CPC-EM: Volume 7 Issue 2

Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report

Author Affiliation Samuel G. Rouleau, MD University of California Davis Health, Department of Emergency Medicine, Sacramento, California Martin A.C. Manoukian, MD University of California Davis Health, Department of Emergency Medicine, Sacramento, California Gordon X. Wong, MD University of California Davis Health, Division of Cardiovascular Medicine, Department of Internal Medicine, Sacramento, California David K. Barnes, MD […]

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Droperidol in the Management of Phantom Limb Pain: Case Report

Author Affiliation Madison C. Winstead, University of Kentucky College of Pharmacy, Lexington, Kentucky Kimberly J. Wells, MD University of Kentucky HealthCare, Department of Emergency Medicine, Lexington, Kentucky Gavin T. Howington, PharmD University of Kentucky College of Pharmacy, Department of Pharmacy Practice and Science, Lexington, Kentucky; University of Kentucky HealthCare, Department of Pharmacy Services, Lexington, Kentucky […]

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A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care Ultrasound

Author Affiliation Nicholas Bielawa, MS, PA-C North Shore University Hospital, Manhasset, Department of Emergency Medicine, New York Allison Cohen, MD North Shore University Hospital, Manhasset, Department of Emergency Medicine, New York Milan Patel, DO North Shore University Hospital, Manhasset, Department of Emergency Medicine, New York Brendon Stankard, PA-C North Shore University Hospital, Manhasset, Department of […]

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Iatrogenic Rhinolith: A Case Report and Review of Literature

Author Affiliation Daniel Mitchell, BS The University of Vermont – Larner College of Medicine, Burlington, Vermont Quinn Self, MD The University of Vermont Health Network, Department of Otolaryngology Surgery, Burlington, Vermont Carolyn Orgain, MD The University of Vermont Health Network, Department of Otolaryngology Surgery, Burlington, Vermont Introduction Case report Discussion Conclusion ABSTRACT Introduction Unilateral nasal […]

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COVID-19-induced Acute Psychosis Resulting in a Suicide Attempt: A Case Report

Author Affiliation Alexander Piszker, DO, MS Michigan State University College of Osteopathic Medicine, Trinity Health Muskegon Emergency Medicine Residency, Muskegon, Michigan Nicholas McManus, DO Michigan State University College of Osteopathic Medicine, Trinity Health Muskegon Emergency Medicine Residency, Muskegon, Michigan Introduction Case report Discussion Conclusion ABSTRACT Introduction Psychosis associated with coronavirus disease 2019 (COVID-19) has been […]

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Bilateral Infectious Extensor Tenosynovitis: A Case Report

Author Affiliation Daria Osipchuk, MD Keck School of Medicine of University of Southern California, Department of Emergency Medicine, Los Angeles, California Jeffrey Riddell, MD Keck School of Medicine of University of Southern California, Department of Emergency Medicine, Los Angeles, California Introduction Case report Discussion Conclusion ABSTRACT Introduction Infectious extensor tenosynovitis is a rare infection spreading […]

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Myocardial Bridge of the Left Anterior Descending Artery Causing Pseudo-Wellens’ Syndrome: A Report of Two Cases

Author Affiliation Debayan Guha, MD Albert Einstein College of Medicine, Department of Emergency Medicine at the Jacobi and Montefiore Medical Centers, Bronx, New York Franz C. Mendoza-Garcia, MD Albert Einstein College of Medicine, Department of Emergency Medicine at the Jacobi and Montefiore Medical Centers, Bronx, New York Kathryn M. Millen, MD Albert Einstein College of […]

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A Cluster of Neuroinvasive Adenovirus Infections on a College Campus: Case Series

Author Affiliation Nicholas Valentini, MD University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan Madison Breeden, MD University of Michigan, Department of Internal Medicine, Division of Infectious Disease, Ann Arbor, Michigan Laura E. Felley, MD, PhD University of Michigan, Department of Internal Medicine, Division of Infectious Disease, Ann Arbor, Michigan Nathan B. Roberts, MD, […]

