiform nucleus. T1 shortening indicates changes in the tissue composition or structure that alters how the tissue responds to the MRI pulse, giving the tissue a brighter appearance on MRI (see white arrow).
Visual EMEndocrineNeurology
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