Today’s Morning Report is presented by Dr. Youn! OPEN FRACTURES Definition: any fx that communicates with an overlying disruption of skin and soft tissues Initial assessment: still the ABCs (including pulses, hemorrhage control) Key history: mechanism, time course of event Physical exam: neurovascular status of injury, degree of Read more…
A six-foot-two blond transvestite in size 12, 4-inch Jimmy Choo’s is walking in the mermaid parade when all of a sudden she inverts her ankle and falls to the ground. Graciously she is helped back to her feet by surrounding mermaids and toe-hobbles to the corner. The ankle is swollen Read more…
Thanks to Dr. Freedman for today’s Morning Report! Digoxin Toxicity Background: Naturally occurring chemical compounds Na+/ATPase Channel blockers Prone to poisoning Large volume of distribution Long half-life, ~36 hours Narrow therapeutic window, 0.6 – 1.3 ng/mL Digoxin: An Old Drug: CHF, A fib ~2% of all international patients. One Read more…
Hey everyone! Hope you enjoy this month’s Ultrasound of the Month and my first official blog post! Here’s the clip: A 45 year old man presented to UHB fast track with a chief complaint of right knee pain. His pain began 4 days ago after a Read more…
here’s another image of the portable xray. Case: 30 year old female restrained driver BIBEMS after her vehicle collided with a pole at a high speed. The official read of the portable pelvis film: “dislocation of both femoral heads and bilateral acetabular fractures. Fractures of the right superior and inferior Read more…
Hi Readers, We have yet another new post this year for me to introduce. Dr. Sadia Hussain (of the Trauma Drama series) has teamed up with the wonderful Dr. Ashika Jain to create a Critical Care Mini-Fellowship. We thought it would be useful to your education to write-up a concise Read more…
A sweaty summertime letter carrier proceeds through his route delivering mail. On his way back to the post office he notices a white powder on his shorts. Confused as to whether this is the generous sprinkling of Gold Bond he used earlier to ensure his dryness or something more sinister, Read more…
Hemorrhage is one of the leading causes of mortality in trauma patients: responsible for approximately 30-40% of deaths overall and 50% of deaths within the first 24-hours post-trauma. Wow. That’s a great deal. So let them have blood? Well… not so simple. First, there is the poorly understood “coagulopathy of Read more…
Congratulations to our winner with the most complete answer: Dan Zeccola! Julie and Nathan both correctly identified parts of the answer. Well done all! Our patient was having a Spontaneous Coronary Artery Dissection (SCAD) in her mid-LAD. To answer the questions: The EKG was concerning for Wellens’ Sign and in Read more…
30 year- old restrained driver BIBEMS s/p collision with a pole. See image below. Please provide a complete read. How would you manage the patient?