Browsing: April 2023

Dermatology , Hematology , Oncology , Toxicology

Warfarin-Induced Skin Necrosis: Not Your Typical Rash

4/15/2023 Brandon Murdock, MD , Chung-ting J. Kou , Paul A. Gonzales , David M. Crawford

Warfarin-induced skin necrosis (WISN) is a rare condition thought to be due to microvascular thrombosis and ischemia and is commonly related to protein C deficiency. Recognition of WISN is critical to

Toxicology

I Ordered the Urine Drug Screen, Now What? An Overview on Testing, Interference, and Utility of UDS in the ED

4/15/2023 E. Mason Jackson, MD , Lindsay Davis, DO, MPH, NRP , Alexa Peterson, DO, MS

The urine drug screen is a widely used, but imperfect, diagnostic test. Because of its potential flaws, it should not be used out of context or in isolation, but it remains a valuable test in the tool

Op-Ed , Patient Interactions

The Ethics of Caring for an Unfavorable Patient

4/15/2023 Adiba Matin, MD

Debriefing, leaning on peers, and seeking mental health help are all important steps in caring for unfavorable patients. Acknowledge the emotional toll that this may take on you, approach the situatio

Pediatric EM , Endocrinology

Thyrotoxicosis: A Case of Storming Hormones

4/15/2023 Nhat Chau, MD , Anna Suessman, DO

Thyroid storm is an acute life-threatening condition of hyperthyroidism, characterized by high fever, dehydration, tachycardia or tachyarrhythmias, tremor, nausea and vomiting, diarrhea, restlessness,

President's Message

Necessity is the Mother of Invention. Greenness is its Wild Friend.

4/15/2023 Jessica Adkins Murphy, MD

As EM physicians, we see firsthand the needs and challenges of our healthcare system and how its many moving parts intersect and clash, positioning us to become the innovators our communities need. An

ECG Challenge , Cardiology

ECG Challenge: April-May-June 2023

4/15/2023 Hayden Schenker , Jeremy Berberian, MD

A 58-year-old male with a PMH of alcohol use disorder presents to the ED due to multiple falls. What is your interpretation of his ECG?

Administration & Operations , Health Care Administration

Effective Interventions to Improve the ED Consultation Process

4/10/2023 Tara J. Tardino, MD-MPH , Kunal N. Agarwal, MD , Kristopher A. Hendershot, MD

ED overcrowding correlates with higher mortality, longer time to treatment, and more patients leaving against medical advice or without being seen. Improving the consultation process and decreasing le