Tammy Phan
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View article: A Case Report of Thyroid Storm with Cardiovascular Collapse After Propranolol Administration
A Case Report of Thyroid Storm with Cardiovascular Collapse After Propranolol Administration Open
Introduction: Thyroid storm is a rare, life-threatening emergency with a 3.6-17% mortality rate despite proper management. Elevated levels of circulating thyroid hormones can increase metabolic demand, leading to adverse effects on multipl…
View article: Do Not Drink Poppers: A Case Report of Near Fatal Methemoglobinemia After Ingestion of Alkyl Nitrite
Do Not Drink Poppers: A Case Report of Near Fatal Methemoglobinemia After Ingestion of Alkyl Nitrite Open
A 23-year-old female presented to the Emergency Department (ED) with altered mental status and acute respiratory failure with hypoxia after ingesting poppers (alkyl nitrite) at a music festival. She received initial treatment at the event …
View article: A Case Report of Obstructive Shock from an Esophageal Bolus Leading to Left Atrial Compression
A Case Report of Obstructive Shock from an Esophageal Bolus Leading to Left Atrial Compression Open
Introduction: Obstructive shock results from reduced cardiac output due to physical blockage of blood flow, such as cardiac tamponade. Cardiac tamponade compresses cardiac chambers, particularly the left atrium, causing decreased end-diast…
View article: Feculent Drainage from Percutaneous Endoscopic Gastrostomy Tube due to Gastrocolocutaneous Fistula Found in Emergency Department: A Case Report
Feculent Drainage from Percutaneous Endoscopic Gastrostomy Tube due to Gastrocolocutaneous Fistula Found in Emergency Department: A Case Report Open
Introduction Percutaneous endoscopic gastrostomy (PEG) placement is a common procedure for patients requiring non-oral feeding. One rare complication of PEG placement is the formation of a gastrocolocutaneous fistula that develops when bow…
View article: A Case Report of Hematogenous Osteomyelitis of the Manubrium Caused by Seeding from a Colovesicular Fistula
A Case Report of Hematogenous Osteomyelitis of the Manubrium Caused by Seeding from a Colovesicular Fistula Open
Introduction: Osteomyelitis can occur at various osseous locations and commonly presents in the emergency department (ED). The incidence of osteomyelitis is 21.8 cases per 100,000 persons annually.1 Hematogenous osteomyelitis typically occ…
View article: A Case Report of Nitrous Oxide-induced Myelopathy: An Unusual Cause of Weakness in an Emergency Department
A Case Report of Nitrous Oxide-induced Myelopathy: An Unusual Cause of Weakness in an Emergency Department Open
Introduction: Weakness is a common symptom that within itself does not indicate a specific diagnosis. Recreational inhalant use such as nitrous oxide (NO) may not often be disclosed. Additionally, professional or occupational history, such…
View article: Working in Fours: Generational Communication in the Emergency Department
Working in Fours: Generational Communication in the Emergency Department Open
Background This study examined the conflicts between different generations working in the emergency department (ED). We sought to record generational differences involving communication preferences, perceived areas of conflict, work motiva…
View article: Emergency Department Procedural Sedation Practice Limitations: A Statewide California American College of Emergency Physicians Survey
Emergency Department Procedural Sedation Practice Limitations: A Statewide California American College of Emergency Physicians Survey Open
Objectives We wanted to estimate the frequency and describe the nature of emergency department ( ED ) procedural sedation restrictions in the State of California. Methods We surveyed medical directors for all licensed ED s statewide regard…
View article: Replacement of Dislodged Gastrostomy Tubes After Stoma Dilation in the Pediatric Emergency Department
Replacement of Dislodged Gastrostomy Tubes After Stoma Dilation in the Pediatric Emergency Department Open
The practice of serial dilation of a gastrostomy stoma site to allow successful replacement of a gastrostomy tube in pediatric patients who present to the ED with a dislodged gastrostomy tube is generally successful and without increased c…