Journal of education & teaching in emergency medicine最新文献

{"title":"Blunt Cerebrovascular Injury: A Visual Case Report with Computed Tomography Angiography Findings Revealing Carotid and Vertebral Artery Dissection.","authors":"Edmund Hsu, Andrew T Kinoshita, Eleanor Chu, C Eric McCoy","doi":"10.5070/M5.52229","DOIUrl":"10.5070/M5.52229","url":null,"abstract":"<p><p>Blunt cerebrovascular injury (BCVI) is defined as blunt traumatic injury to the carotid or vertebral vessels. Although rare, understanding risk factors and management of possible complications is vital in the emergency department (ED) setting since BCVI is associated with ischemic stroke and potential for poor neurologic outcome or death. In this case, a 27-year-old female patient presented with headache following a motor vehicle collision. Computed tomography angiography (CTA) of the neck revealed a right internal carotid artery dissection. Despite the injury, the patient was largely asymptomatic besides headache and discharged on acetylsalicylic acid (ASA) 81 mg to prevent stroke. Follow-up CTA one week later revealed worsening of the carotid dissection and a new vertebral artery dissection. The patient was admitted and received a diagnostic cerebral angiogram that elucidated the extent of her vascular injuries. The patient was discharged on ASA 325 mg and was followed for 27 months with no further neurological symptoms. Blunt cerebrovascular injury is a potentially life-threatening, yet often underrecognized, injury that occurs in the carotid or vertebral arteries. It is most often associated with high-energy trauma. Up to 80% of patients with BCVI are initially asymptomatic, and effective screening is important for timely diagnosis. Computed tomography angiography is the preferred choice for initial screening and diagnosis of BCVI. Treatment may involve surgical repair, endovascular intervention, and antithrombotic therapy.</p><p><strong>Topics: </strong>Blunt cerebrovascular injury (BCVI), carotid artery dissection, vertebral artery dissection, computed tomography angiography (CTA), case report.</p>","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"V35-V40"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dangerous Dysrhythmias in the ED: An Interactive EKG Workshop for Emergency Medicine Clerkship Learners.","authors":"Jordan Ancmon, Jacob Feldman","doi":"10.5070/M5.52195","DOIUrl":"10.5070/M5.52195","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Audience: &lt;/strong&gt;This guided small group exercise is suitable for medical students who have completed basic lectures on electrocardiogram (EKG) interpretation. This activity was created for use within a third year required Emergency Medicine (EM) clerkship but can be implemented in other undergraduate medical education settings as well.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Electrocardiogram (EKG) interpretation is poorly understood by medical students,1 and trainees display a concordant lack of confidence in their interpretation skills which can carry into fourth year of medical school and residency.2,3,4 Improving learner confidence and competence in identification of arrhythmias is of paramount importance to improve patient care.5,6 Our workshop targets the recognition and management of dangerous arrhythmias frequently seen in the Emergency Department.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Educational objectives: &lt;/strong&gt;By the end of this session, learners will be able to: 1) identify common tachyarrhythmias and pulseless rhythms using EKGs, 2) differentiate stable from unstable tachyarrhythmias based on hemodynamics, symptoms, and EKG findings in acutely ill ED patients, 3) apply appropriate critical resuscitative actions to manage stable tachyarrhythmias, unstable tachyarrhythmias, and pulseless rhythms during emergency department resuscitations, in accordance with ACLS (Advanced Cardiopulmonary Life Support) principles, and 4) construct a rapid, ED-focused decision-making algorithm to guide the identification and management of tachyarrhythmias and pulseless rhythms.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Educational methods: &lt;/strong&gt;Learners participated in an interactive EKG workshop interspersed with lectures, EKG interpretation exercises, and case-based learning activities. During the workshop, students constructed a tachyarrhythmia and pulseless algorithm that will enable students in the future to identify and manage sinus tachycardia, supraventricular tachycardia (SVT), atrial fibrillation ( A fib ), atrial flutter, ventricular fibrillation (VF) and ventricular tachycardia (VT). Students collaborated in small groups, receiving real-time feedback from the facilitator on all activities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research methods: &lt;/strong&gt;Since this curriculum was designed for research purposes, learners completed a pre-test prior to starting this session and a post-test once the session concluded. This EKG pre/post-test was developed alongside the workshop curriculum to address the concerns identified in the needs assessment. The test was validated through testing on PGY1-3 EM residents. Confidence was assessed using Likert-scales of 1 (not at all confident) to 5 (extremely confident). Retention was assessed four weeks after completing the workshop using the same post-test. This study was Institutional Review Board (IRB) exempt.