Emergency Medicine

  • Confusion and hypercalcemia in an 80-year-old man
    Keren Zhou, MD, Steven Assalita, MD and Susan E. Williams, MS, RD, MD, FACP FACE
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 281-286; DOI: https://doi.org/10.3949/ccjm.84a.16017

    His total serum calcium level is 14.4 mg/dL. What is the cause?

  • Cardiogenic shock: From ECMO to Impella and beyond
    Cardiogenic shock: From ECMO to Impella and beyond
    Mehdi H. Shishehbor, DO, MPH, PhD, Nader Moazami, MD, Michael Z.-Y. Tong, MD, MBP, Shinya Unai, MD, W. H. Wilson Tang, MD and Edward G. Soltesz, Md, MPH
    Cleveland Clinic Journal of Medicine April 2017, 84 (4) 287-295; DOI: https://doi.org/10.3949/ccjm.84gr.17002

    Several devices can serve as a bridge to recovery, transplant, or a long-term device.

  • Serotonin syndrome (November 2016)
    Cielo Z. Rose, DO
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 342-343; DOI: https://doi.org/10.3949/ccjm.84c.05001

    A reader comments on serotonin syndrome (November 2016).

  • In reply: Serotonin syndrome (November 2016)
    Vishal Vashistha, MD, Sukhdeep Kaur, MD, Robert Z. Wang, MD and Gregory Rutecki
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 342-343; DOI: https://doi.org/10.3949/ccjm.84c.05002
  • A burning sensation in the mouth
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 344-345; DOI: https://doi.org/10.3949/ccjm.84a.16005

    The patient was a smoker with poor oral hygiene.

  • A broken pacemaker lead in a 69-year-old woman
    Belal Kaseer, MD, Mhd Yassin Al Mouslmani, MD, David S. Hirsh, MD and Muhammad Hammadah, MD
    Cleveland Clinic Journal of Medicine May 2017, 84 (5) 346-347; DOI: https://doi.org/10.3949/ccjm.84a.16075

    The patient presented with fatigue, cough, light-headedness, and a heart rate of 30 beats per minute.

  • Parsimonious blood use and lower transfusion triggers: What is the evidence?
    Moises Auron, MD, FAAP, FACP, SFHM, Marina Y. Duran Castillo, MD, FACP and Ajay Kumar, MD, MRCP, FACP, SFHM
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 43-51; DOI: https://doi.org/10.3949/ccjm.84a.15134

    Cumulative data have confi rmed the safety of a conservative approach to transfusion.

  • Is there a doctor on board? In-flight medical emergencies
    Jose V. Nable, MD, MS, NRP, Christina L. Tupe, MD, Bruce D. Gehle, JD and William J. Brady, MD
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 457-462; DOI: https://doi.org/10.3949/ccjm.84a.16072

    Although not legally required to render assistance, physicians have an ethical obligation to do so and should be prepared.

  • Appropriate diagnosis of tickborne infections
    Brian F. Mandell, MD, PHD
    Cleveland Clinic Journal of Medicine July 2017, 84 (7) 506-507; DOI: https://doi.org/10.3949/ccjm.84b.07017

    Fear of undertreatment of early infection can morph into unwarranted treatment of nonexistent chronic infection.

  • Optimizing diagnostic testing for venous thromboembolism
    Patrick Rendon, MD, Taylor Goot, MD, Allison E. Burnett, PharmD, PhC, CACP, Michael B. Streiff, MD and Jessica Zimmerberg-Helms, MD
    Cleveland Clinic Journal of Medicine July 2017, 84 (7) 545-554; DOI: https://doi.org/10.3949/ccjm.84a.16049

    A thoughtful approach to diagnosing venous thromboembolism and screening for thrombophilic disorders.

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