Burr Hole Craniostomy Mark H Wilson, David Wise, Gareth Davies and David Lockey. “Emergency burr holes: “How to do it” “Scand J Trauma Resusc Emerg Med. 2012; 20: 24. 1) Ensure indications are appropriate 2) Ensure patient is supine and physiologically optimised (intubated, ETCO2 4.5kPa, normotensive, c-spine protection, mannitol/hypertonic saline Read more…
Dr. Shibata is going to present the Journal Club this Wednesday 4.23.14 It is a going to be a Case Control Study regarding bloodstream infections. Attached is the article, Please read ahead of time in order to facilitate discussion and participation in the blog is always encouraged! CCIDpaper
Thanks to Dr. McMillan for today’s Morning Report! Here’s the Case: 21 year-old recently postpartum female presents with chief complaint of diffuse, red rash started shortly before calling EMS. Paramedic notes that she looks like anaphylaxis, but he didn’t give epinephrine due to no respiratory involvement. She is diffusely 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…
We’ve all experienced the scenario where a trauma patient appears in your trauma bay, blood pressure barely palpable, whose IV line is near impossible to obtain. Solution? IO access. A wonderful advancement in trauma care that has led to the stabilization of critically ill patients in whom IV access cannot Read more…
Here’s Dr. Freedman with today’s Morning Report! Delta Force An approach to the possibly complicated metabolic acidosis 1st What’s primary? Compensation is alright, but its never enough Ph? What’s the respiratory system doing? 2nd Gapped or non-gapped? Normal AG? Gapped MUDPILES But what are they really? Left Total Read more…
EM-CCM Conference: February 2014 (Sorry posting this a little late!) Presented by Dr. Freedman Summary by Dr. Youn CASE: 84M with CAD (recent NSTEMI) on ASA and Clopidogrel, CHF, HTN, DM p/w 4 episodes of BRBPR with dizziness and SOB. Pt was hypotensive, tachycardic with pale conjunctiva and gross red Read more…
Welcome back to Morning Report! Today’s edition is presented by Dr. Alsup! Mammal bites Cat bites Deep puncture wounds, difficult to irrigate 10-40% rate of infections Staph, step and pasteurella multocida P. multocida, a highly virulent, facultatively anaerobic, gram-negative rod found in the oral cavity or nasopharynx of Read more…
This month Dr. Abram spoke about a new and interesting way to be poisoned by poison Ivy. In Korea, they put pieces of the stems inside a chicken when cooking it to “help make you feel better when sick.” The paper describing such a case can be found here: rhus Read more…