Let’s face it. As emergency physicians, clearing the C-spine on an injured adult seems like a daily practice. We have evidenced based rules that we can use as guidelines and often if there is any doubt about injury or if the patient is obtunded/unable to accurately give a history, a Read more…
Today’s morning report comes courtesy of Dr. Lau. It begins with the following case presentation: 22 yo m with no pmh BIBEMS for syncope c/o nausea, fatigue, and generalized myalgias. Pt states just returned from a trip to Miami where he was enrolled at a training bootcamp for 2 days and Read more…
Here was our original image: Before we get to the full interpretation here is some background. The patient actually presented to another emergency department after a car accident. They were the back seat passenger on the non-driver’s side and the car was hit on the driver’s side by an ambulance. Read more…
Welcome to this month’s edition of Staten Island Corner. The inspiration for this month’s entry was a “disagreement” that I was involved with on a pediatric shift. We had an 18 year old patient with presumed hyperemesis gravidarum. After the initial NS IVF bolus, I asked the nurse to switch Read more…
Here’s another Morning Report from Dr. Aherne: Thanks Dr. Aherne! Leave your comments below.
Welcome to our X-ray of the month! Below is an image from a patient seen in our very own ED. Take a look at the image and the short case history. Respond in the comments if and suggest your diagnosis and management! I’ll post the answer Friday. Good Luck! You Read more…
Thanks to Dr. Meister for today’s Morning Report! Morning Report: Zoster Ophthalmicus Epidemiology:1-3 /1000 cases per year, 10-25% of shingles infections, lifetime risk of shingles is 10-20%, usually starts in 5th decade of life, immune compromised are more at risk Presentation: Usually flu like illness, fatigue. Fever, malaise, can Read more…
Today’s Morning Report is courtesy of Dr. Aherne: Supraclavicular Subclavian Central Venous Access Offers several advantages over infraclavicular approach: At the insertion site, the subclavian vein is closer to the skin Right sided approach provides a straighter path into the subclavian vein More accessible during CPR Less anatomical distortion in Read more…
WELCOME to this month’s edition of Staten Island Corner. For this month we have a guest appearance from the Staten Island Chief himself Dr. Caputo. …So without further adieu please read the following written by Billy: Asthma is one of the most common reasons for patients to present for Read more…
Today’s Morning Report is thanks to Dr. Joshi! Clinical Scenario: 19 yo woman was walking down the street and twisted her ankle and now is in the ED for evaluation. The next patient you are supposed to see is a 90 yo man who slipped on some ice and Read more…