Vignette You are working in TCC one morning when you encounter Mrs. D, a 64-year-old woman with a past medical history of paroxysmal atrial fibrillation, hypertension, and heart failure with reduced ejection fraction. Her last ECHO a few months prior revealed an EF of 40%. She presents with 3 days of weakness, shortness of breath, […]

Washington University Emergency Medicine Journal Club – February 2024 Vignette Mr. M is a 53-year-old patient with a history of high blood pressure and high cholesterol who flew back to St. Louis from Shanghai five days ago. Two days after getting back he noted pain and swelling in his left calf, which he thought was due to […]

Washington University Emergency Medicine Journal Club – May 2025 Dr. Brian Cohn Vignette You are doing a ride along with EMS on your EMS rotation when your crew is called to the scene of a cardiac arrest. The patient is a 50-year woman with cardiac arrest witnessed by coworkers. Per bystanders the patient began complaining […]

Washington University Emergency Medicine Journal Club – April 2025 Dr. Brian Cohn Vignette You are working in D-pod. Volumes are high and you feel some pressure to move patients through.  Some cases are easy for you. Others make you stop and think but.  You are pleased with your efficiency, but wonder whether you missed anything? […]