Here’s Dr. Youn with today’s Morning Report! Lateral Canthotomy/Cantholysis Emergent concern: retinal ischemia, optic nerve compression Indications: Acute orbital compartment syndrome – usually 2/2 traumatic retrobulbar hemorrhage Decreased visual acuity IOP > 40 mmHg (normal range: 10-20) Proptosis APD Contraindication: Globe rupture (teardrop pupil, positive Seidel Read more…
EM-Critical Care Conference: August 2013 PULMONARY EMBOLISM Summary by Dr. Eugene Kang Diagnosis and EKG: -Most common EKG finding: non-specific ST-T changes (at least for our boards) -Other findings: sinus tachycardia, complete or incomplete RBBB, RAD, right atrial enlargement, dominant R in V1, atrial tachyarrhythmias -Some likelihood ratios (see Read more…
Thanks to Dr. Waldman for today’s Morning Report! PERI-PARTUM CARDIOMYOPATHY (PPCM) Case: 35 yo F G1P1 no PMH presents 5 days s/p c-section for arrest of delivery comes ℅ BLE edema for the last 2 days a/w SOB. Pt denies the presence of edema during her pregnancy or Read more…
Dr. Kong presents today’s Morning Report! Ketofol What is it? A mixture of Ketamine and Propofol used for sedation Why is it better than Ketamine or Propofol alone? 1. In theory, use of medications together produce rapid (Propofol), consistent (Ketamine) sedation with maintenance of blood pressure (Ketamine), Read more…
Thanks to Dr. Grock for today’s Morning Report! The case: 20 yo male no pmhx, presents with pleuritic chest pain, dizziness, and worsening DOE x 3 days (class IV). No fevers, no toxic habits, no travel/sx/immobilizations/hx dvt or pe. VS: tachycardic to 110s (up to 130s with minimal exertion), Read more…
Here’s Dr. Adal with today’s Morning Report! Differential diagnosis for generalized weakness Neuromuscular (UMN and LMN) Amyotrophic Lateral Sclerosis: Degeneration of the motor neuron Botulism: Toxin prevents release of Ach at neuromuscular junction Ciguatoxin: Toxin causes cell membrane excitability and instability Cord compression Cord infarction CVA: Ischemic Read more…
So for this post… we’re going to combine some EKG action with some good ole’ CXR reading… Since we’re not just doing Rhythm Nation or X-ray Vision… we’re going to call it Rhythm Vision! Here’s the case: Your patient is little old granny, an 85 year old woman with a Read more…
Thanks to Dr. Alsup for today’s Morning Report! Laryngeal Mask airway for Prehospital Respiratory Failure LMA as a rescue airway It’s great when stuff hits the fan. A certain percentage of people you just won’t be able to intubate. It’s easy to fit in, it’s quick. Minimal interruptions in Read more…
Doctor: an agentive noun from the latin verb docere “to teach”. We all have great clinician-teachers that seamlessly jump from subject to subject effectively being able to teach pearls with each case. You stand in awe as you realize how much they know. Some of us may have chosen our Read more…
Today’s Morning Report is courtesy of Dr. Reisman! This morning report we are reviewing a paper from a cardiology journal that proposes modification of the criteria for emergent cath lab activation. The goal is to recognize ECG patterns associated with acute coronary artery occlusion that do not present as Read more…