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Journal of Education and Teaching in Emergency Medicine
Number of Followers: 1

This is an Open Access Journal

Open Access journal
ISSN (Print) 2474-1949
Published by eScholarship

[73 journals]

First Aid Curriculum for Second Year Medical Students
- Authors: Stodola; Megan , Megan, Megan , Chen, Tina , Marelich, Alexander , Philip, Isaac
  Abstract: Audience: This small-group workshop is designed for pre-clinical medical students. The workshop can also be offered to other medical students looking to review first aid in the community setting.Introduction: First aid training in medical students varies based on each student’s previous experience. Because of this, medical students in their pre-clinical years have expressed a desire for further training in first aid.1 While most bystanders in an emergency situation do not have a medical background, medical students have received additional training that can provide the skillset to process and respond to emergency situations in a different capacity. Most medical schools have not adopted a universal curriculum in teaching medical students first aid.2 Incorporating first aid into a medical school curriculum can enhance medical students’ confidence in emergent situations and lead to better outcomes for patients requiring immediate on-site care.Educational Objectives:...
  PubDate: Fri, 2 Aug 2024 00:00:00 +0000
High-Fidelity Simulation with Transvaginal Ultrasound in the Emergency
Department
- Authors: Filler; Levi , Lettang, Katrina
  Abstract: Audience: Intern and junior emergency medicine residents.Introduction: Abdominal pain and vaginal bleeding in the first trimester of pregnancy are common presentations to the emergency department (ED).1 Formal transvaginal ultrasound (TVUS) is considered the test of choice for evaluation of first trimester pregnancy due to its high sensitivity and specificity for identifying intrauterine and ectopic pregnancies.1 Additionally, TVUS can evaluate for various uterine and ovarian pathology as well as identify other non-gynecologic conditions and is within the scope of practice for the emergency physician.2 Given the emergent and time sensitive nature of certain obstetric and gynecologic conditions, formal transvaginal ultrasound imaging may not be feasible. A rapid assessment with transvaginal point-of-care ultrasound (TVPOCUS) can be utilized by emergency medicine physicians (EMP) to confirm intrauterine pregnancies (IUP) and identify any associated complications. There...
  PubDate: Fri, 2 Aug 2024 00:00:00 +0000
A Man With Chest Pain After An Assault – A Case Report
- Authors: Kim; Mi Song , Gan, Francis , Nimtz, Karl , Ng, Daniel , Costumbrado, John
  Abstract: This case report highlights an uncommon sequelae of chest wall trauma that should be evaluated for patients presenting with similar history and symptoms. A 60-year-old man presented to the emergency department (ED) with swelling, fever, and chest wall pain two days after an assault with blunt chest wall trauma. On exam, there was a suspected chest wall abscess, verified on computed tomography (CT) with associated displaced midsternal fracture. This patient was admitted for abscess incision and drainage. While uncommon, chest wall abscess formation is an important condition that should be considered as a differential diagnosis in any patient presenting with chest wall pain post blunt trauma. With few reported similar presentations in the literature, this case is an important addition in a likely underreported phenomenon that requires prompt evaluation and treatment.
  PubDate: Fri, 2 Aug 2024 00:00:00 +0000
Subarachnoid Hemorrhage Causing a Seizure: An Assessment Simulation for
Medical Students
- Authors: Rainer; Robert , Reynolds, Blair Creedle , Adeli, Cyrus , San Miguel, Christopher E
  Abstract: Audience: This simulation is intended for 4th year medical students.Introduction: Headache is the fifth most common chief complaint in the emergency room, and the vast majority are ultimately diagnosed as benign primary headaches.1,2 However, subarachnoid hemorrhage (SAH) is one of several critical diagnoses which can present as a headache. With a case fatality rate of up to 66.7% in some instances, SAH is considered a “can’t miss” diagnosis.3Subarachnoid hemorrhage is classically associated with a thunderclap headache, one definition of which is a headache that reaches maximal intensity within one minute or less and reaches a seven out of ten in severity.1 Unfortunately, a thunderclap headache is not as sensitive nor specific for SAH as is often taught. In one study, only 50% of patients with an aneurysmal subarachnoid hemorrhage presented with a thunderclap headache and an additional 19% of SAH headache came on more gradually over the course of five minutes.4...
