Thank you to Dr. Melendez for today’s Morning Report! Thyroid Storm Patients may have a known history of thyrotoxicosis. In the absence of previously diagnosed thyrotoxicosis, the history may include symptoms such as irritability, agitation, emotional lability, a voracious appetite with poor weight gain, excessive sweating and heat Read more…
Thanks Dr. Coquillon for today’s Morning Report! Alteplase: Mechanism of Action Recombinant human tissue-type plasminogen activator (t-PA); produces local fibrinolysis Promotes thrombolysis by converting plasminogen to plasmin which degrades fibrin and fibrinogen Pharmacokinetics Initial Half-Life: 5 minutes (free unbound form) Terminal Half-life: 72 minutes Onset: Coronary thrombolysis occurs in Read more…
Today’s Morning Report comes courtesy of Dr. Melendez: Posterior Knee Dislocation Approximately 30 percent rate of amputation because the popliteal artery is interrupted and sometimes goes unrecognized In some instances, a knee will dislocate and relocate prior to medical evaluation. For this reason, it is quite important to evaluate Read more…
Welcome back to this month’s edition of Staten Island Corner. I decided to review the literature on the proper initial management of intubated asthmatic patients. Although asthma is a very common disease and something that we deal with on a daily basis in the Emergency Department, it has the potential Read more…
E-FAST. What do the letters stand for? Extended Focused Assessment with Sonography for Trauma (as opposed to FAST- Focused Assessment with Sonography for Trauma) How is E-FAST different than the FAST? There are 4 anatomical spaces examined in the FAST: Hepatorenal space (Morison’s Pouch), Splenorenal space, Rectovesicular space (Pouch of Read more…
Thanks to Dr. Semenovskaya for today’s Morning Report! Heat Illness Heat Illness comprises a spectrum of disorders caused by environmental heat exposure. Can be subdivided into three relative stages: 1) Heat Cramps: Heavy sweating; muscle cramps and spasms 2) Heat Exhaustion: Weakness; cool, pale, clammy skin; may Read more…
Here’s another Morning Report from Dr. Cioe. Man, is this guy ever coming back from Africa?! Notes from Princess Marina Hospital, Gaborone, Botswana Ketamine Sedation in the ED: A 6 year old HIV positive child presents to the ED for multiple painful cutaneous abscesses. The child is Read more…
Here’s another edition of Peds in a Pod courtesy of Dr. Melendez! It’s that time of the year when all of the kids go back to school and the peds ED fills up because germs are now being spread from one child to the next, sneeze by sneeze, booger by Read more…