Emergency Medicine

  • Update on medical management of acute hip fracture
    CME article
    Lily Ackermann, MD, ScM, Eric S. Schwenk, MD, Yair Lev, MD and Howard Weitz, MD
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 237-247; DOI: https://doi.org/10.3949/ccjm.88a.20149

    Emphasis is on prompt surgery, multimodal analgesia, and enhanced recovery pathways.

  • Pacemaker lead-induced venous thoracic outlet syndrome
    Abhinav Sood, MBBS, MD, Daniel Benhuri, MD, Ujjwal Rastogi, MD and Ramesh M. Gowda, MD
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 75-76; DOI: https://doi.org/10.3949/ccjm.88a.20023

    Acute arm swelling and pain after an airline flight and a missed anticoagulant dose.

  • Severe chemical pneumonitis from tetrahydrocannabinol ‘vaping’ and ‘dabbing’
    Alisha Kamboj, MD, MBA, Tony Kamel, MD, Martin Burbank, MD, Melisa Esposito, MD and Russell Shaen Harvey, MD
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 77-79; DOI: https://doi.org/10.3949/ccjm.88a.20071

    THC products have been implicated in an outbreak of lung injury.

  • Severe thrombocytopenia in a patient with otherwise asymptomatic COVID-19
    Lauren M. Granat, DO, MS, Achintya D. Singh, MBBS, MD, Matthew Cortese, MD, MPH, Vicente Velez, MD, FACP, FHM and Alan Lichtin, MD
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 86-92; DOI: https://doi.org/10.3949/ccjm.88a.20154

    A young woman, seemingly healthy, presented with easy bruising.

  • Reversal of direct oral anticoagulants: Highlights from the Anticoagulation Forum guideline
    Haeshik S. Gorr, MD, Lucy Yun Lu, PharmD, MS and Eric Hung, PharmD, CACP, AE-C
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 98-103; DOI: https://doi.org/10.3949/ccjm.88a.19133

    Clear instructions on how to manage DOAC-associated bleeding.

  • Does this young adult patient need a hip radiograph?
    Christina Stull, MD, MBA and Alejandro Moreno, MBBS, MPH, JD, MACP
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 721-722; DOI: https://doi.org/10.3949/ccjm.87a.20011

    Hip fractures are uncommon in adults under age 50.

  • Spur-cell anemia
    Satish Maharaj, MD, Drew Murray, MD, Simone Chang, MD and Kamila Cisak, MD
    Cleveland Clinic Journal of Medicine November 2020, 87 (11) 649-650; DOI: https://doi.org/10.3949/ccjm.87a.20044

    A man with liver disease presents with dizziness and fatigue.

  • COVID-19 and flu: Dual threat, dual opportunity
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine November 2020, 87 (11) 651-655; DOI: https://doi.org/10.3949/ccjm.87a.20161

    Measures to combat COVID-19 can minimize the impact of flu, and vice versa.

  • Should we monitor troponin up to peak value when evaluating for acute coronary syndrome?
    Nolan Anderson, MD, Samuel T. Ives, MD, Michelle D. Carlson, MD and Fred Apple, PhD, DABCC
    Cleveland Clinic Journal of Medicine August 2020, 87 (8) 480-482; DOI: https://doi.org/10.3949/ccjm.87a.18125

    No. Once troponin is over the 99th percentile, finding the peak value does not aid in diagnosis.

  • Cardiac troponin testing: Goodbye, ‘troponinemia’
    Anirudh Kumar, MD, Divyang R. Patel, MD and Venugopal Menon, MD
    Cleveland Clinic Journal of Medicine August 2020, 87 (8) 483-484; DOI: https://doi.org/10.3949/ccjm.87a.20013

    Any troponin elevation is prognostically important; dismissing it as “troponinemia” is no longer a viable strategy.

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