  PubDate: Fri, 2 Aug 2024 00:00:00 +0000
Utilization of an Asynchronous Online Learning Module Followed by
Simulated Scenario to Train Emergency Medicine Residents in Mass-Casualty
Triage
- Authors: Delgado; Justin P , Spencer, Douglas , Bralow, Leah M
  Abstract: Audience: This is a combined independent study and simulation session designed to teach and drill Mass Casualty Incident (MCI) Triage and is intended for emergency medicine residents at all levels.Introduction: The training of emergency medicine residents to assume leadership roles in disaster response is important. However, lack of accepted specific educational goals on the national level leads to significant variability between residencies.Educational Objectives: The purpose of this session is to train EM residents in the use of the Simple Triage and Rapid Treatment (START) and pediatric JumpSTART algorithms for triage in mass casualty incidents (MCIs) using an asynchronous model. By the end of this small group session, learners will be able to: 1) describe START triage for adult MCI victims; 2) describe JumpSTART triage for pediatric MCI victims; 3) demonstrate the ability to apply the START and JumpSTART triage algorithms in a self-directed learning environment;...
  PubDate: Fri, 2 Aug 2024 00:00:00 +0000
Development and Design of a Pediatric Case-Based Virtual Escape Room on
Organophosphate Toxicity
- Authors: Boggs; Kaitlyn , Madhok, Manu , Ahluwalia, Tania
  Abstract: Audience: This case-based virtual escape room (VER) serves as a didactic activity suitable for learners who require an understanding of organophosphate toxicity. Educators may use this VER for distance-based learning in settings with adequate internet access.Introduction:India faces a concerning escalation in suicide rates, particularly among teenagers and young adults, often involving intentional pesticide ingestion, notably organophosphates.1-3 Our project addresses organophosphate ingestion by using a VER, a virtual learning platform adapted from in-person escape rooms to engage participants for educational purposes.4,5 Demonstrating success in medical, pharmacy, and nursing education, VERs increased satisfaction and competency among healthcare trainees compared to traditional learning platforms while fostering teamwork and communication in a virtual learning environment.6,7Educational Objectives:By the end of the activity, learners should be able to:...
  PubDate: Fri, 2 Aug 2024 00:00:00 +0000
Identification of a Human Trafficking Victim: A Simulation
- Authors: Grosgogeat; Claire A , Medwid, Kelly , Mahmoud, Rami H , Hensley, Brooke
  Abstract: Audience: This case was designed for emergency medicine interns and residents.Introduction: Human trafficking is unfortunately an ever-growing and wide-reaching problem in the United States as well as the rest of the world. The International Labor Organization estimates 49.6 million people were affected by this modern-day slavery worldwide in 2021.1,2 The emergency department represents an opportunity to identify and provide aid to victims of human trafficking. Studies have shown that 63.3% of survivors interacted with the emergency department during their time of exploitation; however, most of these patients are not identified as human trafficking victims and opportunities for intervention are missed.3,4Educational Objectives: By the end of this simulation, participants will be able to: (1) Identify signs of human trafficking. (2) Demonstrate the ability to perform a primary and secondary assessment of a patient when there is concern for human trafficking. (3)...
  PubDate: Fri, 2 Aug 2024 00:00:00 +0000
A Case Report of Dermatographia
- Authors: Patlola; Mahika , Shah, Aanchal A , Stead, Thor , Ganti, Latha
  Abstract: The authors present a case of symptomatic dermatographia. Dermatographia is an inducible urticaria where the light pressure of scratching leaves a raised wheal in the pattern of the scratching. The presentation can be striking and is often very stressful for the patient; however, the etiology is benign and the key takeaway is to provide reassurance to the patient.
  PubDate: Fri, 2 Aug 2024 00:00:00 +0000
A Case Report of Lateral Subtalar Dislocation: Emergency Medicine
Assessment, Management and Disposition
- Authors: Maybury; Alexander , Isenberg, Taylor
  Abstract: Subtalar dislocations of the talonavicular and talocalcaneal joints are rare, accounting for approximately one percent of all dislocations.1 These dislocations are typically the result of a high energy mechanism and present a challenge during reduction attempts. We present the case of a male in his early 20’s who presented to the emergency department after a motorcycle accident with right foot and ankle pain and obvious deformity. Emergent X-ray and immediate attempt at reduction are of utmost importance with these dislocations. After multiple failed attempts at reduction in the ED, this patient was taken to the operating room for an open reduction with podiatry. This case report reviews the pathophysiology and management of this rare injury including nerve blocks and reduction techniques.
