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Hanna Shanar

Hanna Shanar

Emergency Medicine

Emergency Medicine physician with a focus on acute care protocols, trauma management, and critical care decision-making. Hanna's 23 articles cover everything from STEMI management to rib fracture scoring systems.

23

Articles

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Articles by Hanna

23 articles published

Preventive Medicine
3,529

Understanding the Steeple Sign and Thumbprint Sign on X-Rays: Key Indicators in Diagnosing Respiratory Conditions

Medical imaging is a cornerstone of modern diagnostics, offering critical insights into various conditions. Among the numerous radiological signs, the steeple sign and thumbprint sign are significant...

Jun 20240 words
Critical Care
1,731

Protocol and recommendations for treating SCAPE (Sympathetic Crashing Acute Pulmonary Edema) in the Emergency Department

In SCAPE—a hypertensive, rapidly progressive form of cardiogenic pulmonary edema—the two immediate, evidence-supported cornerstones are noninvasive ventilation (NIV) and aggressive afterload...

Sep 20250 words
Emergency Medicine
1,396

RIG, RIBS, and PIC Scores in Rib Fracture Management

Rib fractures remain one of the most common injuries encountered in emergency and trauma care, particularly among older patients with blunt chest trauma. While many patients can be safely discharged,...

Sep 20250 words
Hematology
1,124

Do NSAIDs Increase Bleeding Risk? Evidence Across Gastrointestinal, Intracranial, and Systemic Bleeding

Introduction Nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most widely prescribed and over-the-counter medications worldwide. Their analgesic and anti-inflammatory properties are...

Sep 20250 words
Technology in Medicine
1,047

The Power of Wearable Health Tech: Monitoring Your Vital Signs

Wearable health technology, often referred to as "wearables," has become a powerful tool for individuals to monitor their vital signs and overall well-being. These devices, ranging from smartwatches...

Oct 2023378 words
Cardiology
978

Differentiating and Treating STEMI, NSTEMI, Unstable Angina, and Stable Angina

Coronary artery disease (CAD) is a leading cause of morbidity and mortality worldwide. Among its clinical manifestations, acute coronary syndromes (ACS) and stable angina are critical conditions that...

Jun 20240 words
Cardiology
734

Hypertensive Emergency: Recognition, Screening, and ED Management

IntroductionHypertension is one of the most common problems encountered in the emergency department. Most patients present with severely elevated blood pressure but no acute end-organ injury, which...

Sep 20250 words
Cardiology
686

Metoprolol IV Push 5mg for Tachycardia and Blood Pressure Control

In clinical practice, Metoprolol IV push, typically given as a 5mg dose, is a go-to medication for managing tachycardia and high blood pressure in acute settings. As a selective beta-1 blocker, it...

Aug 20240 words
Preventive Medicine
675

Is Glucagon Therapy Outdated in Treatment of Beta-Blocker Toxicity?

IntroductionGlucagon, a hormone produced by the alpha cells of the pancreas, plays a critical role in glucose metabolism. It works by stimulating the liver to convert stored glycogen into glucose,...

Jul 20240 words
Cardiology
613

Emergency Treatment of WPW with Atrial Fibrillation

Wolf-Parkinson-White (WPW) syndrome is a congenital heart condition characterized by an abnormal extra electrical pathway between the atria and the ventricles, known as an accessory pathway. This can...

Aug 20240 words
Emergency Medicine
572

ED Hyperglycemia (Without HHS or DKA): What to Lower, Who to Admit, and Who’s at Risk for Future DKA

ED Hyperglycemia (Without DKA): What to Lower, Who to Admit, and Who’s at Risk for Future DKA Bottom line up front: For adults who present to the emergency department (ED) with severe hyperglycemia...

Sep 20250 words
Emergency Medicine
540

Spontaneous Bacterial Peritonitis in Patients with Liver Disease

Spontaneous Bacterial Peritonitis (SBP) is a life-threatening infection that primarily affects patients with cirrhosis, particularly those with ascites. Ascites, the accumulation of fluid in the...

Sep 20240 words
Preventive Medicine
532

The Rise of Telemedicine: The Affects of the Healthcare Gap

Telemedicine has emerged as a transformative force in the healthcare landscape, bridging the gap between patients and medical professionals, and revolutionizing the way healthcare is delivered. One...

Oct 2023300 words
Emergency Medicine
502

DOAC Reversal in Acute Gastrointestinal Bleeding

Introduction Direct oral anticoagulants (DOACs) have revolutionized the management of thromboembolic disorders due to their predictable pharmacokinetics, ease of use, and minimal monitoring...

Sep 20240 words
Cardiology
481

Cardiovascular Disease and Its Correlation to Tobacco Smoking

Cardiovascular disease (CVD) encompasses a range of ailments affecting the heart and blood vessels, including coronary heart disease, heart failure, and stroke. Globally, it is the leading cause of...

Oct 2023739 words
Emergency Medicine
461

Stroke vs. Bell's Palsy: Understanding the Differences and Importance of Timely Diagnosis

When sudden facial weakness occurs, it can be alarming and prompt concerns about serious medical conditions. Two common causes of facial paralysis are stroke and Bell's palsy. Although both...

Jun 20240 words
Child Psychology
455

Trends in Adolescent Depression, ADHD Diagnoses, and General Mental Health Over the Past 20 Years

IntroductionThe landscape of adolescent mental health has seen significant changes over the past two decades. Rates of depression, diagnoses of Attention-Deficit/Hyperactivity Disorder (ADHD), and...

Jun 20240 words
Emergency Medicine
443

Medical Clearance in Psychiatric Emergencies – Brief Overview

A Brief Excerpt Dr. Hanna Shanar, Emergency Medicine Resident.  This is based of a powerpoint lecture created and presented at HCA Kingwood to the University of Houston class of EM...

Apr 20250 words
Psychology
400

The Matching Hypothesis: How Similarity Influences Physical Attraction in Relationships

In the intricate dance of human relationships, physical attraction plays a pivotal role. One psychological theory that attempts to explain the dynamics of attraction is the Matching Hypothesis. This...

Nov 2023506 words
Emergency Medicine
312

Rethinking the Role of Pelvic X-Rays in Trauma: Clinical Decision Tools and Evidence-Based Guidelines

In the evaluation of trauma patients, imaging plays a vital role in rapid diagnosis and triage. Pelvic fractures, in particular, are associated with significant morbidity and mortality due to the...

Aug 20250 words
Emergency Medicine
311

Understanding Sepsis in Children for Emergency Medicine

Sepsis is a life-threatening condition that arises when the body's response to infection causes widespread inflammation, leading to tissue damage, organ failure, and potentially death. In children,...

Jun 20240 words
Cardiology
296

Does the literature support fluid resuscitation in SIRS-positive patients at risk for sepsis who have CHF?

Does the literature support fluid resuscitation in SIRS-positive patients at risk for sepsis who have CHF?Bottom line: Evidence generally supports giving an initial crystalloid bolus to SIRS-positive...

Sep 20250 words
Emergency Medicine
247

Safe Discharge from the ED in Vertebral Compression Fractures

IntroductionVertebral compression fractures (VCFs) are a common presentation in the emergency department (ED), especially among elderly patients with osteoporosis. One of the major clinical questions...

Sep 20250 words