Thanks to Dr. Desmond for today’s Morning Report! Pediatric Thoracic Trauma Thoracic trauma in children is relatively uncommon. Usually from high force injuries such as falls or motor vehicle accidents (75%) and is usually blunt. When in isolation, mortality rate is low, however it TRIPLES when accompanied by head Read more…
Last week Dr. Paulson discussed this excellent review that went over the manifestations, pathophysiology and treatment of heat related illness. This paper can be found by clicking here. The Evaluation and Management of Heat Injuries in the Emergency Department Dr. Paulson was also gracious enough to summarize that article in Read more…
Today’s Morning Report is courtesy of Dr. DiMare! Color Change Capnography How does it work? pH based REVERSIBLY reacts with expired CO2 purple with ETCO2 < 3mmHg yellow with ETCO2> 15mmHg How good is it? – nearly 100% specific (97-100% different studies, different devices) WHEN USED PROPERLY Read more…
Recently, I reviewed a pediatric spinal trauma case. The recommendation for steroids was the most controversial part of the case. One service recommended it, another didn’t. One service from another hospital where the patient was to be transferred recommended it, but another service at the same hospital adamantly was opposed Read more…
24yo F presents with SOB, wheezing and chest tightness. Exam shows tachycardia and wheezes. The above EKG is obtained. What is your DDx? Any other information about the patient you would like to know?
Here is the answer for our last EKG: Rate: 300 Rhythm: Sinus rhythm – although the P waves are difficult to discern in the rhythm strip, they are visible in V1. Mapping the P waves in V1 to the rhythm strip, you can see that the P Read more…
Here’s Dr. Kong with today’s Morning Report! HiNTS exam What is the HiNTS exam? A set of 3 tests used to specifically differentiate central from peripheral etiology in setting of acute vestibular syndrome/ AVS (rapid onset (seconds to hours) of vertigo, nausea/vomiting and gait unsteadiness with head-motion intolerance and Read more…
Thanks to Dr. Bradby for today’s Morning Report! Myxedema Coma or Crisis Definition: Severe (decompensated) hypothyroidism leading to decreased mental status, hypothermia, and other symptoms related to slowing of function in multiple organs. Epidemiology: – Mortality rate if not promptly diagnosed and treated: approx. 50% or more Read more…
Here’s Dr. DiMare with today’s Morning Report! WTF? = What the …fanny-pack? What is an LVAD? – Left ventricular assist device – Basically an extracardiac pump – The LV goes from being a pumping device to just a filling chamber – Cannula Read more…
Today’s Morning Report is thanks to Dr. Chapman! This Morning Report is based on the Emergency Medicine Practice Article, Emergency Management of Dyspnea in Dying Patients; the following Vignette is also based heavily on the vignette in the article: It’s 2 a.m. You’re in the middle of a Read more…