Homemade phantoms improve ultrasound-guided vein cannulation confidence and procedural performance on patients.

Background: Ultrasound-guided vein cannulation is an essential skill in emergency medicine. Prohibitive costs of commercial ultrasound phantoms limit the ability to adequately train residents. We assess the clinical utility of homemade phantoms for medical education.

Phlegmasia cerulea dolens causing compartment syndrome.

Background: Phlegmasia cerulea dolens (PCD) is a rare condition characterized by a severely swollen, cyanotic, blue extremity due to a large proximal (iliofemoral) deep venous thrombosis extending into the collateral veins. Mortality in PCD ranges 20-40%. Due to severely compromised venous drainage, compartment pressures can rapidly increase 16-fold within 6 h, but rarely result in arterial compromise.

Resolution of status epilepticus after ketamine administration.

Background: Status Epilepticus is the most common non-traumatic neurologic emergency in childhood. Current algorithms prioritize the use of benzodiazepines as first line treatment followed by Levetiracetam or Valproic Acid, possibly Fosphenytoin and eventually high dose Propofol and intubation.

Case Report: A 9-month old girl was brought to the emergency department with a continuous seizure involving the right upper and lower extremity for 45 min prior to arrival.

Workplace Violence in Emergency Departments in Turkey.

Studies on workplace violence against physicians in emergency departments (EDs) in Turkey are lacking. To describe the frequency and types of workplace violence, a 34-question online survey of the past 12 months was sent to physicians working in EDs in Turkey. Types of violence were categorized as verbal threats, physical assaults, confrontation, stalking, and sexual harassment.

Isolated Tachycardia Presenting After Pfizer-BioNTech COVID-19 Vaccination.

A 29-year-old woman presented to the emergency department with palpitations and a heart rate of over 140 beats per minute that started approximately six to eight hours after administration of her second COVID-19 vaccination. Many side effects have been associated with the administration of vaccines. We present the first documented case of tachycardia and palpitations, in the absence of other signs or symptoms, presenting within hours of receiving the Pfizer-BioNTech COVID-19 vaccination.

Wide complex tachycardia in dialysis patients is not always hyperkalemia.

Background: Flecainide is a commonly used IC antiarrhythmic. Clinical presentations of Flecainide toxicity are not commonly described.

Case Report: A 62 year old man on dialysis presented for evaluation of outpatient bradycardia and hypotension.

Homemade cardiac and vein cannulation ultrasound phantoms for trauma management training in resource-limited settings.

Unlabelled: Ultrasound has become an essential skill for trauma management in resource-limited areas. Prohibitive costs of commercial ultrasound phantoms limit the abilities of many hospitals to adequately train health-care providers. We assessed the utility of homemade phantoms in a wartime setting.

Global Emergency Medicine Fellowships: Survey of Curricula and Pre-Fellowship Experiences.

Introduction: Lack of accreditation requirements affords global emergency medicine (GEM) fellowships the flexibility to customize curricula and content. A paucity of literature exists describing the state of GEM fellowship programs. We describe the current state of GEM fellowship curricula including which components are commonly included, and highlighting areas of higher variability.

Siblings with pediatric sodium chlorite toxicity causing methemoglobinemia, renal failure and hemolytic anemia.

Introduction: Over the past decade, Miracle Mineral Solution (sodium chlorite) has been promoted as a cure-all for many conditions.

Case Report: A 9-year-old boy presented with his brother after they accidentally ingested a small amount of undiluted 22.4% sodium chlorite.

Effect of race and insurance on outcome of pediatric trauma.

Objectives: This study sought to determine if insurance or race status affect trauma outcomes in pediatric trauma patients.

Methods: Using the National Trauma Data Bank (NTDB; v6.2), the following variables were extracted: age (0-17 years), payment type (insured, Medicaid/Medicare, or self-pay), race (white, Black/African American, or Hispanic), Injury Severity Score (ISS > 8), type of trauma (blunt or penetrating), and discharge status (alive or dead).