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Spontaneous Pneumothorax

John Costumbrado, MD, MPH* and Steven Kim, MD*

DOI: https://doi.org/10.21980/J8M33BIssue 2:4[mrp_rating_result]
Initial chest radiograph showed a 50% right-sided pneumothorax with no mediastinal shift, which can be identified by the sharp line representing the pleural lung edge (see arrows) and lack of peripheral lung markings extending to the chest wall. While difficult to accurately estimate volume from a two-dimensional image, a 2 cm pneumothorax seen on chest radiograph correlates to approximately 50% volume.1 The patient underwent insertion of a pigtail pleural drain on the right and repeat chest radiograph showed resolution of previously seen pneumothorax. Ultimately the pigtail drain was removed and chest radiograph showed clear lung fields without evidence of residual pneumothorax or pleural effusion.
RespiratoryVisual EM
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Pediatric Esophageal Foreign Body

Samer Assaf, MD* and Ryan Gibney, BS*

DOI: https://doi.org/10.21980/J8GD1F Issue 2:4[mrp_rating_result]
A radiopaque foreign body was visualized in the proximal esophagus at the thoracic inlet on the chest and neck radiographs. The foreign body appeared to be metallic with visualized concentric rings consistent with a coin.
Abdominal/GastroenterologyPediatricsVisual EM
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Acetabular Fracture

Chad Correa* and Sari Lahham, MD^

DOI: https://doi.org/10.21980/J8BK8K Issue 2:4[mrp_rating_result]
The non-contrast CT images show a minimally displaced comminuted fracture of the right acetabulum involving the acetabular roof, medial and anterior walls (red arrows), with associated obturator muscle hematoma (blue oval).
OrthopedicsVisual EM
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Bedside Ultrasound for the Diagnosis of Small Bowel Obstruction

Alexander Anshus, BS* and Maili Alvarado, MD^

DOI: https://doi.org/10.21980/J86W6PIssue 2:4[mrp_rating_result]
The POCUS utilizing the low frequency curvilinear probe demonstrates fluid-filled, dilated bowel loops greater than 2.5cm with to-and-fro peristalsis, and thickened bowel walls greater than 3mm, concerning for SBO. 
Abdominal/GastroenterologyVisual EM
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Chancre of Primary Syphilis

Adnan Riaz MD* and Grant Wei MD*

DOI: https://doi.org/10.21980/J83342 Issue 2:4[mrp_rating_result]
Physical examination revealed a non-tender, erythematous lesion on the glans penis, two similar adjacent satellite lesions, as well as tender inguinal lymphadenopathy. No penile discharge was noted.
Infectious DiseaseDermatologyGenitourinaryVisual EM
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Novel Emergency Medicine Curriculum Utilizing Self-Directed Learning and the Flipped Classroom Method: Psychiatric Emergencies Small Group Module

Andrew King, MD*, Sarah Greenberger, MD*, Michael Prats, MD*, Creagh Boulger, MD*, Alyssa Tyransky*, Laura Thompson ,MD*, Nicholas Kman, MD*, Cynthia Leung, MD, PhD*, Jennifer Mitzman, MD*, Michael Barrie, MD*, Sorabh Khandelwal, MD* and Christopher San Miguel, MD*

DOI: https://doi.org/10.21980/J8DP7V Issue 2:3[mrp_rating_result]
We aim to teach the presentation and management of psychiatric 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.
PsychiatryCurriculaSmall Group Learning
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Novel Emergency Medicine Curriculum Utilizing Self-Directed Learning and the Flipped Classroom Method: Genitourinary Emergencies Small Group Module

Andrew King, MD*, Geremiha Emerson, MD*, Jennifer Mitzman, MD*, Eric Adkins, MD*, Alyssa Tyransky*, Robert Cooper, MD*, Nicholas Kman, MD*, Christopher Paul*, Ashish Panchal, MD, PhD*, Michael Barrie, MD*, Sorabh Khandelwal, MD*, Diane Gorgas, MD* and Christopher San Miguel, MD*

DOI: https://doi.org/10.21980/J89S56 Issue 2:3[mrp_rating_result]
We aim to teach the presentation and management of genitourinary 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.
GenitourinaryCurriculaSmall Group Learning
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Emergency Medicine Curriculum: Complications of Pregnancy Small Group Module

Linda L Herman, MD* and Kunal Sukhija, MD*

DOI: https://doi.org/10.21980/J8TS67 Issue 2:3[mrp_rating_result]
We aim to teach the presentation and management of pregnancy complications through interactive teaching during small group discussions concerning patient cases. This curriculum utilizes resources chosen by education faculty, study questions, actual experience, and small group discussions in place of a traditional lecture-based format. In doing so, a goal of the curriculum is to encourage self-directed learning, improve understanding and knowledge retention, improve the educational experience of our residents, and allow assessment by the faculty concerning the knowledge base and ability of the residents.
Ob/GynCurriculaSmall Group Learning
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A Simulation Model for Extensor Tendon Repair

Elizabeth Aronstam, DO* and David T Overton, MD*

DOI: https://doi.org/10.21980/J8VS7X Issue 2:3[mrp_rating_result]
By the end of this educational session, the learner will be able to: 1) List the indications for extensor tendon repair in the emergency department, 2) recognize the indications for referral to orthopedic or hand surgery, 3) list the risks and benefits of emergency department extensor tendon repair, 4) perform an appropriate physical examination for a patient with a potential extensor tendon laceration, 5) list the maximum time limit of tourniquet application for this procedure, 6) list the materials needed for extensor tendon repair in the emergency department, 7) successfully repair a completely severed extensor tendon using four different techniques: horizontal mattress, figure of eight, modified Kessler and modified Bunnell, and 8) describe the appropriate splinting of a repaired extensor tendon.
ProceduresInnovationsOrthopedics
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Realistic Chest Tube Simulator Using Pork Belly with Skin

Donald Patrick Mebust, MD* and Jonathan Kei, MD*

DOI: https://doi.org/10.21980/J8R03J Issue 2:3[mrp_rating_result]
By the end of this instructional session learners will be able to: 1) discuss the indications, contraindications, and complications associated with chest tube thoracostomy, 2) competently perform chest tube insertion on a simulator, and 3) properly secure chest tube.
ProceduresInnovationsRespiratoryTrauma