Dr. Freedman is back again with another Morning Report! To “P” or not to “P” Ddx for a regular, fast, narrow (or not) rhythm? ST AVNRT AVRT AVRT A Flutter A Tach +/- Abberancy What’s the atria doing and Where to look? Diagnostic tools at Read more…
Thanks to Dr. Basile for today’s Morning Report! New Approach to the Digital Block Traditional digital nerve block: – two injections where you hit all four digital nerves with injections on both sides of the finger at MCP joint – Does not work at least 10% of the Read more…
Quick case: It’s 3am. A 55yM, with a pmhx of chubbiness, DM, HTN is brought in by EMS after being found down. He is pulse-less, with an initial rhythm of ventricular fibrillation. He is shocked appropriately and exquisite ACLS is performed. He regains pulses 20 minutes after EMS arrival…Now Read more…
The Wilderness Medicine group met for the second time this month and had a great time playing with sharp objects. We reviewed this paper: Epi_Pen Paper This paper teaches you how to safely open an Epi-Pen to get up to 4 additional doses of epinephrine out of each one. While Read more…
Today’s Morning Report is presented by Dr. Alsup! Unstable Cervical Spine Fractures “If thou examinest a man having a dislocation in a vertebra of his neck, shouldst thou find him unconscious of his two arms and his two legs on account of it, while his phallus is erected on Read more…
The Case 75 yo female, multiple medical problems presents with subjective fever/cough for 2 days. Work-up shows – nml VS, lactate 1 and left lower lobe infiltrate. Unfortunately she’s CURB-65 of 2 (age and BUN) with PORT score of 95. More importantly she lives by herself and doesn’t seem altogether Read more…
Thanks to Dr. Freedman for today’s Morning Report! Fascicular Block (Hemiblock) Definition: Conduction delay in of the main divisions of the left bundle, either anterior or posterior LAFB Criteria: Dominant R waves in I, aVL Dominant S waves in II, III, aVF No evidence for any other Read more…
Today’s Morning Report is presented by Dr. Aldokhi! AKA versus DKA AKA DKA – Alcoholic – Underlying disease – Missed Etoh – Diabetic – Underlying disease – Missed insulin Nausea , vomiting, abdominal pain Nausea , vomiting, abdominal pain DIAGNOSIS – Hx + Ex – High AG – Ketoneuria, Read more…
“The heart was made to be broken.” ― Oscar Wilde Blunt thoracic trauma accounts for 25% of all traumatic fatalities. Blunt Cardiac Injury (BCI) has been quoted to be present in up to 76% of blunt thoracic trauma patients. BCI encompasses a spectrum of injuries from myocardial contusion to myocardial Read more…
We have had some cutting edge articles in the past but none have been so stimulating as the one that was presented by Nathan Reisman this month. If you are out in the wilderness and you come across a person who his hypovolemic, this article discussed the best way to Read more…