Bored Review – Just Another RV Infarction

I’d like to thank our 4th year resident, Dr. Michael Griesinger, for essentially giving me this entire lecture in real time as he diagnosed and treated an inferior STEMI with right ventricular (RV) infarction yesterday. He nailed every aspect of it. Everything I researched today was just confirmation.…

Save of the Month!

This month’s excellent save goes to… Dr. Steven Greenstein! Dr. Greenstein was working during a particularly busy shift in the Critical Care / Trauma area when EMS brought in a patient with a history of prostate cancer and a chief…

Candy or Medication?

You’re working a busy shift in the peds ED among a seemingly endless cycle of various permutations of fevers, cough, abdominal pain, vomiting, diarrhea, when another kid pops up on the board: “vomiting, abdominal pain”. Fantastic. You go over to…

Trauma Drama – ED REBOA

It’s 2 AM and you’re about to walk out to get some coffee when the notification phone rings. The prehospital dispatcher informs you, “24-year-old male with two gunshot wounds to the abdomen, BP 70/P, HR 128, R 30, ETA 5…

EM-Critical Care: Thyroid Storm

Case: A 48-year-old man with no PMH presents via EMS with dyspnea and diarrhea worsening over 2-3 weeks. He has attempted to self-treat the diarrhea with loperamide. He also reports generalized weakness, swelling in both his legs, and palpitations.  …

Clinical CT – May 2017

A 54-year-old woman with history of gastric band surgery and 10 years of uncontrolled hypertension has had 4 weeks of progressively increasing abdominal girth, exertional dyspnea, and dependent edema. Today, the patient has dyspnea at rest with epigastric pain. Her…

The Limping Child

A 2-year-old boy is brought to the ED by his mother for persistent fevers. The mother says her child has been having high fevers of 102-103 for the past 4-5 days. He was seen at another hospital earlier in the course…