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{ "pk": 52353, "title": "Reassessment Case: Acute Pulmonary Edema in a Boarding Patient", "subtitle": null, "abstract": "<p>Audience: The target audience for this communication case is senior residents and junior faculty preparing for the American Board of Emergency Medicine (ABEM) Certifying Exam. Secondary audiences include junior emergency medicine (EM) residents. </p>\n<p>Introduction: Rapid identification of clinical changes, reassessment of previous diagnoses, and appropriate adjustment of interventions are critical skills in EM. This case highlights the skills needed to recognize and manage a change in condition with acute pulmonary edema, a life-threatening condition that requires prompt intervention.</p>\n<p>Educational Objectives: By the end of the case, the learner should will be able to: 1) demonstrate competency with the new ABEM Certifying Exam Reassessment case format, 2) demonstrate the ability to evaluate new information and integrate it into an existing care plan, 3) recognize signs and symptoms of pulmonary edema, 4) review possible etiologies of acute respiratory distress and the evaluation/work up to differentiate and diagnose those causes, and 5) manage pulmonary edema including implementing afterload reduction, positive pressure ventilation, and diuresis.</p>\n<p>Educational Method: This is a standardized patient scenario, in alignment with the expected reassessment case format of the ABEM Certifying Exam. This educational modality is advantageous for assessing the learner’s ability to acquire history and physical examination data in a clinical environment, as well as to communicate with a patient using clear, understandable, and appropriate language.</p>\n<p>Research Methods: This case was iteratively evaluated using facilitator and learner surveys at three sites: an academic EM residency program, the 2025 Society for Academic Emergency Medicine Annual Meeting, and a second academic EM residency program. Feedback at each site informed further refinements. A total of 11 senior resident learners and four facilitators tested the case, providing feedback on its quality and usefulness.</p>\n<p>Results: Learners and facilitators found the case well-written and effective. All 11 learners felt that the case was helpful practice for the ABEM Certifying Examination. Additionally, all facilitators felt the case materials were easy to use and would use the case again in the future. </p>\n<p>Discussion: The case was well-received by both learners and facilitators and appears to be a good preparatory tool for the Reassessment case format of the ABEM Certifying Exam.</p>\n<p> </p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "pulmonary edema" }, { "word": "Sign-out" }, { "word": "reassessment" }, { "word": "Certifying Exam" } ], "section": "Certifying Exam Practice", "is_remote": false, "remote_url": "https://jetem.org/pulm_edema_reassessment/", "frozenauthors": [ { "first_name": "Tina", "middle_name": "H", "last_name": "Chen", "name_suffix": "", "institution": "St. Louis University", "department": "Department of Emergency Medicine" }, { "first_name": "David", "middle_name": "", "last_name": "Fernandez", "name_suffix": "", "institution": "Mount Sinai Hospital", "department": "" }, { "first_name": "Amrita", "middle_name": "", "last_name": "Vempati", "name_suffix": "", "institution": "Creighton University School of Medicine in Phoenix", "department": "" }, { "first_name": "Kelly", "middle_name": "", "last_name": "Roszczynialski", "name_suffix": "", "institution": "Stanford University", "department": "" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Cohen", "name_suffix": "", "institution": "University of Central Florida", "department": "" }, { "first_name": "Charles", "middle_name": "", "last_name": "Lei", "name_suffix": "", "institution": "Hennepin County Medical Center", "department": "" }, { "first_name": "Hillary", "middle_name": "", "last_name": "Moss", "name_suffix": "", "institution": "Montefiore Medical Center", "department": "" }, { "first_name": "Tiffany", "middle_name": "", "last_name": "Moadel", "name_suffix": "", "institution": "Zucker School of Medicine at Hofstra/Northwell Health", "department": "" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Stapleton", "name_suffix": "", "institution": "Boston University/Boston Medical Center", "department": "" }, { "first_name": "Lars", "middle_name": "K", "last_name": "Beattie", "name_suffix": "", "institution": "University of Florida", "department": "" } ], "date_submitted": "2025-07-18T03:47:08+02:00", "date_accepted": "2025-12-23T05:07:56.791000+01:00", "date_published": "2025-12-31T21:12:00+01:00", "render_galley": { "label": "Chen T, et al. Reassessment Case Acute Pulmonary Edema in a Boarding Patient. JETem 2025. 10(5)CE77-105", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_jetem/article/52353/galley/47800/download/" }, "galleys": [ { "label": "Chen T, et al. Reassessment Case Acute Pulmonary Edema in a Boarding Patient. JETem 2025. 10(5)CE77-105", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_jetem/article/52353/galley/47800/download/" } ] }