Current Edition2019-06-10T12:25:18-05:00

Summer 2019

807, 2019

Interviewing The Interviewers

July 8th, 2019|0 Comments

Christina Powell, DO Past Director of Student Affairs, ACOEP-RSO University of Maryland Medical Center, Class of 2022 As we transition to yet another cycle of daunting applications, painfully edited personal statements, and hours waiting anxiously by the phone for interview offers to enter the email [...]

Spring 2019

Winter 2019

807, 2019

Interviewing The Interviewers

July 8th, 2019|0 Comments

Christina Powell, DO Past Director of Student Affairs, ACOEP-RSO University of Maryland Medical Center, Class of 2022 As we transition to yet another cycle of daunting applications, painfully edited personal statements, and hours waiting anxiously by the phone for interview offers to enter the email [...]

103, 2019

Calling Consults, Part 1: A Resident’s Perspective

March 1st, 2019|0 Comments

Christopher Swyers, DO, PGY-3 One of the most important jobs of an emergency physician is realizing when he or she needs help. Whether it’s simply ensuring good follow up, getting a patient to surgery, or getting a sub-specialist’s expertise, calling a consult is a critical skill. Experience is ofte [...]

1202, 2019


February 12th, 2019|0 Comments

Taylor Klein, OMS-II, NRAEMT AZCOM I’d be surprised to encounter someone working in healthcare who doesn’t remember their first experience with death.  We are taught that it’s inevitable; we can’t save everyone. We know that we will eventually encounter patients who are beyond the help of medical in [...]

Fall 2018

1910, 2018

Image Challenge

October 19th, 2018|0 Comments

Dhimitri Nikolla, DO, PGY-4 AHN Saint Vincent Hospital Erie, PA Case A 70-year-old female with a past medical history of severe COPD presents complaining of dyspnea and right-sided chest pain for 4 days. Triage vital signs include a blood pressure of 201/95 mmHg, heart rate of 87 beats/minute, tempe [...]

1110, 2018

Don’t Miss This Fracture!

October 11th, 2018|0 Comments

Brittany McShane, PGY-2 Norman Regional Health System, Norman, OK 13-year-old male fell on an outstretched hand skate boarding. He has tenderness at the base of his right thumb in the anatomic snuffbox. What fracture would you be concerned about with the above history? You should be worried about po [...]

Summer 2018

907, 2018

EM Board Review

July 9th, 2018|0 Comments

1. Which patient is LEAST at risk of experiencing a heat related emergency? A. 80-year-old male with a past medical history of congestive heart failure on sertraline and tramadol B.  3-year-old female accidentally left in a vehicle on a hot summer day C.  40-year-old male with a past medical history [...]

2606, 2018

AEROS Meeting Recap

June 26th, 2018|0 Comments

Dhimitri Nikolla, DO RSO President AHN Saint Vincent Hospital, Erie, PA. On April 22, 2018, Kaitlin Bowers, DO (RSO Past-President), Kristen Kennedy, M.Ed. (ACOEP Director of Education Services), and myself attended and participated in the inaugural All EM Resident Organizations and Students (AEROS) [...]

1506, 2018

Spring Seminar Pearls Matching Game

June 15th, 2018|Tags: , |0 Comments

Dhimitri Nikolla, DO RSO President AHN Saint Vincent Hospital, Erie, PA. Did you attend our RSO events at Spring Seminar 2018? See if you can recall some pearls from our RSO events and the general lectures by matching each number with the correct letter! Patients leaving AMA are often… Sodium chann [...]

Spring 2018

905, 2018

Go To A Conference

May 9th, 2018|0 Comments

Richard Newman, OMS-III WVSOM How are you sure Emergency Medicine (EM) is the field for you? This was a daunting question for me as a first-year medical student with little exposure to any other specialty than family medicine. How do you go from what you think you enjoy to finding your calling? EM h [...]

305, 2018

Time for Change

May 3rd, 2018|Tags: , , |0 Comments

Aaron Markwith, OMS-II Edward Via College of Osteopathic Medicine For years, I counseled patients on the importance of taking care of themselves. Obesity, diabetes, high blood pressure, high triglycerides, and high cholesterol seemed to dominate every patient chart I encountered. I knew the risks as [...]

1904, 2018

Is There A Doctor On Board?

