Welcome to Save of the Month! where each month we recognize a resident who went above and beyond to make a great save in the ED. Nominations are solicited from the faculty each block and we pick one (or sometimes two!) resident for recognition and embarrassment on this blog. This edition’s Save of Read more…
Here’s Dr. Paulson with today’s Morning Report! HYPOKALEMIA Hypokalemia < 3.5 meq/L Moderate < 3 meq/L Severe <2.5 meq/L Up to 20% admitted pts hypokalemic, only 4-5% clinically significant, “severe” uncommon. Presentation: The history may be vague. Often asymptomatic, or symptoms reflect underlying cause. Think about it with Read more…
Welcome everybody to this month’s edition of Staten Island Corner. I recently had a case that we see on a regular basis in the ED that is the motivation for this month’s topic. Supratherapeutic INR is something we see all the time, but it is something that I feel is Read more…
Thanks to Dr. Regan for preparing this edition of ICU Conference Wrap-up! The Case: Syncope and Polymorphic Ventricular Tachycardia San Francisco Syncope Rule -CHESS (history of CHF, Hct<30%, EKG other than sinus or change from prior, c/o SOB, SBP<90) -If ANY of these are present, pt is high risk Read more…
We’re always talking about reducing health care costs. One of the ways major ways to reduce costs is to stop ordering unnecessary tests. Let’s talk about CT scans for a minute. CT scans can cost anywhere from $300-1500 per scan of the body part for your patient, with CT head Read more…
Welcome to this week’s edition of Wednesday Wrap-up! We had a great conference day including a great discussion on how to deal with anterior shoulder dislocations. Dr. Melton presented an EBM review of the literature comparing intra-articular lidocaine to procedural sedation for reducing shoulders. The evidence suggests that there is Read more…
Here’s Dr. Shin with today’s Morning Report! How to Tap a VP Shunt Ventriculoperitoneal (VP) shunts, which are used to treat hydrocephalus, shunt cerebrospinal fluid (CSF) from the lateral ventricles of the brain into the peritoneum. Tapping or aspirating the shunt is performed to obtain more information for evaluation for Read more…