A5032883956- Airway Management and Intubation Techniques
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
- Opioid Use Disorder Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Streptococcal Infections and Treatments
- Neurological Complications and Syndromes
- Trauma Management and Diagnosis
- Pneumocystis jirovecii pneumonia detection and treatment
- Tracheal and airway disorders
- Radiation Dose and Imaging
- Radiology practices and education
- Ultrasound in Clinical Applications
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Drug-Induced Adverse Reactions
- Pharmacological Effects and Toxicity Studies
- Blood disorders and treatments
- Vitamin K Research Studies
- Burn Injury Management and Outcomes
- Therapeutic Uses of Natural Elements
- Blood transfusion and management
- Ophthalmology and Eye Disorders
Memorial Healthcare System
2024-2025
Joe DiMaggio Children's Hospital
2024
Baystate Health
2022-2023
University of Massachusetts Chan Medical School
2022-2023
Yale New Haven Hospital
2020-2021
Yale University
2019
Stony Brook University
2016
Stony Brook Medicine
2016
North Shore University Hospital
2013-2015
Long Island Jewish Medical Center
2014-2015
While mild or moderate iron-deficiency anemia may not cause any symptoms, more severe deficiencies present clinically as fatigue, shortness of breath, exertional dyspnea, lightheadedness, tachycardia, and presyncope syncope, and, in rare instances, pica. Pica is defined the developmentally inappropriate ingestion non-nutritive, non-food substances for than one month. We case a duodenal obstruction secondary to pica-associated bezoar patient with who presented emergency department (ED)...
Leukocytoclastic vasculitis (LCV) is a small vessel typically affecting dermal capillaries and venules. The condition often idiopathic but can be associated with infections, neoplasms, autoimmune disorders, certain drugs. A 91-year-old female past medical history of Alzheimer dementia hypertension, being treated for lower extremity cellulitis, presented to the emergency department an allergic reaction. Trimethoprim/sulfamethoxazole (TMP/SMX) had been initiated six days earlier. patient was...
Hereditary angioedema (HAE) is a genetic disorder associated with recurrent episodes of in the absence urticaria and pruritus. inherited an autosomal dominant pattern results quantitative deficiency (HAE type I) or dysfunction II) C1-esterase inhibitor (C1-INH) protein. A very rare third HAE which normal functional levels C1-INH (HAE-nl-C1-INH) has been described. 54-year-old female past medical history significant for HAE-nl-C1-INH presented to emergency department (ED) acute attack...
Medical and recreational ketamine use is increasing in the United States; however, little known regarding side effects associated with chronic, frequent, high-dose use. The lack of emergency physician awareness ketamine-induced abdominal pain, nausea, vomiting, dysuria, collectively colloquially as K-cramps, results delayed recognition, underreporting, inappropriate diagnostic workup treatment. A 25-year-old woman a history anxiety, asthma, obsessive-compulsive disorder, chronic (500-1000...
Acute rheumatic fever (ARF) is an autoimmune disease triggered by group A Streptococcus (GAS) infection, predominantly affecting children in low- and middle-income countries. Although its incidence has significantly decreased the United States (US), ARF remains a major cause of morbidity mortality worldwide due to complications like heart (RHD). The condition arises from molecular mimicry, where immune system targets host tissues after GAS leading inflammation potential damage heart, joints,...
Background Deploying accurate computable phenotypes in pragmatic trials requires a trade-off between precise and clinically sensical variable selection. In particular, evaluating the medical encounter to assess pattern leading significant impairment or distress indicative of disease is difficult modeling challenge for emergency department. Objective This study aimed derive validate an electronic health record–based phenotype identify department patients with opioid use disorder using...
A six-year-old boy presented to the pediatric emergency department following an accidental ingestion of a synthetic cannabinoid. The child ingested edible product containing tetrahydrocannabinol (THC) and with lethargy, altered mental status, increased muscle tone. airway was protected, patient breathing spontaneously. Initial assessment included thorough history provided by caregivers, which confirmed cannabinoid gummies approximately two hours prior presentation. An electrocardiogram...
Tranexamic acid (TXA) is an antifibrinolytic agent currently approved and utilized in the treatment of dysfunctional uterine bleeding, traumatic extracranial hemorrhage, anterior epistaxis, dental procedures on patients with hemophilia. There a paucity literature evaluating use TXA for hemostasis direct oral anticoagulants (DOACs).Our patient, 72 year-old male rivaroxaban, presented persistent bleeding following punch biopsy buccal mucosa. Given site inability to effectively tamponade,...
Case Presentation: A 52-year-old female presented to the emergency department with four days of right periorbital pain, ipsilateral temporal headache, diplopia, and photophobia. Physical examination eye revealed painful ophthalmoplegia, cranial nerves III VI paresis, increased intraocular pressure, mild proptosis. Magnetic resonance venogram magnetic imaging orbits contrast demonstrated an abnormal signal surrounding cavernous sinus/petrous apex. Tolosa-Hunt syndrome (THS) was diagnosed. Per...
Posterior shoulder dislocations are relatively rare. When used by emergency medicine physicians, point-of-care ultrasound (POCUS) demonstrates higher sensitivity and specificity for diagnosing dislocation as compared to two-view plain films. A 49-year-old woman presented the department (ED) with left pain following a mechanical fall. Physical examination was remarkable gross deformity tenderness over proximal humerus. POCUS of using curvilinear probe posterior approach performed demonstrated...
Kratom denotes the naturally occurring alkaloids found in Mitragyna speciosa and is self-administered for treatment of chronic pain, anxiety, opioid withdrawal. cardiotoxic with several case reports linking its use to QTc prolongation ventricular dysrhythmias; however, there exist few kratom-induced Brugada syndrome. A 36-year-old male a past medical history inclusive polysubstance abuse, bipolar disorder, seizure disorder presented emergency department chest pain. The patient reported...