  PubDate: Fri, 2 Aug 2024 00:00:00 +0000
A Case Report Evaluating Gastric Emphysema versus Emphysematous Gastritis
- Authors: Nguyen; Anna , Slader, Mark , Spiegelman, Lindsey
  Abstract: Gastric emphysema (GE) and emphysematous gastritis (EG) share similar clinical presentations but exhibitdrastically different prognoses. While GE is generally benign, EG is associated with mortality rates up to 60%.Here, we present the case of a 29-year-old female patient who presented to the emergency department (ED)with symptoms of nausea, vomiting, and epigastric abdominal pain. Clinical evaluation revealed tachycardia,pain out of proportion, leukocytosis, and metabolic acidosis. Computed tomography (CT) scan unveiled thepresence of air within the gastric wall, and a presumptive diagnosis of gastric emphysema was made. Thepatient responded positively to conservative management and was discharged after a two-dayhospitalization. This case report emphasizes the need for physicians to adeptly distinguish between GE andEG. Timely identification and precise differentiation of the two conditions allow for timely and tailoredmanagement, ultimately leading to improved clinical outcomes...
  PubDate: Wed, 1 May 2024 00:00:00 +0000
Modification of an Airway Training Mannequin to Teach Engagement of the
Hyoepiglottic Ligament
- Authors: Tumminello; Richard , Patino-Calle, Daniel
  Abstract: Audience: This airway trainer modification is designed to instruct all levels of training in emergency medicine in order to familiarize trainees with airway anatomy and obtain superior views of the glottic inlet.Introduction: During intubation with a standard geometry laryngoscope, such as the Macintosh blade, placement of the distal end of the blade within the vallecula and engagement of the median glossoepiglottic fold, also referred to as the midline vallecular fold (MVF), has long been championed by experts in airway management for its ability to improve glottic inlet visualization. This notion was further supported by the recent publication of a retrospective video review by Driver et al.1 Unfortunately, airway anatomy, including engagement of the MVF, does not receive the emphasis it deserves during intubation training of emergency medicine residents. Emergency physicians often have limited time to perform complete airway examinations, but a sound recognition...
  PubDate: Wed, 1 May 2024 00:00:00 +0000
Vaginal Bleeding Due to Iatrogenic Uterine Perforation – A Case
Report
- Authors: Costumbrado; John , Snyder, Leah , Ghassemzadeh, Sassan , Ng, Daniel
  Abstract: Uterine perforation is a rare but potentially life-threatening complication of gynecologic procedures. Seriouscomplications include hemorrhage, infection, and injury to surrounding organ systems (eg, gastrointestinal,urological, vascular, etc.). Risk factors include advanced maternal age, prior gynecologic surgeries, and otheranatomical features that impact the difficulty of accessing the uterine cavity. In this case report, we discussa patient who presented to the emergency department (ED) with diffuse abdominal pain and vaginal bleedingthat occurred after an elective dilation and curettage (D&C) for a termination of pregnancy. The diagnosiswas suspected clinically and confirmed by imaging including ultrasound (US) and computed tomography (CT)of the abdomen and pelvis. The patient was managed operatively with a multidisciplinary approach includingGynecology, General Surgery, and Urology. The patient was stabilized and eventually discharged. Uterineperforation should be included...
  PubDate: Wed, 1 May 2024 00:00:00 +0000
A Realistic, Low-Cost Simulated Automated Chest Compression Device
- Authors: Joyce; Jessica , Fults, Elyse , Rajan, Julia , Plezia, Alexandra , Clayton, Carolyn , Hock, Sara M
  Abstract: Audience: This simulated automated chest compression device was designed for use in simulation cardiacarrest cases involving emergency medicine residents, but it would be applicable to other learners such asnurses, pharmacists, and medical students.Background: Automated chest compression devices (ACCD) are commonly utilized in cardiac arrest in theemergency department and by emergency medical services (EMS) as patients arrive in the ED.1 Prolongedsimulated cardiac arrest can be challenging to maintain proper chest compression depth and technique.2Resident learning may be enhanced during cardiac arrest in the simulation environment by implementing theuse of a simulated ACCD.Educational Objectives: By the end of this educational session using a resuscitation trainer or high-fidelitymanikin, learners should be able to:1. Recognize appropriate application of simulated ACCD to an ongoing resuscitation case2. Demonstrate proper positioning of simulated ACCD in manikin...