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Pre and post-test results were analyzed for 69 students that were divided across four cohorts. Students averaged a pre-test","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"SG1-SG68"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Computed Tomography Findings of Cerebral Venous Thrombosis: A Case Report.","authors":"Alex Y Koo, Samuel Shulimson, Joelle Borhart","doi":"10.5070/M5.52331","DOIUrl":"10.5070/M5.52331","url":null,"abstract":"<p><p>Cerebral venous thrombosis (CVT) is an uncommon occurrence, but it carries significant morbidity.1 CVT symptoms overlap with other common emergency department conditions, and it requires a specific neuroimaging for accurate detection, making this diagnosis a significant challenge for emergency clinicians. We present a case of a 20-year-old postpartum woman with a history of a post-dural puncture headache following a spinal block with worsening headache and disequilibrium. She was found to have a cerebral venous thrombosis on non-contrast head CT and CT venogram of the head. Her course was uncomplicated with appropriate symptom control while on anticoagulation. We review her CT imaging findings and provide a brief review of the current recommendations and literature on CVT.</p><p><strong>Topics: </strong>Cerebral venous thrombosis, empty delta sign, CT venogram, headache, dural sinus thrombosis.</p>","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"V15-V17"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A-Lines below the Diaphragm - A Case Report of Occult Pneumoperitoneum.","authors":"Yong Hoon Lee, Michael Dalley","doi":"10.5070/M5.52389","DOIUrl":"10.5070/M5.52389","url":null,"abstract":"<p><p>This case report highlights the rapid and sensitive diagnostic capabilities of a right upper quadrant (RUQ) ultrasound to diagnose pneumoperitoneum secondary to a hollow viscus rupture. The patient was a 55-year-old male with sudden onset epigastric and right upper quadrant pain. Symptoms were concerning for either acute cholecystitis and gastric ulcer or perforation. Immediate point of care ultrasound (POCUS) of the RUQ showed no signs of acute cholecystitis but showed concerning findings of intraabdominal free air given the enhanced peritoneal stripe sign, reverberation, and ring down artifacts. The radiologist did not note any signs of free air on the interpretation of the formal ultrasound. Eventually, the chest X-ray and computed tomography (CT) of the abdomen and pelvis showed air under the right diaphragm, fluid in the porta hepatis, and multiple foci of pneumoperitoneum. Broad spectrum antibiotics and fluid resuscitation were given. General surgery performed an emergency diagnostic laparotomy with repair of duodenal ulcer perforation. Upper gastrointestinal (GI) study on post-operative day three showed no complications, and patient has been doing well in follow-up clinic visits. In this case report, immediate recognition of signs of pneumoperitoneum would have expedited the treatment and management of the duodenal perforation. Although our emergency department was able to perform a CT scan of the abdomen and pelvis and have it read within two hours, this may not be possible in all emergency departments. Therefore, the use of POCUS in the evaluation of abdominal pain can identify potentially disastrous time-dependent pathology. It would be beneficial for emergency physicians to learn the signs of pneumoperitoneum on ultrasound since this requires emergent surgery.</p><p><strong>Topics: </strong>Hollow viscus perforation, ultrasound, pneumoperitoneum, point-of-care ultrasound (POCUS).</p>","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"V41-V45"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Spontaneous Abortion Hemorrhage: An Adult Simulation Case for Emergency Medicine Residents.","authors":"Brendan Freeman, Ritika Gudhe, Rodrigo Kong, Eric Levy, Anand Swaminathan","doi":"10.5070/M5.52263","DOIUrl":"10.5070/M5.52263","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Audience: &lt;/strong&gt;This simulation is intended for emergency medicine residents, PGY 1-4.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Postpartum hemorrhage (PPH) is defined as cumulative blood loss ≥1000 mL or any postpartum bleeding with signs of hypovolemia within 24 hours of delivery. Post-abortion hemorrhage (PAH) has no single universally adopted numeric definition but clinically is defined as excessive bleeding following spontaneous or induced abortion that results in hemodynamic instability, need for transfusion, hospital admission, or procedural intervention. Due to its rarity, PAH may be underrecognized and thus is the target of this simulation. The emergency department is the country's reproductive health safety net. With the decline of labor and delivery units and on-call, in-house OB/GYN consultants, emergency clinicians must be equipped to recognize and manage these cases.1 Effective management of these cases includes uterotonic medications and uterine tamponade devices like the Bakri balloon.2 There is mixed evidence on the use of Bakri balloons for post-abortion hemorrhage, with some hospitals moving towards vacuum-assisted devices (e.g. JADA).3 However, they have remained relevant in non-OB settings and institutions with limited obstetrical support.4-6 This simulation aims to address a gap in training for PAH for emergency medicine residents, focusing on the placement of the Bakri balloon.