April 19th, 2018|Tags: , |0 Comments

Jordan Johnson, OMS III LECOM-Bradenton The familiar feeling of descent woke me as I emerged from a much needed nap on my flight from Miami to Denver for the 2017 ACOEP Scientific Assembly. I had fallen asleep to the soothing sound of Pathoma, a common occurrence for medical students. However, not e [...]

504, 2018

Getting Flash! The Blind “Fem” Line

April 5th, 2018|Tags: , , , , , , |0 Comments

Dhimitri Nikolla, DO, PGY-3 ACOEP-RSO President AHN Saint Vincent Hospital, Erie, PA INTRODUCTION With the widespread availability of intraosseous (IO) needles and ultrasound, emergent central lines placed with landmark-guidance (LG) are becoming a thing of the past. While IO access is faster and ul [...]

504, 2018

Street Medicine: How It Can Have a Positive Impact and Curtail the Misuse of the Emergency Department

April 5th, 2018|Tags: , , , |0 Comments

Jillian Blalock OMS-III WVSOM When I made the decision to return to my hometown of Wheeling, West Virginia to complete my clinical requirements for medical school, I did so because I already knew the area; I would not have the “transition period” or feel the need to “get settled” like many of my cla [...]

2603, 2018

The Power Of Empathy

March 26th, 2018|Tags: , , |0 Comments

Aishwarya Sharma, OMS II OUHCOM The room is bright white, clear and aseptic. White walls, white bed, white curtains. And in the middle of it all is a sobbing woman. I watch her tear-streaked face as she assesses her surroundings, fear in her eyes. I am supposed to be getting the history and physical [...]

1503, 2018

ACOEP-RSO President and Director of Student Affairs Report

March 15th, 2018|Tags: , , , , , |0 Comments

Welcome to the spring edition of The Fast Track! The ACOEP Resident-Student Organization (RSO) has had a busy winter planning for a busy spring! First, Spring Seminar is right around the corner April 3-7, 2018 in San Diego, CA! The majority of RSO events will be Friday, April 6th. We will have Rapid [...]

Winter 2018

1912, 2018

The DIY Ultrasound-Guided IV Access Phantom

December 19th, 2018|0 Comments

Developed and created by Campbell University’s Emergency Medicine Club Andrew Langille, Kansas City University, OMS-III Contributors: Zachary Mauro, CUSOM OMS-III; Jeffrey Davis CUSOM OMS-III; Brian Conner, CUSOM OMS-III Intravenous (IV) access is an essential procedure that can be difficult under c [...]

2905, 2018

How to Be That Person Without Being THAT Person…Tips and Tricks for a Successful Emergency Medicine Rotation

May 29th, 2018|Tags: |0 Comments

Emily Howell, OMS-IV LECOM-Bradenton As emergency medicine becomes more competitive, audition rotations have become increasingly important. These rotations offer the opportunity for programs to assess a candidate’s potential for residency while allowing the candidate to experience potential training [...]

802, 2018

Emergency Medicine Organizations

February 8th, 2018|Tags: , , , , , , |0 Comments

Nevertheless, it is easy to get stuck in the microcosm of the doctor-patient relationship and forget that there is a breadth of bureaucracy that allows us to do the job we love doing. There are many organizations fighting for our ability to practice emergency medicine with reliable evidence, a neces [...]

102, 2018

USMLE: Yes or No?

February 1st, 2018|Tags: , , , |2 Comments

Dominic Williams, OMS-IV LECOM-Bradenton In my term as the ACOEP-RSO Student President, I had the privilege of meeting many osteopathic students from across the country: students with a passion for emergency medicine, students taking the initiative to attend events relevant to their future, students [...]

1001, 2018

2017 ACOEP Scientific Assembly: A Recap

January 10th, 2018|Tags: , , , |0 Comments

Rochelle Rennie, OMS-IV OUHCOM This year’s ACOEP Scientific Assembly was definitely one to be remembered! In order to accommodate the busy schedule of medical students, the student events took place during the weekend from November 4th to 6th in the beautiful city of Denver, Colorado. Saturday start [...]

2812, 2017

#FOAMed Movement

December 28th, 2017|Tags: , , |1 Comment

Christina Powell, OMS-III LECOM-Bradenton What is FOAMed? FOAMed stands for Free Open Access Medical (FOAM) Education. If you spend any time on social media stalking the emergency medicine community, you’ll see a plethora of physicians sharing  great ideas, clinical skills, and novel pearls for the [...]