  PubDate: Wed, 1 May 2024 00:00:00 +0000
A Case Report of Acute Compartment Syndrome
- Authors: Marciano; Naomie Devico , Sarpong, Keneth , Smart, Jonathan
  Abstract: Acute compartment syndrome (ACS) is a surgical emergency which requires prompt identification andintervention to prevent irreversible tissue damage. Here we present the case of a 64-year-old male withlower extremity tenderness following a crush injury. This patient presented to the emergency department(ED) more than 12 hours after the initial incident occurred and was found to have a firm right calf withdecreased sensation and absent distal pulses on his right leg. The patient’s outer compartment pressuremeasured 32 mmHg. Because these findings were concerning for acute compartment syndrome, emergentfasciotomies of the four compartments of the lower right leg were performed with improvement inneuromuscular compromise. Early identification of the condition permitted a prompt recovery for the patientwho was discharged home on day five. This case report reviews the clinical presentation and interventionalmodalities and aims to provide new images to help visualize a diagnosis of ACS.
  PubDate: Wed, 1 May 2024 00:00:00 +0000
Hypertensive Emergency Team-Based Learning
- Authors: Nguyen; Khoa , Shin, Jordan Gawon , Jessica Andrusaitis, Jessica Andrusaitis
  Abstract: Audience: The target audiences for this team-based learning (TBL) activity are resident physicians andmedical students.Introduction: According to the Centers for Disease Control and Prevention (CDC), nearly half of the adults inthe United States have hypertension,1 which is a leading cause of cardiovascular disease and prematuredeath.2 In extreme cases, patients may present in hypertensive emergencies, defined as an acute, markedelevation of systolic blood pressure >180mmHg or diastolic blood pressure >120mmHg with evidence oforgan dysfunction.3,4 Patients presenting to the emergency department (ED) with symptoms of hypertensiveemergencies must be promptly diagnosed and treated to prevent further morbidity and mortality. This TBLutilizes four clinical cases to educate resident physicians and medical students not only on the recognition ofhypertensive emergencies, but also on the workup, management, and disposition of patients who present tothe ED with hypertension.udience:...
  PubDate: Wed, 1 May 2024 00:00:00 +0000
Septic Abortion Complicated by Disseminated Intravascular Coagulation
- Authors: Moore; Lauren , Yee, , Jennifer
  Abstract: Audience: This scenario was developed to educate emergency medicine residents on the diagnosis and management of two concurrent conditions: septic abortion and disseminated intravascular coagulation (DIC). Introduction: Patients with an abortion (spontaneous or induced) of less than twenty weeks gestation may present with concurrent uterine infection, also known as septic abortion. One of the complications of septic abortion is DIC. Early management of both underlying etiology (septic abortion) and subsequent complications (DIC) is crucial to minimize morbidity and mortality. Educational Objectives: At the conclusion of the simulation session, learners will be able to:1) Obtain a relevant focused history including pregnancy history, medication use, and past medical history. 2) Develop a differential for fever and vaginal bleeding in a pregnant patient. 3) Discuss management of septic...
  PubDate: Wed, 1 May 2024 00:00:00 +0000
Telescoping into Adulthood: A Case Report of Intussusception in an Adult
Patient
- Authors: Joy; Neena , Kolster, Laura
  Abstract: Intussusception is a familiar diagnosis among the pediatric population; however, it is rarely consideredamong the adult population due to a myriad of life-threatening pathologies within the abdomen. We presentan adult female who presented to the emergency department (ED) with abdominal pain and constipation.Laboratory testing and a computed tomography (CT) scan of the abdomen were ordered. Laboratory testresults were notable for an elevated lymphocyte count as well as leukocyte esterase, white blood cells (WBC),and bacteria seen on urinalysis. The computed tomography scan detected a colo-colic intussusceptionsecondary to a benign mass within the bowel lumen. The mass was surgically resected and the patient hadan uneventful postoperative course. This unique case represents the occurrence of a pathology to which theadult population is not immune, and therefore should not be overlooked when evaluating a non-specific caseof abdominal pain.
