With anywhere from 15-25% of pregnancies naturally terminating prior to the end of the first trimester, spontaneous abortions are common1. We frequently see UCG+ patients with vaginal bleeding and pain present to our ER. During my Gyn Sono rotation, I noticed that both the attending and I would reflexively want Read more…
Here’s the xray again. Patient’s fracture was read as an ankle fracture-dislocation. Posterior dislocation of talus and tibiotalar articulation. Comminuted fractures in distal fibula, posterior malleolus and medial mallelous. Orthopedics was consulted. Several reduction attempts were made by ortho, but ankle was unstable and reduction was not able to Read more…
Hello and welcome to the first installment of the Health Policy Mini-Fellowship blog. In May Hannah, Brenda and Dr. Foley helped lead the journal club discussion at the ACEP Leadership and Advocacy Conference (LAC) in Washington, DC. We presented an article by Weinick et al titled “Many Emergency Department Visits Read more…
Today’s Morning Report is presented by Dr. Shin! Eye Foreign Body Removal Immediately refer to an ophthalmologist in case of the following: o Hyphema o Diffuse corneal damage (focal or diffuse opacity) o Scleral or corneal laceration o Lid edema o Posttraumatic dilation of pupil or abnormal shape Read more…
Here’s Dr. Aluisio with today’s Morning Report!
EM-CCM Conference on 6/18/14 Presented by Dr. Bonnie Brown Special Thanks to Dr. Gillette for his insightful comments and attendance. The Case 41 yo F pmhx Sickle Cell Disease presents 15 hours after onset of right face numbness, right arm numbness and weakness, and difficulty speaking. Stroke work-up performed including Read more…
Today we had a wonderful conference. Thanks to our resident and attending lecturers as well as extra-special thanks our guest lecturers, Dr. Gillette and Dr. Duroseau! Dr. Reisman’s Journal Club lecture, Summary by Dr. Reisman Retrospective study of patients admitted for neutropenic fever at a cancer center in South Korea. Read more…
Thanks to Dr. McMillan for today’s Morning Report! Traumatic Brain Injury – American Association of Neurological Surgeons Guidelines Case#1: A 45 year-old man helmeted motorcyclist struck by van, negative loss of consciousness, and currently GCS 15 and appropriate but complaining of headache. CT scan shows a small, lenticular hematoma Read more…
A Case: 50 yo M past medical history cancer on chemotherapy presents with fever and altered mental status. His labs are concerning for a Cr 7, Hgb 5 (from 12), platelet’s 30 By Dr. Andrew Grock and Dr. Sally Bogoch Rivers, 6th edition.
EMS notification. 115 year old female in cardiac arrest. ACLS in progress. Estimated time of arrival: 5 minutes. Your stomach groans. Upon EMS arrival, you learn that she comes from a nursing facility and has end-stage dementia; she is bed-bound, contracted and non-verbal. Maybe she’s got a PEG tube or Read more…