Thursday, June 28, 2018

Legal Implications of Responding to In-flight Medical Emergencies

Image Credit: Pixabay
This post was peer reviewed.
Click to learn more.

Author: Ali Bacharouch, MSIII
University of Michigan
AAEM/RSA Education Committee

Imagine boarding your flight to Fort Lauderdale after a hectic few months at the hospital. As the plane takes off you begin to think about how relaxing your trip is going to be. As you are trying to sleep, you hear some sounds coming from the back of the plane that give you flashbacks of the emergency department. You then hear an announcement the intercom system: “A fellow passenger needs medical attention; if you are a medical professional please identify yourself to a cabin crew member.” You quickly spring into action and attend to an elderly woman who reports new-onset lightheadedness. After ruling out life threatening conditions, you provide reassurance and head back to your seat as the woman expresses her gratitude.

Sunday, June 24, 2018

Update on Direct Oral Anticoagulants in the Emergency Department

Authors: Megan Donohue MD, MPH, Erica Bates MD, Robert Brown MD, Christine Carter MD, Hannah Goldberg MD.
Editors: Kami M. Hu MD FAAEM, Kelly Maurelus, MD FAAEM
Originally Published: Common Sense May/June 2018

Questions: What new information do we have regarding direct oral anticoagulants (DOACs), specifically:
  1. What is the most recent safety data?
  2. Do our standard coagulation assays provide an accurate measure of anticoagulant activity?
  3. Where do we stand with reversal agents?

Thursday, June 21, 2018

The Unfortunate Case of the Costa Rican Colles’ Fracture: An Up-Close case study of Costa Rica’s Emergency Department

Image Credit: Pixabay
Author: Kayla King
Originally published: Common Sense May/June 2018

Picture this: you’re on a study abroad in beautiful, picturesque Costa Rica, in between your first and second year of medical school, learning about their health care system and practicing medical Spanish. You’re traveling to volcanoes, beaches, national parks, and national sloth reserves, taking pictures for every social media account possible, with six classmates. Seems glorious, right? Now, imagine that you’re doing all this, except you have a bright blue cast on your dominant wrist.

… What?

Sunday, June 17, 2018

In Vitro Fertilization: Complications and Special Considerations in the Emergency Department

This post was peer reviewed.
Click to learn more.
Authors: Alexandria Gregory, MS-4
Medical Student Saint Louis University School of Medicine
AAEM/RSA Social Media Committee

Eric Goedecke, DO
Milford Regional Medical Center

A 41-year-old female presented to the emergency department (ED) with a several-day history of abdominal pain, nausea, vomiting, and lightheadedness. She reported that she was currently five weeks pregnant after having in vitro fertilization (IVF) in which two embryos were implanted. She had a history of one prior miscarriage, but no other pregnancies. She reported that she was followed by an obstetrician (OB) and had had two normal ultrasounds during this pregnancy. The patient had no vaginal bleeding, vaginal discharge, fever, or chills.

On exam, the patient’s initial vital signs were as follows: temperature 97.3° F, pulse 60 bpm, blood pressure 58/32 mmHg, respiratory rate 19, and oxygen saturation 98% on room air. The patient was in severe distress. Abdomen was diffusely tender and distended with guarding. Skin was pale and clammy.

Friday, June 1, 2018

Blog Staff, Reviewers, & Mentors

Thank you to our 2018-2019 peer review & editorial team!

AAEM/RSA Leadership:

MohammedMoiz Qureshi, MD
AAEM/RSA President
Penn State

Jessica Fujimoto, MD
AAEM/RSA Vice President
Temple University

Justin Yanuck, MD
AAEM/RSA Secretary-Treasurer
UC Irvine

Ashely Alker, MD
AAEM/RSA Immediate Past President
University of California San Diego Medical Center

AAEM/RSA Blog Leadership:

Jake Toy, DO
Blog Editor-in-Chief
Social Media Committee Chair
Harbor-UCLA Medical Center

Alex Gregory, MS4
Copy Editor
Social Media Committee Vice Chair
Saint Louis University School of Medicine

Nicholas Pettit, DO PhD
RSA Board Liaison to the Social Media Committee
Indiana University

Cassidy Davis
Communications Manager, AAEM

Publications Mentors:

Attending physicians or fellows who have agreed to help authors and reviewers learn about and navigate the publications process. Interested attendings/fellows can contact

Michael Epter, MD
Laleh Gharahbaghian, MD
Nikita Joshi, MD
Arayel Osborne, MD
Andrew Phillips, MD MEd
Loice Swisher, MD

Peer Reviewers:

Mary Blaha, DO
Shea Boles
Jonathon R. Burns
Patrick R. Engelbert, MD
David F. Fine
LaVana Greene
Alexandria Gregory
Ashley Grigsby, MD
Zachary J. Kosak
Daniel F. Leiva, DO
Timothy Montrief, MD
Kaitlin Parks
Taylor A. Petrusevski
Nicholas R. Pettit, DO PhD
Jake Toy, DO
Sara R. Urquhart