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Educational objectives: &lt;/strong&gt;By the end of this simulation, learners should be able to: 1) recognize signs of post-abortion hemorrhage, 2) manage hemorrhage using appropriate physical maneuvers, uterotonic medications, and specialist consultation, 3) demonstrate proper placement of a Bakri balloon.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Educational methods: &lt;/strong&gt;This single-center, high-fidelity simulation was conducted at a tertiary care academic center. Simulation was chosen as the best way to teach this topic because it allows a psychologically safe environment to practice a scenario which involves high-level critical thinking and fine-motor skills that would otherwise degrade under stress during a real patient encounter.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research methods: &lt;/strong&gt;Pre- and post-simulation surveys were administered, including Likert-scale questions on comfort with the management and procedures included, and a multiple-choice knowledge assessment. Twenty-eight individuals completed the pre-simulation learner evaluation, and 31 completed the post-simulation learner evaluation. Likert-scale data was treated as ordinal (1 = strongly disagree, 5 = strongly agree) and analyzed using the Mann-Whitney U Test. The multiple-choice knowledge assessment was analyzed using a paired T-test.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The simulation included 29 emergency medicine residents, four MS3 students, four MS4 students, and three junior EM PA fellows. This case was used eight times during the session. The simulation lasts approximately 20 minutes. There were stat","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"S63-S91"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case Report of a Coin Stack Masquerading as a Button Battery.","authors":"Peyton J Ware, Carter Ware, Amanda H Bjornstad, Heather M Kuntz, Timothy P Young","doi":"10.5070/53886","DOIUrl":"10.5070/53886","url":null,"abstract":"<p><p>Children presenting to emergency departments who are found to have flat, round esophageal foreign bodies (FB) are often transferred to sites capable of foreign body removal. Coins are the most common FBs ingested in pediatric patients. However, button battery (BB) ingestions are a high-risk esophageal FB that can lead to severe injury. It is imperative to distinguish between these two radiographically similar objects to ensure expedited removal of BBs. The halo sign and step-off sign are characteristic of BBs. The presented case demonstrates an exception, where a coin stack (CS) mimicked a BB. A six-year-old female arrived at a tertiary care center as a transfer from an outside hospital with concern for BB ingestion. Her presenting symptoms were vomiting, gagging, and drooling. Her chest x-ray showed a radio-opaque, esophageal FB with halo and step-off signs. The circular FB was urgently removed and proved to be a nickel overlying a quarter. Due to the relative rarity of CSs and the difficulty to radiologically distinguish from high-risk BBs, CSs should be treated as BB ingestions-the FB should be removed urgently, and the final object identification should be determined operatively.</p><p><strong>Topics: </strong>Button battery, halo sign, step-off sign, coin stack, esophageal foreign body.</p>","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"V31-V34"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Car Accident and Respiratory Distress: A Trauma-Based Pneumothorax Simulation Case for Medical Students.","authors":"Brandon Garten, Bradley Golden, A J Kleinheksel","doi":"10.5070/M5.52287","DOIUrl":"10.5070/M5.52287","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Audience: &lt;/strong&gt;This simulation is intended for second-year medical students who are in the pre-clinical phase of their medical school curriculum. This case is delivered as part of a longitudinal simulation-based curriculum that aligns with concurrent didactic instruction in the cardiopulmonary systems course.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Pneumothorax is a potentially life-threatening condition that requires urgent attention and intervention, particularly in the setting of trauma.1 Traumatic pneumothorax has been reported in up to one-third of patients presenting with blunt chest wall injury.2 If left unrecognized or inadequately treated, this may progress to a life-threatening tension pneumothorax, resulting in severe respiratory compromise and obstructive shock with hemodynamic instability. Early familiarity with structured trauma assessment and recognition of time-sensitive cardiopulmonary deterioration represents a foundational skill for learners entering clinical training.This case emphasizes critical actions central to emergency medicine practice, including high-flow oxygen delivery and the use of ultrasound to guide timely procedural intervention. It is also designed to introduce medical students to fundamental principles of trauma assessment and management, which are often not directly assessed in pre-clerkship curricula.3 Prior studies have demonstrated that early exposure to simulation-based trauma training improves learner confidence and clinical preparedness,4,5 supporting the use of this structured trauma scenario.