  PubDate: Wed, 1 May 2024 00:00:00 +0000
Electrical Storm/Refractory Ventricular Tachycardia
- Authors: Tarchione; Ashley R , Vempati, Amrita
  Abstract: Audience: This simulation case was created for emergency medicine (EM) residents at all levels of training.Background: Cardiac electrical storm (ES) is commonly defined as three or more episodes of sustainedventricular tachycardia, ventricular fibrillation, or three shocks from an implantable defibrillator within a 24hour period.1 This can occur in up to 30-40% of patients with implantable defibrillators; however, it may alsopresent in a wide variety of patients, including those with structural heart disease, myocardial infarction,electrolyte disturbances, and channelopathies.2,3 With each subsequent episode of ventricular arrhythmia,the arrhythmogenic potential of the heart may increase secondary to increased intracellular calciumdysregulation, myocardial injury, and increased endogenous release of catecholamines. The increased painand catecholamine release from cardioversion/defibrillation and exogenous epinephrine during cardiacarrest further exacerbates ES.2 This...
  PubDate: Wed, 1 May 2024 00:00:00 +0000
Managing STEMIs without a Catheterization Lab: A Simulated Scenario to
Improve Emergency Clinician Recognition and Execution of Thrombolysis in
the Setting of Rural STEMI Management
- Authors: Schoenborn; Scott , Steratore, Anthony F , Hoffman, Adam , Marshall, Thomas C , Shaver, Erica B , Kiefer, Christopher S
  Abstract: Audience: The targeted audience for this simulation is Emergency Medicine (EM) residents. Medicalstudents, advanced practice providers, and staff physicians could all also find educational merit in thisscenario.Background: Cardiovascular disease is the leading cause of death in the United States according to the CDC.1Coronary artery disease caused 375,000 deaths 2021 alone, and about 5% of all adult patients have a priorhistory of coronary artery disease.2 Furthermore, chest pain itself is a common chief complaint encounteredin the ED, with nearly 8 million visits annually occurring throughout the United States, with 10-20% of thosepatients ultimately being diagnosed with an acute coronary syndrome3, including ST-elevation myocardialinfarction (STEMI). Given this, it is essential that EM residents are well prepared to care for all patientspresenting with chest pain, regardless of the acute care or emergency setting.Throughout their training, most EM residents typically...
  PubDate: Wed, 1 May 2024 00:00:00 +0000
Septic Arthritis of the Acromioclavicular Joint: A Case Report
- Authors: Tally; BS, Serena , Head, MA, Michael , Kraft, MD, Kerri
  Abstract: Septic arthritis of native joints is uncommon, but the condition can be threatening to life and limb if left untreated.1 Septic arthritis of the acromioclavicular (AC) joint of the shoulder is particularly rare and has only appeared sparsely in medical literature, mainly through individual case reports. Early recognition and treatment of the condition is vital, but diagnosis of septic AC arthritis can be difficult due to its presentation with vague symptoms and nonspecific laboratory findings. This case report describes the care of a patient with poorly managed diabetes who presented to the emergency department with one month of pain and swelling of the left shoulder and two weeks of pain and swelling in the right ankle. Imaging revealed fluid in the AC joint, and laboratory evaluation showed an elevation in inflammatory markers, including leukocyte count, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR). The patient’s hospital course was complicated by methicillin-sensitive...
  PubDate: Sun, 4 Feb 2024 00:00:00 +0000
E-FAST Ultrasound Training Curriculum for Prehospital Emergency Medical
Service (EMS) Clinicians
- Authors: Nguyen; BS, Clever M. , Hartmann, BS, EMT-A, Krista , Goodmurphy, PhD, Craig , Flamm, DO, EMT-P, FACEP, FAEMS, Avram
  Abstract: Audience and Type of Curriculum: Audience and type of curriculum: This hybrid, asynchronous curriculum is designed for prehospital clinician colleagues, including but not limited to emergency medical technicians (EMT), advanced EMTs (AEMT), EMT-paramedics (EMT-P), critical care EMT-Ps (CCEMTP), critical care transport nurses (CCTN), and certified flight registered nurses (CFRN) to learn and practice ultrasound fundamentals in the setting of a standardized extended focused assessment with sonography in trauma (E- FAST) exam.Length of Curriculum: Over a five-month curriculum, learners will perform a pre-test, review online module lectures, attend an ultrasound scanning workshop, and perform post-test examinations.Introduction: The extended-focused assessment with sonography in trauma (E-FAST) exam can identify intrathoracic and intraabdominal free fluid, as well as pneumothoraces. The E-FAST ultrasound exam has previously been taught to clinicians of various backgrounds...