Fall 2017

1511, 2017

What’s New In EM

November 15th, 2017|Tags: , , , , , , , , , , , , , , , , |0 Comments

Aadil Vora, OMS-IV NSUCOM The Pediatric Sedation State Scale to assess pediatric procedural sedation (July 2017) Scales that seek to describe the level of sedation achieved during procedural sedation focus largely on physiologic depth, primarily airway and cardiovascular impairment. But a new tool c [...]

811, 2017

Fatigue and Poor Appetite In An Elderly Female

November 8th, 2017|Tags: , , , , , , , , , , |0 Comments

Dhimitri Nikolla, DO AHN Saint Vincent Hospital, Erie, PA CASE An 86 year-old female with a past medical history of chronic congestive heart failure with a dual-chamber pacemaker, hypertension, severe mitral regurgitation, and dementia was sent to the emergency department (ED) by family via ambulanc [...]

111, 2017

The Business Of Healthcare: How Patient Satisfaction Plays A Role

November 1st, 2017|Tags: , , , , , , |0 Comments

Alexander Torres, DO Comanche County Memorial Hospital, Lawton, OK Patient satisfaction and its impact on healthcare and health outcomes dates back to the 1950s, where relationships between patients and healthcare providers were examined.1 These relationships have become extremely complex as the hea [...]

2510, 2017

An Ode to Osler: A Physician Profile

October 25th, 2017|Tags: , , , , , |0 Comments

Dominic Williams OMS-IV LECOM - Bradenton “Medicine is a science of uncertainty and an art of probability.” Have you ever wondered why, as a third-year medical student, you’re cast out into the hospital to fend for yourself among patients? Have you ever stopped to think about which creative genius c [...]

1310, 2017

Wellens Syndrome: The Forgotten Diagnosis

October 13th, 2017|Tags: , , , , , , , |0 Comments

Frank Wheeler, OMS-IV LECOM-Bradenton Introduction A middle-aged male complaining of resolved chest pain presents to the emergency department (ED). His physical examination is normal. His electrocardiogram (EKG) is seen in Figure 1 and cardiac enzymes were normal as well. The patient is determined t [...]

410, 2017

Lead From The Front

October 4th, 2017|Tags: , , , , , , |0 Comments

Christina Powell, OMS-III LECOM-Bradenton In the past, a sentiment existed among some emergency physicians that arriving on time and covering the shift with 100% effort was sufficient for success. However, in the face of increasing competition in the field, changing insurance models, and expanding e [...]

2709, 2017

Happiness In Residency And Beyond

September 27th, 2017|Tags: , , , , , , , , |0 Comments

James Chapman, DO Kent Hospital, Warwick, RI Residency is full of tasks that make life busy. Working shifts, studying at home, preparing for weekly lectures, and attending journal club are all part of residency life. On top of this, you are encouraged to do research, travel and present at conference [...]

2009, 2017

Letter From The Editor- Fall 2017

September 20th, 2017|0 Comments

Welcome back! The fall edition is here with an exciting line up of articles. From acute myocardial infarction to physician burnout to violence in the emergency department, The Fast Track covers a gamut of topics you want to be familiar with as a resident or student in emergency medicine. Hopefully, [...]

Summer 2017

3107, 2017

Be Afraid. Be Very Afraid.

July 31st, 2017|Tags: , , , , , , , , |0 Comments

Alexander Torres, DO, PGY-4 Comanche County Memorial Hospital Transitional career phases are, without a doubt, an emotional rollercoaster filled with anxiety, nervousness, and fear, to name just a few. As an emergency medicine physician, you will be continuously challenged throughout your career, no [...]

106, 2017

How To Survive The First Two Years Of Medical School

June 1st, 2017|Tags: , , , , , , |0 Comments

Countless tests, endless hours of studying, and bottomless pots of coffee - the first two years of medical school are unlike anything most people will ever experience. As the pressure mounts, so does your stress level. We have compiled 10 tips to not only help you survive the grueling didactic portion of medical school, but to ensure you thrive as you embark on your career in emergency medicine.

106, 2017

A Sticky Case of “Splenomegaly”

June 1st, 2017|Tags: , , , , , , , , |0 Comments

A 6-year-old female presented with a two-day history of abdominal pain after being referred by her pediatrician for evaluation of "splenomegaly." The patient had been complaining of constipation for the past six days along with a few episodes of nausea and vomiting.  On physical examination, a firm, non-tender mass was palpated extending at least 10 cm below the left costal margin.