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Educational objectives: &lt;/strong&gt;By the end of this simulation, learners will be able to: 1) obtain a focused history in the setting of recent motor vehicle accident and respiratory difficulty, 2) identify abnormal respiratory findings consistent with pneumothorax on physical exam, 3) interpret chest x-ray and point-of-care ultrasound to identify the progression of a life-threatening tension pneumothorax,4) assess for potential internal bleeding and hypovolemic shock by integrating imaging findings, vital signs, mental status, and additional components of physical examination, 5) interpret imaging and clinical findings to guide appropriate management decisions, including need for urgent procedural intervention and escalation of care, and 6) deliver a concise oral presentation to an attending physician, including key findings and management plan.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Educational methods: &lt;/strong&gt;This case is conducted using a high-fidelity simulation environment that includes a standardized nurse, vital sign monitoring, a mannequin, and video display for diagnostic imaging (chest x-ray and point-of-care ultrasound findings). The simulation case is structured around the ABCDE (airway, breathing, circulation, disability, exposure) approach to trauma assessment, encouraging learners to prioritize stabilization during an evolving clinical presentation.6 Through this scenario, learners are guided to","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"S30-S62"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Decision Making: Acute Ischemic Stroke with Large Vessel Occlusion.","authors":"Jennifer Yee, Christopher E San Miguel, Jennifer M Mitzman, Simiao Li-Sauerwine, Geremiha Emerson, Cynthia Leung, Krystin N Miller, Kelsey H Jordan, Sorabh Khandelwal","doi":"10.5070/M5.60864","DOIUrl":"10.5070/M5.60864","url":null,"abstract":"<p><strong>Audience: </strong>This clinical decision-making (CDM) case is intended for emergency medicine (EM) residents of all levels.</p><p><strong>Introduction: </strong>About 700,000 patients every year in the United States experience an acute ischemic stroke.1 Morbidity and mortality from an ischemic stroke may be limited from timely diagnosis and acute management, including specialist involvement, appropriate blood pressure control, and evaluation for possible thrombolytic therapy. EM residents should be familiar with stroke management principles whether they work in an academic, community, or rural setting.</p><p><strong>Educational objectives: </strong>By the end of this clinical decision-making case, learners will be able to: 1) demonstrate familiarity with the CDM case format and case play, 2) describe important historical information to obtain when suspecting an acute stroke, 3) outline key diagnostic tests to rule out other causes of acute neurologic deficits, 4) outline acute management strategies for acute ischemic stroke, 5) propose an appropriate disposition plan for patients with an acute ischemic stroke.</p><p><strong>Educational methods: </strong>This is a clinical decision-making boards case as outlined by the American Board of Emergency Medicine (ABEM). Each learner was paired with one instructor for the case, a scoring checklist by the instructor was used, structured debriefing time was incorporated into the assessment, and learners were given the opportunity to provide qualitative feedback after the case.</p><p><strong>Research methods: </strong>Each CDM case session lasted approximately 25 minutes, with 15 minutes for the case and 10 minutes for debriefing and feedback. A 26-point critical action checklist was developed to evaluate each learner's performance, with each point reflecting an equally weighted item. Learners then provided verbal feedback on the cases to the examiners at the conclusion of their assessments.</p><p><strong>Results: </strong>Thirty-nine categorical emergency medicine residents participated as learners for this clinical decision-making session, including 10 third-year residents, 12 second-year residents and 17 first-year residents. The average overall score was 17.3 of 26 possible points. Performance with respect to postgraduate year (PGY) is as follows: 17.7 for PGY-3s, 18.8 for PGY-2s, and 15.9 for PGY-1s. One resident had a perfect score.</p><p><strong>Discussion: </strong>Performance of our learners varied and unexpectedly, our second-year residents outperformed our third-year residents. This is likely due to our PGY-2 learners being responsible for the primary care of stroke patients in our department, which makes their identification and management of acute ischemic stroke patients likely more recently retrievable.</p><p><strong>Topics: </strong>Emergency medicine, neurology, acute ischemic stroke.