  PubDate: Sun, 4 Feb 2024 00:00:00 +0000
Case Report of a Child with Colocolic Intussusception with a Primary Lead
Point
- Authors: Lee; BS, Ethan , Lins, MD, Jeremy , Cosand, MD, Chelsea , Piroutek, MD, Mary Jane , Kim, MD, Tommy Y.
  Abstract: Intussusception is the telescoping of bowel into an adjacent segment of bowel and has an associated risk for bowel ischemia and perforation. The classic triad of abdominal pain, blood in stool, and an abdominal mass is present in less than 40% of pediatric cases and is less common in older children.1 Ultrasound has a high sensitivity and specificity for the diagnosis of intussusception, and once diagnosed, treatment modalities include reduction by either ultrasound or fluoroscopic guided air or hydrostatic enema. The risk of recurrence after successful reduction occurs in up to 12% of pediatric patients and occurs more frequently in older children and children with a pathologic lead point.2 We present a case of a 6-year-old child with colocolic intussusception that was successfully reduced and recurred within five days due to a large colonic polyp.Topics: Intussusception, lead point, pediatrics.
  PubDate: Sun, 4 Feb 2024 00:00:00 +0000
A Guide to the Medical School Curriculum Vitae
- Authors: Davis; BS, Konnor , Boysen-Osborn, MD, MHPE, Megan , Wray, MD, MAEd, Alisa , Stokes, EdD, MS, Lauren
  Abstract: Audience: Although this lecture is aimed at medical students, it can also be utilized for residents, fellows, and junior faculty.Background: The topic of teaching medical students about the fundamentals of creating a curriculum vitae (CV) is important because a CV serves as a record of scholastic and professional experiences.1 Thus, their CV will undoubtedly play a vital role in residency applications.2,3 Intentional instruction about the elements to incorporate in a CV are especially important for first-generation and underrepresented students in the medical field because they may not have had as much exposure to both the requirements of a residency application nor qualities of an effective CV.Educational Objectives: After this lecture, learners should be able to: 1) elaborate on the significance of a CV for medical students and discuss its purpose, 2) outline the elements that should and should not be included on a CV, 3) integrate knowledge gleaned from basic...
  PubDate: Sun, 4 Feb 2024 00:00:00 +0000
An Appy That Needs Epi: An Atypical Presentation of Anaphylaxis
- Authors: O’Neill; MD, Ryan , Adeli, BA, CHSE, Cyrus , San Miguel, MD, MEd, Christopher E.
  Abstract: Audience: This simulation is intended for 4th year medical students.Background: Shock is the result of inadequate circulation and failure to perfuse tissues, leading to cellular and organ dysfunction.1 Anaphylactic shock specifically is a type of distributive shock secondary to an IgE (immunoglobulin E) dependent reaction, which can result in respiratory compromise and cardiovascular collapse. The National Institute of Allergy and Infectious Diseases/Food Allergy and Anaphylaxis Network (NIAID/FAAN) laid out three diagnostic criteria for the diagnosis of anaphylaxis. Fulfillment of any one of the three following criteria likely indicates anaphylaxis: 1) acute onset of illness with skin findings and either respiratory compromise or reduced blood pressure, 2) involvement of two or more organ systems after exposure to a likely allergen, 3) reduced blood pressure after exposure to a known allergen.2 While not a required component of the pathology, hives and cutaneous findings...
