Withering Heights: A Tale of Digitalis

Digitalis, a cardiac glycoside, is an age-old drug used since the time of the Romans. It wasn’t until the 18th century when the study of digitalis propelled humankind into the age of modern medicinal therapeutics. The cardiac glycosides are isolated from…

Bored Review – Clavicle Fracture

A fit, young female dressed in cycling gear presents to your emergency department with a chief complaint of shoulder pain. Just prior to arrival, she was participating in a bike race in Prospect Park. As she was sprinting to the…

Choking!? Oh No!

Case: You are working a busy peds shift and are nearing the end of your shift when EMS brings in this adorable 12-month-old girl with her mother. Mom says her child’s only medical history is eczema, and an hour prior…

Rhythm Nation: July 2017

Faithful Bloggers! Rhythm Nation is back from its brief hiatus for another installment of critical analysis of the ECGs seen at King’s County. 76M, past history of HTN, dyslipidemia, Stage III CKD, presents with headache and AMS. Concerned family members…

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…