During a resident supervisor shift this summer a brand new intern asked me how do you know that a patient has low risk chest pain and when do we send them home? This was followed by a third year that asked a question about the utility of serial troponins. I Read more…
Here’s Dr. McMillan with today’s Morning Report! Ketamine Pearl – Laryngospasm
It’s a busy shift in good old A pod. A nurse comes up to you with a bag of blood tubes for a vomiting patient and asks if you want to shotgun labs and give some anti-emetics. You happily oblige, ordering a liter of normal saline, Zofran, and some labs. Read more…
Today’s Morning Report is courtesy of Dr. Grock! Case: 64 yo male PMH of DM/HTN/prostate ca s/p RT presents with fever. Important questions? TRAVEL HISTORY!!!!! Fever pattern, other symptoms… ROS: neck stiffness and recently returned from West Africa (Liberia). PE: tachycardia to 100s, febrile orally to 103, Read more…
Thanks for all the responses! Here is short version of the answer for those of you with ADD. Keep on reading for the details! Our patient had sick sinus syndrome with a sinus bradycardia on top of her malfunctioning pacemaker. She was admitted to medicine for CHF exacerbation. The inpatient team Read more…
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 resident for recognition and embarrassment on this blog. This month’s edition goes to . Read more…
Thanks to Dr. Bradby for today’s Morning Report! Stroke in Sickle Cell Disease Neurological and Hematological Emergency 24% of sickle cell disease patients have a stroke by the age of 45 years these people have an increased risk of secondary stroke 2-3 years after initial CVA (recurrence rate of Read more…
Welcome back to another edition of Wednesday Wrap-up! We had some great conference topics today including Geriatric Trauma, Reversal of Anticoagulation, and Toxic Alcohols! The topic I wanted to talk more about was the approach to CAP which was raised during a case discussion today. Unfortunately time was short and Read more…
The wilderness medicine division had an awesome fishing and camping trip out to Montauk last week. We went on a fluke fishing boat and caught a ton of fish. Four were large enough that we could keep them and cook them up. Everyone caught at least one, Read more…