47 years old male with no PMH presents with one day of severe epigastric pain. States that he had this type of pain before, and his PMD prescribed him “some pills” that helped with the pain. But he no longer takes the medication. You get a CXR and you see… Read more…
Today’s Morning Report is courtesy of Dr. Rolston-Cregler! EBOLA!!!! Primary exposure: work in an endemic area Secondary Exposure: human to human, primate to human Presentation: – Early findings include high fevers, pharyngitis, severe constitutional signs and symptoms, bilateral conjuntival injection. Myalgias, anorexia and fevers occur first, usually Read more…
Gamma-Butyrolactone (GBL) is an addictive depressant used for its euphoric and sleep inducing effects. It is a prodrug to GHB. GBL can be synthesized from gamma-hydroxybutyric acid (GHB) by removal of water or by distillation from such a mixture. Pathophysiology: GBL readily crosses the blood-brain barrier with rapid onset Read more…
Hello Hard-Working Residents, On behalf of Dr. Richardson, Dr. Mehta, and Dr. Aluisio, I am happy to provide the next Journal Club Article – a prospective RCT of epinephrine versus no epinephrine in patients that received ACLS. Will it change how you practice? As usual, please comment on the article Read more…
A young man was standing on the corner, minding his own business, on his way to church, when he… EMS reports + LOC with 2 episodes of vomiting after, and amnesia of the entire event. He is still perseverating and unable to comply with a complete neurologic exam. You are Read more…
Over the last decade or two, we have all seen, read, and are hopefully now doing some interesting stuff with the A in the ABC’s. Here, we discuss three interesting topics involving ventilating critically ill patients using less breaths…sometimes way less…sometimes not breathing at all. Part 1 For starters, Read more…
Presented by Dr. Nataisia Terry Summary by Dr. Kaycie Corburn The Case: 72 yo M PMH HTN and GERD presents to the ED with 1d h/o difficulty urinating and back pain. Basic labs showed thrombocytopenia. Non contrast CT showed bony sclerosis through out the vertebral bodies and splenomegaly. EKG showed 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…
70 yo M with pmh DM and HTN presents with chest pain and a troponin of 41. STEMI code activated and patient taken to cath lab. Here is his EKG upon arrival: 1. What is this rhythm? 2. What is the treatment for this rhythm? Answers were due 8/15/2014… now you Read more…
Thanks to our own ablumenberg for his 3 responses! I applaud your effort and thoroughness…though you were not entirely correct, you were the only one to answer. So you WIN! To review some pertinent facts of the case, we had a 4 year old, no pmhx, presenting with altered mental Read more…