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The Pectoralis Block: A Case Series of a Novel Modality for Acute Pain Control in the Emergency Department

Author Affiliation Jonathan Henry Brewer, MD Vanderbilt University Medical Center, Department of Emergency Medicine, Division of Emergency Ultrasound, Nashville, Tennessee Noah Sanders, MD Highland Hospital, Department of Emergency Medicine, Oakland, California Alexander Ayala, MD Highland Hospital, Department of Emergency Medicine, Oakland, California Arun Nagdev, MD Highland Hospital, Department of Emergency Medicine, Oakland, California Introduction Technique […]

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44-year-old Man with Hemoptysis and Hypoxemic Respiratory Failure: A Case Report

Author Affiliation Bryan P. McNeilly, MD University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland Dominic M. Williams, DO CarolinaEast Medical Center, Department of Emergency Medicine, New Bern, North Carolina Laura J. Bontempo, MD, MEd University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland J. David Gatz, MD University of […]

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An Inexpensive Biomechanical Model to Help Teach and Learn Newer Mandible Reduction Techniques

Author Affiliation Shantal Tummings, BS Loma Linda University School of Medicine, Laboratory for Innovations in Medical Education, Loma Linda, California Sierra Garrett, BS Loma Linda University School of Medicine, Laboratory for Innovations in Medical Education, Loma Linda, California Ja’Neil G. Humphrey, BS Loma Linda University School of Medicine, Laboratory for Innovations in Medical Education, Loma […]

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Point-of-care Ultrasound Identification of Hepatic Abscess in the Emergency Department

Michael Blomquist, MS

A 92-year-old female with past medical history of hypertension presented to the emergency department with pain in her right shoulder, right flank, and right upper quadrant of her abdomen. Point-of-care ultrasound (POCUS) and computed tomography imaging showed concerns for multiple large hepatic abscesses. Percutaneous drainage removed 240 millileters of purulent fluid that identified Fusobacterium nucleatum, a rare cause of pyogenic liver abscess.

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Benign Episodic Mydriasis as a Cause of Isolated Anisocoria

Alyssa Seibold, MD

A 22-year-old female presented to the emergency department with a dilated right pupil and mild blurry vision. Physical examination revealed a dilated, sluggishly reactive right pupil, without other ophthalmic or neurologic abnormalities. Neuroimaging was normal. The patient was diagnosed with unilateral benign episodic mydriasis (BEM).

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Diagnosing Atypical Flutter in the Post-atrial Fibrillation Ablation Patient: A Case Report

Alexandra Nicole Fuher, MD

Late atrial arrhythmias after catheter ablation for atrial fibrillation occur in up to 30% of post-ablation patients and are increasingly encountered by emergency physicians. However, diagnosing the exact mechanism of the arrhythmia on the surface electrocardiogram (ECG) remains challenging due to atrial scarring leading to heterogeneous P-wave morphology.

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Emergency-physician Performed, Ultrasound-guided Lateral Femoral Cutaneous Nerve Block for Meralgia Paresthetica: A Report of Two Cases

Matthew M. Kongkatong, MD

Neuropathy of the lateral femoral cutaneous nerve, also known as meralgia paresthetica, causes pain and paresthesia to the anterolateral thigh. It commonly results from nerve irritation from extrinsic compression; however, it may occur spontaneously. Symptoms from this condition can be debilitating, and the pain may be ascribed to other conditions leading to delays in diagnosis. Peripheral nerve blockade can be useful both diagnostically and therapeutically for meralgia paresthetica.

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WestJEM/ Department of Emergency Medicine
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Email: editor@westjem.org

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WestJEM
ISSN: 1936-900X
e-ISSN: 1936-9018

CPC-EM
ISSN: 2474-252X

Our Philosophy

Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.