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Latest Articles

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High-Fidelity Simulation with Transvaginal Ultrasound in the Emergency Department

Levi Filler, DO* and Katrina Lettang, MD*

DOI: https://doi.org/10.21980/J8606Q Issue 9:3 No ratings yet.
By the end of the session, learners should be able to 1) recognize the clinical indications for transvaginal ultrasound in the ED, 2) practice the insertion, orientation, and sweeping motions used to perform a TVPOCUS study, 3) interpret transvaginal ultrasound images showing an IUP or alternative pathologies, and 4) understand proper barrier, disinfection, and storage techniques for endocavitary probes.
Ob/GynProceduresSimulation
Chest wall abscess. Photograph unannotated. JETem 2024
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A Man With Chest Pain After An Assault – A Case Report

Mi Song Kim, MD*, Francis Gan, MD*, Karl Nimtz, MD*, Daniel Ng, MD*^ and John Costumbrado, MD, MPH*^

DOI: https://doi.org/10.21980/J8J93S Issue 9:3 No ratings yet.
On exam, we found a suspected chest wall abscess with surrounding erythema (blue arrow). The patient underwent CT of the chest which showed a comminuted displaced midsternal fracture (yellow arrow) with moderate fluid and air anteriorly (red arrow), consistent with an abscess. His laboratory results had no significant abnormalities.
Visual EMInfectious DiseaseTrauma
Subtalar Dislocation. sp manipulation unannotated. JETem 2024
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A Case Report of Lateral Subtalar Dislocation: Emergency Medicine Assessment, Management and Disposition

Alexander Maybury, MD* and Taylor Isenberg, DO*

DOI: https://doi.org/10.21980/J8SS8P Issue 9:3 No ratings yet.
In a lateral subtalar dislocation, the navicular bone (red bone in 3D anatomy image) and the calcaneus (yellow bone in 3D anatomy image) dislocate laterally in relation to the talus (lavender bone in 3D anatomy image). Plain film oblique and lateral X-rays demonstrate the initial dislocation (talus in red, navicular in blue). It is clear in the initial lateral view that there is loss of the talar/navicular articulation (noted by red arrow). The anterior-posterior x-ray is more challenging to discern the anatomy; however, the talus (red dot) is laterally displaced in comparison to the navicular (blue dot).
Visual EMOrthopedicsProcedures
Dematographia
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A Case Report of Dermatographia

Mahika Patlola*, Aanchal A Shah, BA^, Thor S. Stead, ScB† and Latha Ganti, MD, MS, MBA† **

DOI: https://doi.org/10.21980/J8P05P Issue 9:3 No ratings yet.
Physical examination was unremarkable except for the urticaria on the right aside of her abdomen (white arrow) with overlying excoriations (stars). Of note, there were no burrows, papules or vesicles in the typical locations including the webs of the fingers, wrists, axillae, areolae, or genitalia. Examination of the linear dermatographia clearly revealed superficial wheals, versus underlying serpiginous lesions.
Visual EMDermatology
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Modification of an Airway Training Mannequin to Teach Engagement of the Hyoepiglottic Ligament

Richard Tumminello, DO* and Daniel Patino-Calle, MD*

DOI: https://doi.org/10.21980/J8R06P Issue 9:2 No ratings yet.
By the end of this education session, participants should be able to: 1) identify relevant airway anatomy during intubation, including base of the tongue, epiglottis, midline vallecular fold, anterior arytenoids; 2) appreciate the value of a stepwise anatomically guided approach to intubation; 3) become familiar with the midline vallecular fold and underlying anatomy, including the hyoepiglottic ligament, and how proper placement of the laryngoscope can result in improved glottic visualization.
InnovationsProceduresRespiratory
innovations icon

A Realistic, Low-Cost Simulated Automated Chest Compression Device

Jessica Joyce, BS*, Elyse Fults, MD^, Julia Rajan, BS†, Alexandra Plezia, MA**,  Carolyn Clayton, MD^ and Sara M Hock, MD^

DOI: https://doi.org/10.21980/J8M63C Issue 9:2 No ratings yet.
By the end of this educational session using a resuscitation trainer or high-fidelity manikin, learners should be able to: 1) recognize appropriate application of simulated ACCD to an ongoing resuscitation case; 2) demonstrate proper positioning of simulated ACCD in manikin model and 3) integrate simulated ACCD to provide compressions appropriately throughout cardiac arrest scenario.
Cardiology/VascularInnovationsProcedures
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