Intern Ultrasound of the Month: “Boy You Got That Heartbeat Runnin’ Away”: A Case of Ventricular Tachycardia & POCUS in Cardiac Arrest

Our latest Intern Ultrasound of the Month by Dr. Polly Wiltz features a case of ventricular tachycardia, visualized on POCUS, followed by a discussion on using POCUS in cardiac arrest. Read on to learn more!

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Thoracic Ultrasound & Complex Pleural Effusions

Don’t just get a chest x-ray! Use lung ultrasound to improve your diagnostic ability! Our latest Intern Ultrasound of the Month by Dr. Ian Brallier features an interesting case of a complex pleural effusion with extensive lung consolidation from lung cancer. Read on to learn more about evaluating for pleural effusions (and other pathology) using ultrasound!

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Tox in The Land: #NaturalAbortion. The facts you didn't see on TikTok this summer!

September is here and has brought pumpkin spiced lattes, fall foliage, and time to review our #HotGirlSummer that wasn’t. Unfortunately, Roe v. Wade was overturned and it has put our pregnant patients in a bind. This lack of safe access to medical care can lead to people taking drastic measures, including herbal remedies for abortion. Our Case Western Reserve University MS4, Victoria Adomshick has brought you an amazing review of common abortifacients and their toxicities. Enjoy and please remember to vote and call your poison center!

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ToxLauren McCafferty
Tox in The Land: Tricyclic Antidepressants

Welcome to the new year! We start this year off with a classic… TCA toxicity that is brought to you by one of our 3rd years, Dr. Wes Gallaher. TCA’s are some dirty drugs with a lot of different clinical effects.

High yield points for the management:

1. Evaluate hemodynamics

2. Obtain an EKG at the beginning and 6 hours after ingestion

3. Watch those intervals!

4. When in doubt: Benzos for seizures and Sodium Bicarbonate for a wide QRS

Remember to always call your friendly poison center!

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Intern Ultrasound of the Month: "Feeling the Pressure" - A Calcaneal Avulsion Fracture

This latest Intern US of the Month case by Dr. Juan Valdes Infante showcases the utility of POCUS in evaluating for multiple ankle pathologies. Learn more about calcaneal avulsion fractures, which are often a surgical emergency, and how to assess for various ankle pathologies using POCUS!

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Tox in The Land: Cardiac Glycosides

Welcome back to Tox in The Land, where Toxicology and Cleveland join forces for good. This month’s post is from Dr. Julieta Lacey, one of our former ED residents and current critical care fellows. She will discuss cardiac glycosides and their management. Thanks for coming along and remember to call your poison center!

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ToxLauren McCafferty