Latest Articles

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
Dermatologic Reaction to Wound Closure Strips and Liquid Adhesive. Photo 3 Unannotated. JETem 2025
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Case Report of a Dermatologic Reaction to Wound Closure Strips and Liquid Adhesive

Amal Asghar MD*, Trevor Smith MD*, Matthew Underwood MD* and Tommy Y Kim MD*

DOI: https://doi.org/10.21980/J8.52256 Issue 10:4[mrp_rating_result]
The patient removed the splint, and the wound were notable for erythematous bullae (blue arrow), blisters (yellow arrow), and skin maceration (red arrow) in the distribution under the wound closure strips. Of note, there was no surrounding erythema with poorly defined borders.
Visual EMDermatology
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A Longitudinal, Practical Curriculum for Faculty Development as New Coaches in Graduate Medical Education

Simanjit K Mand, MD*, Chariti Gent, MA, MCC, CPCC^, Sharon Barbour, MPH, PCC^ and Benjamin H Schnapp, MD, MEd*

DOI: https://doi.org/10.21980/J88M08 Issue 10:3[mrp_rating_result]
The aim of this curriculum is to provide a longitudinal, practical, and interactive coach training curriculum for faculty with no prior coaching experience.
CurriculumFaculty Development
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Cognitive Errors and Debiasing

Joshua Ginsburg, MD, MHPE*

DOI: https://doi.org/10.21980/J84W96 Issue 10:3[mrp_rating_result]
By the end of this lecture, learners should be able to, 1) Define dual process theory, 2) identify common cognitive biases, 3) recognize high-risk situations for cognitive errors, and 3) discuss debiasing strategies and integrate one strategy into your workflow.
AdministrationFaculty DevelopmentLecturesMiscellaneous (stats, etc)
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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
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Beta-Blocker Toxicity

Amrita Vempati, MD *and PJ Greene, MD*

DOI: https://doi.org/10.21980/J8WD3X Issue 10:3[mrp_rating_result]
By the end of the session, learners will be able to: 1) manage a patient with hypotension, and bradycardia while maintaining a broad differential, 2) evaluate the causes of hypotension by utilizing ultrasound, 3) review when to initiate vasopressors and first-line agents for beta-blocker toxicity, 4) discuss treatment algorithm for BB toxicity including high-dose insulin and, 5) discuss the risk factors for suicide
SimulationToxicology
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A Comprehensive and Modality Diverse Cervical Spine and Back Musculoskeletal Physical Exam Curriculum for Medical Students

Konnor Davis, MD1,2, Aaron Frank, MD1,3, Trinidad Alcala-Arcos, BS1, Claire Godenzi, MD1,4, Melissa Allison, MD1,5, Clara Riggle, MD1,6, Sangeeta Sakaria, MD, MPH, MST7, Ariana M Nelson, MD1, 8, Alisa Wray, MD, MAEd1,9 and Brian Y Kim, MD, MA1,10

DOI: https://doi.org/10.21980/J8RQ0NIssue 10:3[mrp_rating_result]
By the end of this session, students will be able to: 1) demonstrate how to properly perform a cervical spine and back physical exam, 2) understand the reasoning behind cervical spine and back PE maneuvers, 3) identify the proper technique and equipment to use for the cervical spine and back PE, 4) understand normal and abnormal findings in the cervical spine and back PE, 5) accurately record and report exam findings for the cervical spine and back PE.
OrthopedicsSmall Group Learning

A Recipe for Disaster – Sodium Bicarbonate Overdose

Adeola A Kosoko, MD*, Amara Ogoke, MD* and Kyle Vogt, MD^

DOI: https://doi.org/10.21980/J8MW85 Issue 10:3[mrp_rating_result]
At the end of this oral board session, learners will be able to: 1) obtain a history which includes medications and other supplements used by the patient, 2) interpret a prolonged QTc, 3) diagnose metabolic alkalosis due to sodium bicarbonate toxicity, and 4) manage sodium bicarbonate toxicity with fluid and electrolyte resuscitation.
Certifying Exam CasesToxicology