</p>","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"CE1-CE20"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rapidly Progressive Painless Acute Aortic Dissection: A Case Report.","authors":"Justin Yang, Tyler Rigdon, Kristin Lewis","doi":"10.5070/M5.52348","DOIUrl":"10.5070/M5.52348","url":null,"abstract":"<p><p>Acute aortic dissection (AAD) typically presents with sudden, severe chest or back pain. This case highlights an atypical painless presentation that was rapidly progressive and lethal. A 55-year-old woman presented with generalized weakness, agitation, and shortness of breath, but without pain. Initial point-of-care ultrasound (POCUS) was reassuring, but persistent agitation and emerging abdominal tenderness prompted reexamination and repeat POCUS, which revealed evidence of aortic dissection. Computed tomography angiogram (CTA) confirmed the diagnosis of a Stanford Type A dissection. Despite aggressive resuscitative efforts, the patient's condition deteriorated rapidly. This case emphasizes the importance of observant reassessment and repeating POCUS in atypical presentations of AAD because subtle clinical changes can reveal life-threatening conditions such as aortic dissection.</p><p><strong>Topics: </strong>Acute aortic dissection, abdominal aortic dissection, painless aortic dissection, atypical presentation, point-of-care ultrasound reassessment, diagnostic ultrasound.</p>","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"V8-V14"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PRIMER: Premedical Introduction to Mentored Emergency Research: Connecting Undergraduate Assistants and Emergency Medicine Residents in a Community Hospital Setting.","authors":"M Kaitlin Parks, Justin L Cupps, Jessica Meador, Melody Kashef, Danielle R Kirsch, Sonja Settle","doi":"10.5070/M5.52386","DOIUrl":"10.5070/M5.52386","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Audience and type of curriculum: &lt;/strong&gt;This curriculum is designed to prime pre-medical-field undergraduate students with medical research concepts and skills necessary to assist Emergency Medicine (EM) residents on clinical research projects in a community hospital setting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Length of curriculum: &lt;/strong&gt;The PRIMER lecture series should run two to three days with six hours of lecture content to be covered. Project completion and poster presentation should take 8-16 weeks depending on time constraints, resources, and project scope.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Scholarly research has taken an increasingly prominent role in both undergraduate and graduate medical education. However, researchers and clinician-teachers can be limited in productivity due to lack of funding, time, and formalized infrastructure. This can result in siloed activities, incomplete or unrealized ideas, and often make research challenging for student and resident physicians alike.1 These barriers to participating in scholarly research are further exacerbated for those in community-hospital-based residencies and community- or rural-medicine educational tracks because these facilities have further reduced access to research personnel and resources.2, 3 Simultaneously, research literacy and experience are becoming increasingly critical qualifications for admission to professional medical educational programs.4,5 Developing structured research training and mentorship for premedical students in community hospital settings can simultaneously enhance residents' research capacity and provide premedical students with critical experience and exposure needed for medical school admission.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Educational goals: &lt;/strong&gt;The purpose of this project is to design a didactic training to provide undergraduate research assistants the necessary training to enhance resident research projects in the emergency department.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Educational methods: &lt;/strong&gt;The educational strategies used in this curriculum include: 1) Blended learning of in-person lectures and online readings and resources implemented in a three-day workshop to provide foundational research knowledge, skills, and resources to research assistants before beginning projects, 2) Experiential learning implemented in workshops interspersed through the three-day intensive, allowing students to begin literature searches, compose IRB proposals, and develop data management and analysis plans that apply to their assigned research project, and 3) Group Learning where students develop action plans, communication, and presentation skills.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research methods: &lt;/strong&gt;The educational outcomes were quantitatively and qualitatively analyzed by administration of a pre- and post-test and self-evaluation using a 5-item Likert scale as well as the completion of project and presentation of poster. Average examination scores and self-evaluation scores were analyzed for trends. Learner fe","PeriodicalId":73721,"journal":{"name":"Journal of education & teaching in emergency medicine","volume":"11 3","pages":"C1-C49"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}