Rhythm Nation - ECG
Case #9
Welcome to this installment of rhythm nation, entitled Shakedown Street. Please offer a comprehensive assessment of the following squiggles. Case details pending.
Morning Report
Morning Report: 10/31/13
After a small hiatus, MR is back with Dr. Reisman presenting today’s special Halloween edition! (sorry nothing really Halloween related but still good stuff!) Abdominal Paracentesis: prevention and management of persistent ascites leak Diagnostic paracentesis – New onset ascites – Patient with ascites and signs of SBP Read more…
Evidence-Based Medicine Hematology/Oncology
Why are we repeating an already negative lower extremity doppler?
The Case So the radiology resident says to me in disbelief, “you want another lower extremity Doppler when this patient had a negative study 2 weeks ago?” I answered, “Yes. A single one does not rule out DVT.” He asked me where I got that fact, and unfortunately, I could Read more…
Trauma
GEE, YOU! Pay attention to my GU Trauma bit!
We recently had a case of pediatric GU injury after blunt trauma. This inspired me to write a piece on GU injuries. Enjoy! Most GU injuries are a result of blunt trauma. Up to 10% of patients in the ED with abdominal trauma will have GU injuries. They are Read more…
Morning Report
Morning Report: 10/18/2013
Thanks to Dr. Shin for today’s Morning Report! The Bougie Uses of the Bougie Assistance in endotracheal intubation, especially difficult airways Glidescope caveats The angle of the bougie that we have will not work in a glidescope assisted intubation unless we bend the bougie appropriately to match the angle Read more…
Infectious Disease
Fever…Huh
What is it good for? Something? Maybe? Remember in medical school when the right answer to everything was cytokines. The mythical inflammatory response; all those interleukins, TNFs, and all other forms of molecular magic that drive our response to infection. The so-called “pyrogens,” or molecular agents causing fever, are Read more…
Morning Report
Morning Report: 10/10/2013
Today’s Morning Report is presented by Dr. Freedman! Troponin-emia 101 Background Compromised of three subunits: T, I, and C Both T and I subunits are highly-specific for cardiac tissue Since 1995, has emerged as the cardiac biomarker of choice Cardiac Specificity Predictable time course Rises above 99th percentile Read more…
Residency Life
How helpful is the discriminatory zone of B-HCG for IUP vs Ectopic?
Thanks to Dr Schechter for today’s review of the management and ultrasonography of the vaginal bleeder. As referenced, we believe in the discriminatory zone of B-HCG because, well, because we just do. But how helpful is it for distinguishing IUP vs ectopic pregnancy? Read and learn. http://www.ncbi.nlm.nih.gov.newproxy.downstate.edu/pubmed/21310509
Residency Life
Save of the Month! September 2013
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…
Morning Report
Morning Report: 10/8/2013
Thanks to Dr. Gichinga for today’s Morning Report! Carbamazepine Toxicity Carbamazepine (5H-dibenzazepine-5-carboxamide) is an iminostilbene derivative with a tricyclic structure. It is an antiepileptic drug widely used for treatment of simple partial seizures and complex partial seizures, trigeminal neuralgia, and bipolar affective disorder. Carbamazepine is absorbed erratically after oral administration because of Read more…