Modern Resident

• Peds Tox Talk: Liquid Nicotine

  Photo by Lindsay Fox Author: Ashley Grigsby, DO PGY-1Indiana University Emergency Medicine/Pediatrics Originally Published: Modern Resident, June/July 2015  Nicotine toxicity is a well-described clinical entity that often occurs in children who accidentally ingest cigarette buds or nicotine patches. However, a new form of nicotine has the potential to cause serious clinical symptoms, including death. E-cigarettes […]
• Foot Pain Out of Proportion to Exam: Lisfranc Injuries

  Author: Alexandra Murray, OMSIVOhio University Heritage College of Osteopathic Medicine Originally Published: Modern Resident, February-March 2015 Classic medical conditions that are associated with “pain out of proportion to exam” include compartment syndrome, necrotizing fasciitis and mesenteric ischemia.[1-3] However, another condition that can present with excruciating pain, despite underwhelming exam findings, is a Lisfranc injury.[4-6] Lisfranc […]
• Tox Talks: Drug Induced Noncardiogenic Pulmonary Edema

  Author: Ashley Grigsby, DO, Indiana University Noncardiogenic pulmonary edema (NCPE) is a clinical entity consisting of alveolar fluid accumulation without evidence of cardiac cause.[1] Although there are many non-toxicologic causes of NCPE, both opiate overdose and salicylate toxicity are known to cause NCPE and should be part of one’s differential diagnoses. Opiate overdose induced NCPE […]
• Increasing the Paper Speed in Narrow-Complex Tachycardia

  Normal paper speed (25mm/s) Authors: Destinee DeLemos, MDNathan Haas, MDUniversity of Michigan Department of Emergency Medicine Narrow complex tachycardia often presents a diagnostic and therapeutic dilemma, and one simple trick can help in the correct identification of the underlying rhythm. With increasing heart rates, it becomes quite challenging for the emergency physician to distinguish between […]
• Deep Neck Space Infections

  Author: Alexandra Murray, OMSIVOhio University Heritage College of Osteopathic Medicine Since the advent of modern antibiotic use, deep neck space infections have decreased in occurrence; however, when these infections take place, the complications can be life threatening.[1-4] Because of the unique compartments of the cervical fascia, deep neck space infections can range in severity and […]
• On the Horizon: Shock – Administered Uninterrupted Chest Compressions

  Originally Published: Modern Resident, Dec/Jan 2013 Original Author: Meaghan Mercer, DO University of Nevada Las Vegas Submitted by: Rachel Engle, DO; Joe Lex, MD MAAEM FAAEM, Temple University Hospital  It is important to revisit and challenge dogma in medicine. When you think of defibrillation you hear the word “CLEAR” and know your primary job in […]
• ‘Tis the Season to Investigate Holiday Plant Myths

  Orignially Published: Modern Resident, Dec/Jan 2012 Original Authors: Christopher DeClue, MS1Veronica Tucci, MD JDMichael Omori, MD FACEPUniversity of South Florida Emergency Medicine Submitted by: Rachel Engle, DO Communications Committee Chair  Contrary to popular belief, the poinsettia (Euphorbia pulcherrima) is not a toxic plant. This misconception began as an urban legend dating back to 1919 when […]
• Medical and Surgical Emergencies in the Pregnant Patient

  Originally Published: Modern Resident, Dec/Jan 2012  Original Author: McKaila Allcorn, DO Kent Hospital Submitted by: Rachel Engle, DO Communications Committee Chair For most of us, pregnant patients can be intimidating (and not just because of their hormones). While it would be nice to think that our obstetric colleagues can handle all emergencies that occur in […]
• Did You Know?… Ketamine in Head Trauma

  Originally Published: Modern Resident, Dec/Jan 2012 Original Author: Casey Grover, MD Stanford/Kaiser Emergency Medicine Submitted by: Rachel Engle, DO Communications Committee Chair We all learned in medical school that increased intracranial pressure is a contraindication to the use of ketamine… Where does this come from? The notion that ketamine increases intracranial pressure (ICP) comes from […]
• Cardiology Pearl: Wellens’ Syndrome

  Photo: Wikimedia CommonsClick to Enlarge Originally Published: Modern Resident, Aug/Sep 2011 Original Author: Alan Sielaff, MS IV Loyola University Chicago, Stritch School of Medicine Submitted by: Rachel Engle, DO Communications Committee Co-Chair  A 63 year old female with a history of hepatitis C and diabetes mellitus presents to the emergency department after experiencing acute substernal […]

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