Introduction: There is increasing concern about the effects of occupational stressors on thewellness of healthcare providers. Given high patient acuity, circadian rhythm disruption, andother workplace stressors, emergency physicians (EP) would be predicted to have high rates ofoccupational stress. We conducted this study to assess the prevalence of post-traumatic stressdisorder (PTSD) in attending EPs practicing in the United States.Methods: A link to an electronic questionnaire was distributed through the emergency medicinecentricpublication Emergency Medicine News. We compared the prevalence of PTSD in EPs tothe general population using a chi-square goodness of fit test, and performed logistic regression toassess for significance of risk factors.Results: We received survey responses from 526 persons. In this study, EPs had a PTSD pointprevalence of 15.8%. Being a victim of a prior trauma or abuse is the primary predictor of PTSD(odds ratio [OR] [95% confidence interval {CI}, 2.16 (1.21 – 3.86)], p = 0.009) and PTSD severityscore (OR [95% CI, 1.16 (1.07 – 1.26)], p <0.001).Conclusion: Emergency physicians have a substantial burden of PTSD, potentially jeopardizingtheir own health and career longevity. Future studies should focus on identifying subgroups at higherrisk for PTSD and modifiable risk factors. Prevention and treatment strategies should be developedand tested in healthcare providers.

To examine the association between oral health literacy (OHL) with sociodemographic variables and dental visitation in adults presenting to an urban emergency department (ED). Methods: This was a cross-sectional study of a convenience sample of 556 adults aged 18–90. Interview data from the study were used to collect self-reported sociodemographic characteristics and dental visitation history. The OHL of the study participants was measured using the Health Literacy in Dentistry scale (HeLD-14), and the score was dichotomized into low and high OHL. Bivariate associations between sociodemographic variables and OHL were conducted using chi-square tests, and logistic regression was used to examine the association between OHL and dental visitation within the past year. Results: Sixty percent of participants reported having visited a dentist within the past year. Over two-thirds of the sample was classified as having low OHL. Low OHL was more common in non-White races, less-educated, single, unemployed, and lower-income individuals, and those without a primary care physician or dental insurance (p < 0.05). Patients with low oral health literacy were 39% less likely to have visited the dentist in the past year (OR = 0.61; 95% CI 0.38, 0.96). Conclusions: This study highlights significant disparities in OHL. Interventions targeted toward the unique needs of underserved populations should be developed to improve health outcomes.

Keratoconus is a progressive disorder affecting the cornea, which causes the cornea to become weakened and conical in appearance. The resultant decrease in structural integrity of the cornea predisposes affected individuals to acute corneal hydrops, a break in Descemet’s membrane, the deepest layer of the cornea, resulting in pain and acute vision loss. We present here a case of this little-known cause of acute vision loss, and an example of Munson’s sign, which is a v-shaped protrusion of the lower eyelid on downward gaze that is characteristic of advanced keratoconus. We hope to highlight Munson’s sign as a simple identifier of keratoconus in an otherwise undiagnosed individual suspected of having acute corneal hydrops.