Background: The economic burden of illness for patients with major depressive disorder (MDD) with suicidal ideation (SI) and suicide attempt (SA) can be attributed to the intensive level of care required, as these patients are frequently evaluated in the emergency department (ED) and admitted to the hospital. This study evaluated this burden of hospitalized patients [...]

Background: Patients hospitalized for major depressive disorder (MDD) with suicidal ideation (SI) or suicide attempt (SA) may have a high risk for hospital readmission. This study evaluated readmission/subsequent emergency department (ED) visit rates and the associated healthcare resource use and costs among patients who were hospitalized for MDD with SI or SA (SI/SA). Methods: Patients [...]

Background: Pressure injuries are tissue damage caused by pressure and shear. Susceptible patients are the elderly, acute, critically ill and malnourished. Pressure injuries severely deplete hospital performance measures in the U.S. Currently, over 2.5 million patients develop pressure injuries at a national cost of about $25 billion each year and are implicated in 50,000 deaths. [...]

Case Presentation: We present a case of a 70 year old diet controlled hypertensive female, a New York State trained and licensed scuba diver, who presented to our emergency department with worsening headache after a rapid ascent from freshwater diving to approximately 60 feet. Patient was reportedly close to surfacing when she panicked and made [...]

Case Presentation: A 63-year-old man with history of recurrent syncope and atrial fibrillation (AF) on warfarin presented to our hospital with headache. Within the last year, he had suffered several falls due to syncope, which resulted in serious injuries, including jaw fracture and subdural hematomas (SDH). He used alcohol and marijuana daily. Previous workup for [...]

Case Presentation: 73-year-old male with past medical history of seizure disorder, non insulin dependent diabetes mellitus, hyperlipidemia presents for evaluation of pain and swelling of right lower extremity, found to have deep venous thrombosis involving multiple veins of right lower extremity, occlusive in nature. Past medical history significant for two similar episodes of VTE (venous [...]

Case Presentation: Reversible posterior leukoencephalopathy syndrome (RPLS) is characterized by a combination of clinical symptoms and radiographic findings. Clinical signs range from headaches and visual disturbances, to more classic seizures.1 Radiologic findings usually include vasogenic edema in the white matter of the posterior lobes of the brain, especially occipital and parietal.2 Multiple etiologies have been [...]

Case Presentation: An 80-year-old female with a history of type 2 diabetes mellitus presented with progressively worsening ataxia and left-sided weakness for 6 months. She had no symptoms attributable to bradycardia and was not taking AV nodal blocking medications. Examination revealed mild left hemiparesis and ataxic gait, with a heart rate of 40 beats/min but was otherwise unremarkable. [...]