  PubDate: Sun, 4 Feb 2024 00:00:00 +0000
What You Didn’t Learn in Residency: A Collective Curriculum for New
Academic EM Faculty and Fellows
- Authors: Schmidt MD; MPH, Jessica , Schnapp, MD, MEd, Benjamin , Damewood, MD, Sara , Westergaard, MD, Mary
  Abstract: Audience and Type of Curriculum: This curriculum is designed for emergency medicine fellows and first-year junior faculty. The curriculum covers core topics related to academic and professional success for an early career faculty member.Length of Curriculum: The curriculum is designed as quarterly sessions over the course of one academic year.Introduction: An increasing number of emergency medicine graduates are pursuing fellowship after completion of residency.1 Fellowship can be challenging as newly minted graduates begin to explore their academic niche, refine their clinical practice, and define their personal and professional spheres. We propose a structured curriculum to help guide fellows and new faculty to mitigate these challenges.Educational Goals: The aim of this curriculum is to develop relevant skills to promote academic success for fellows and first-year faculty at the start of their academic career and which could be completed during a one-year...
  PubDate: Sun, 4 Feb 2024 00:00:00 +0000
The Clue is in the Eyes. A Case Report of Internuclear Ophthalmoplegia
- Authors: Nickels; DO, Cooper , Keyes, MD, Christy , Astemborski, MD, MEHP, Caroline , Fulton, BS, Haley
  Abstract: The chief complaint of vertiginous symptoms can be daunting, and the differential is quite long. Approximately 15% of patients presenting to the emergency department (ED) with dizziness have a dangerous underlying cause.1 We present a case of a 40-year-old female with a sudden onset of what she describes as vertigo, in the setting of intermittent diplopia. The patient was found to have a left medial rectus palsy consistent with a left internuclear ophthalmoplegia. Internuclear ophthalmoplegia (INO) is an abnormal gaze that is characterized by the weakness or inability to adduct the affected eye. This occurs secondary to a lesion in the brain affecting the medial longitudinal fasciculus (MLF) most commonly in the pons; however, this pathway can also be affected in the midbrain.2 The diagnosis in our patient was confirmed after an MRI revealed an acute infarct of the left dorsal pons involving the medial longitudinal fasciculus, resulting in the observed left INO. The patient...
  PubDate: Sun, 4 Feb 2024 00:00:00 +0000
Calcium Channel Blocker Overdose
- Authors: Andrusaitis; MD, MS, Jessica G. , Givertz, MD, Alan
  Abstract: Audience: Emergency medicine residents and medical students on emergency medicine rotation.Background: Calcium channel blocker (CCB) overdoses can be severe with potentially serious adverse outcomes. CCBs work by blocking the calcium channels on smooth and cardiac muscle tissue. At low dose ranges, dihydropyridine CCBs (such as nifedipine, amlodipine, and nicardipine) block the L-type calcium receptors in the peripheral vasculature, whereas non-dihydropyridine CCBs (such as: verapamil and diltiazem) affect the L-type calcium receptors in the myocardium.1 Because of this distinction, dihydropyridine CCB toxicity manifests as arterial vasodilation and non-dihydropyridine CCB toxicity is associated with cardiac manifestations such as bradycardia and negative inotropy.2 It is important to note that in high concentrations (such as in overdoses), CCBs lose specificity for their specific receptors and can show all the manifestations of toxicity such as bradycardia, peripheral...
  PubDate: Sun, 4 Feb 2024 00:00:00 +0000
A Novel Leadership Curriculum for Emergency Medicine Residents
- Authors: Zdradzinski; MD, Michael J , Sanders, MD, Stephen , Kazmi, MD, Qasim , Fields, MD, Vanessa , James O’Shea, MBBS, James , Medoff, MD, MPP, Sar
  Abstract: Audience and Type of Curriculum: This longitudinal leadership curriculum is designed for emergency medicine residents at all levels, with individual sessions designed for each residency year.Length of Curriculum: This curriculum runs once annually over three to four years of emergency medicine residency.Introduction: Leadership is a vital skill for emergency physicians but is often passively taught during residency training. Strong leadership skills can lead to improved patient outcomes, but very few residency programs in any specialty and no emergency medicine residency programs have published comprehensive leadership training curricula.Educational Goals: The goals of this curriculum are to expose Emergency Medicine residents to the basics of leadership, to provide a graduated series of interactive, psychologically safe environments to explore individual leadership styles, to review interesting relevant literature, and to discuss leadership principles...
  PubDate: Fri, 2 Feb 2024 00:00:00 +0000

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