Today’s morning report is courtesy of Dr. Cioe. Here’s the case: A 3 year old female presents to ED with 3 day history of vomiting, throat pain, abdominal pain. On exam, the patient is febrile, tachycardic, and ill appearing. The patient has a clear pharynx, but pain on swallowing. A Read more…
While there is a lot on New York’s 2012 Legislative Agenda, there are few policies that affect us as EM physicians as much as the I-STOP Act. I-STOP stands for the Internet System for Tracking Over-Prescribing. It serves as a new act to create an on-line controlled substance reporting system, Read more…
Thanks to Dr. Nadir for today’s Morning Report (originally presented on 4/20/2012)! 76 year old male with hx of emphysema presents with slowly progressive SOB, over the last 10 days. VS: HR 110, RR 28, O2 sats 93%, BP 110/76. Exam reveals decreased BS over the left lung field. US and Read more…
For this week’s Wednesday Wrap-up, I want to discuss the issue of the pan-scan in blunt abdominal trauma. Dr. Morley gave a great review of the evidence in the literature. This topic is very controversial and you will hear many differing opinions not just between EM and trauma surgery but Read more…
Here’s Dr. Caputo with a Morning Report on lower extremity nerve blocks: MASTERING NERVE BLOCKS OF THE LEG 1)KNOW THE 2 MAIN NERVES GOING INTO LEG: FEMORAL AND SCIATIC 2)FEMORAL NERVE: HIP, ANTERIOR THIGH, QUADRACEPS, AND HAS SAPHENOUS NERVE BRANCH 3)TIBIAL AND COMMON FIBULAR ARE BRANCHES OF SCIATIC Read more…
Thanks to Dr. Lau for today’s Morning Report (presented on 4/13/2012)! Here’s the case: 26 day old female brought in by mother for increased crying and fussiness Vitals normal: T 98.9, RR 44, HR 130, BP normal PMH: NICU stay until 6 days ago – ex-35 weeker on methadone Read more…
Special thanks to the SIM team and all those who participated in our Sim Throwdown/ Rumble/ Battle Royale. Congratulations to Drs. Aherne, Kendall and Grock for winning our first Sim Competition! Take home points from the simulation cases: 1) When you see a difficult airway, LOAD THE BOAT early! Get Read more…
Dr. Kazzi presents some clinical pearls about preoxygenation for today’s Morning Report (originally presented 4/10/2012): Preoxygenation Physiology of Preoxygenation: Preoxygenation extends the duration of safe apnea (defined as the time until a patient reaches a saturation level of 88-90%) Below 88% patients are on steep decline of O2 saturation curves Read more…
Today’s Morning Report is courtesy of Dr. Melendez (presented 4/12/2012). Follow the along and think about how you would handle this scary presentation. A mother brings her 9 day old infant in because “she has not urinated in the past 12 hours and she is very sleepy”. VS: BP70/30, Read more…
As per Dr. DRE it’s the next episode: It continues in the trauma bay. A trauma code is called and the room is suddenly full. The initial survey is done. It turns out that the patient is not as bad as the notification phone had said. He has been hit Read more…