Thank you to Dr. Pearsall for today’s Morning Report: Reversing coumadin-associated ICH: PCC vs FFP Vitamin K for sustained reversal of vit-K dependent coag factors (10mg IV slowly) Oral anticoagulant therapy increases degree of bleeding, with mortality > 50% PCC: inactive vit-K dependent coag factors (II, IX, X Read more…
Today’s Morning Report is courtesy of Dr. Benson: “I think I (k)nee-d some help” 42 y/o M presents for right knee pain and swelling, occurring for the last few days, notably worse today. Differential? Trauma Septic arthritis OA RA Lyme arthritis Gout Bursitis Cellulitis Indications Read more…
In Washington State, the big news for the last year has been the Washington State Health Care Authority’s attempt to legislate a mandate to reduce non-emergency use of hospital EDs, in addition to the over-use of EMS. Their plan included denying Medicaid payment for the treatment of more than 500 Read more…
Time: Speaker: Lecture: 8-8:50 Nadir Debriefing 9 -9:50 Adeleke Hypersensitivity Derm Disorders 10 -10:50 Ritchie / Christopher Facial blocks / Sinusitis 11 -11:50 Julie / Jegede / Christopher / Caputo Pearls It seemed like the popular topic of conference this week was facial blocks. It is a practical and Read more…
Here’s a Morning Report from Dr. Julie on Hemolytic Uremic Syndrome: HUS Cause EHEC (Shiga toxin-producing enterohemorrhagic E. coli) 70% of US HUS cases 0157:H7 (Most US cases) O104:H4 (Germany last yr) 0111 (Australia and US) Shigella (Shigella dysenteriae type 1) India, Bangladesh, and southern Africa Read more…
Here’s Dr. Caputo with an overview of the presentation, diagnosis, and management of Fournier’s Gangrene: FOURNIER’S GANGRENE Rapidly progressing necrotizing fasciitis involving the perineal, perianal, or genital regions and constitutes a true surgical emergency with a potentially high mortality rate (15-50%) The rate of fascial necrosis has been noted to be as Read more…
Its time for our next installment of Trauma Drama. I think its time to get into discrete injuries. The first one I want to talk about is blunt neck trauma. The reason I chose this one is that penetrating neck trauma gets all of the attention and gets people excited. Read more…
So we arrive at another Wednesday wrap up. We had a really good line up that included the below: Time: Speaker: Lecture: 8-8:50 Basile Peds Case Conference: ITP 9 -9:50 Krinsky Peds Oral/Dental 10 -10:50 Kong Peds Case Conference: Mastoiditis 11 -11:50 Dr. Khan Pediatric Eye Emergencies There are multiple Read more…
Today’s Morning Report was originally presented by Dr. Tan on 5/7/2012: Left Ventricular Assist Device (LVAD) Indications: New York Heart Association class 4 heart failure Ejection fraction <25% VO2 max less than 15 among other criteria How does it work: Bypasses left ventricle function. External pump unit outside body Read more…