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Case Report of the Unusual Presentation of Stridor in an Elderly Patient Following a Cervical Fracture

Benjamin Travers, BS*, Rachel Dearden, MD^, Shanna Jones, MD^, and Michael Opsommer, MD^

DOI: https://doi.org/10.21980/J8V926 Issue 5:1[mrp_rating_result]
The cervical CT was significant for a transverse fracture through the C4 vertebral body (see red arrow), lateral facet (green arrow), spinous process (blue arrow), and right lamina (purple arrow) as well as surrounding edema and retropharyngeal thickening (yellow line), best appreciated on sagittal view.
Visual EMOrthopedicsRespiratory
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A Low-Cost, Reusable Ultrasound Pericardiocentesis Simulation Model

Jonathan dela Cruz, MD*, Tyler Fulks, MD*, Mark Baker, MD*, Jason Kegg, MD*, Richard Austin, MD*, Jimmy Jain, MD*, Michael Boehler, MS*, Sharon Kim, PhD^, and Cassie Jaeger, PhD^

DOI: https://doi.org/10.21980/J8TD1J Issue 4:4[mrp_rating_result]
Through the use of this model and skill session, learners will be able to: 1) discuss the indications, contraindications, and complications associated with ultrasound guided pericardiocentesis; 2) demonstrate an ability to obtain subxiphoid and parasternal long views of the heart; 3) demonstrate an ability to identify pericardial fluid in these two views; and 4) demonstrate proper probe and needle placement to successfully perform an ultrasound guided pericardiocentesis in these two views.
ProceduresCardiology/VascularInnovations
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Henoch-Schönlein Purpura in the Adult

Ivan Virovets, DO* and Danielle Biggs, MD*

DOI: https://doi.org/10.21980/J8QH08 Issue 5:1[mrp_rating_result]
The images show a raised, palpable, purpuric rash on the lower extremities, surrounded by a mild, 1+ non-pitting edema. Several of the lesions are exfoliated with serous discharge. There is no surrounding erythema, fluctuance, or lymphangitis to suggest cellulitis. There was no tenderness to palpation; however, pruritus was exacerbated on palpation.
DermatologyCardiology/VascularVisual EM
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Digital Nerve Block for the Reduction of a Proximal Phalanx Fracture of the Foot – a Case Report

Emerald Raney, MD*, John Costumbrado, MD, MPH*, Barbara Blasko, MD* and Dev Dhillon, BS^

DOI: https://doi.org/10.21980/J8KS8T Issue 5:1[mrp_rating_result]
Plain film of the right foot showed evidence of an oblique fracture of the body of the proximal 4th phalanx (image 2). No other acute traumatic injuries noted in the rest of the bones and joints of the right foot. After performing a digital block of the toe and reduction, repeat imaging showed evidence of successful reduction with anatomic alignment and redemonstration of the fracture line (image 3).
Visual EMOrthopedics
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Case Report: Antifreeze Ingestion and Urine Fluorescence

Taras Varshavsky, MD* and Meigra Myers Chin, MD *

DOI: https://doi.org/10.21980/J8G05T Issue 5:1[mrp_rating_result]
The patient’s urine sample (right) was compared to a control (left) using a Wood’s lamp. It revealed light green fluorescence under ultraviolet light, which increased suspicion for ethylene glycol poisoning from antifreeze ingestion.
ToxicologyVisual EM
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ECG Stampede

Benjamin L Cooper, MD*, Jonathan A Giordano, DO*, Catherine E Reynolds, MD*, and Tom T Fadial, MD*

DOI: https://doi.org/10.21980/J8PP93 Issue 4:4[mrp_rating_result]
ECG Stampede is a unique educational program comprised of a comprehensive, video-based curriculum with accompanying student and instructor guides. ECG Stampede also features an engaging game accessible via modern browsers and dedicated mobile applications for iOS and Android devices. The gamified model presents learners with a batch of ECGs for which they must assign one of four triage acuities.
Cardiology/VascularInnovations
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Status Asthmaticus

Reid Honda, MD* and C Eric McCoy, MD, MPH*

DOI: https://doi.org/10.21980/J8JW6S Issue 4:4[mrp_rating_result]
At the end of this case, the learners should be able to diagnose an asthma exacerbation, provide the appropriate medications, determine when intubation is necessary, and describe the general principles of ventilator management in an asthmatic patient.
RespiratorySimulation
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Emergency Medicine Curriculum Utilizing the Flipped Classroom Method: Pulmonary Emergencies

Lauren D Branditz, MD*, Andrew King, MD*, Colin Kaide, MD*, Jennifer Mitzman, MD*^, Benjamin Ostro, MD*, Daniel R Martin, MD, MBA*, Nicholas Kman, MD*, David Bahner, MD*, Howard Werman, MD*, Tatiana Thema, MD* and Michael Barrie, MD*

DOI: https://doi.org/10.21980/J8F646Issue 4:4[mrp_rating_result]
The educational strategies used in this curriculum include small group case-based modules authored by education faculty and content experts based on the core emergency medicine content outlined in the ABEM Model EM curriculum. The Socratic method, used during small group sessions, encourages active participation; small groups also focus on the synthesis and application of knowledge through the discussion of clinical experiences. The use of free open access medical education (FOAM) resources allows learners to work at their own pace and maximize autonomy. Learners are encouraged to use such resources for preparation prior to small group sessions, and also to review and help solidify important points after the conclusion of in-person discussions.
RespiratoryCurriculum
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Novel Emergency Medicine Curriculum Utilizing Self-Directed Learning and the Flipped Classroom Method: Neurologic Emergencies Small Group Module

Cynthia G Leung, MD, PhD*, Michael G Barrie, MD*, Jillian McGrath, MD*, Andrew King, MD*, Daniel Bachmann, MD*, Colin Kaide, MD*, Alan Chu, MD*  and Matthew Malone, MD*

DOI: https://doi.org/10.21980/J89H0JIssue 4:4[mrp_rating_result]
We aim to teach the presentation and management of cardiovascular emergencies through the creation of a flipped classroom design. This unique, innovative curriculum utilizes resources chosen by education faculty and resident learners, study questions, real-life experiences, and small group discussions in place of traditional lectures. In doing so, a goal of the curriculum is to encourage self-directed learning, improve understanding and knowledge retention, and improve the educational experience of our residents.
NeurologyCurriculum
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Resuscitation Rotation: A Novel Emergency Medicine Rotation to Augment Resuscitative Training

Michael J Burla, DO*^, Kelly N Sawyer, MD†, MSc, Robert A Swor, DO*^ and David A Berger, MD*^

DOI: https://doi.org/10.21980/J85P9FIssue 4:4[mrp_rating_result]
Our goal is to augment resuscitative education in the ED in order to improve resident skill, confidence, and knowledge of resuscitative treatments.
Curriculum