Dr. Carmelli was kind enough to share a great article with the wilderness medicine division this month on “inflight medical emergencies.” he talked about how often they occurred and what type of gear is packed away on a plane’s emergency kit. The article he reviewed can be found here: Inflight Medicine Read more…
Spoiler alert! EM-CCM next week will continue on this very seasonal topic. A fire breaks out in a fictional borough in a fictional metropolis. A family of 4 is brought from a fire in a townhouse.The three children disappear into the loving care of the pediatric ED and you are Read more…
Thanks to Dr. Wang for presenting today’s Morning Report! Nailbed Injuries Typically caused by crush injuries with hammer, in doorway, or car doors. Trauma by saws, knives, or drills can also cause these injuries Subungual hematoma: 50% have underlying nailbed laceration Nailbed injuries: nailbed lacerations Workup includes Read more…
By Dr. Michelle DiMare Welcome back and Happy New Year! While the gallbladder itself and the majority of its pathology are usually considered easily identifiable on basic bedside ultrasound, finding the common bile duct often earns top honors as our nemesis. We must be careful to not Read more…
Happy New Year to All! Now, back to business… A 71 year-old male with past medical history of CAD and CHF (last known EF 10%) is sent by his PMD for progressive shortness of breath, dyspnea on exertion, and lower extremity edema. Just as you sit down to finally catch Read more…
Case Recap: Old lady with hypotension, tachycardia and JVD… I think we all agree that this person is sick. Prior to pondering the wide differential do the Basics: 2 Large Bore IVs, O2 NC vs NRB, Monitor, assess airway My Top Three Differential Diagnoses 1. Cardiac Tamponade 2. Read more…
Dr. Waldman presents today’s Morning Report! AMMONIA TOXICITY Where can we find ammonia: glass cleaners, toilet bowel cleaners, metal polishes, floor strippers, wax removers, smelling salts, some refrigerants, explosives, pharmaceuticals, pesticides, textiles, leather, flame-retardants, plastics, pulp and paper, rubber, petroleum products, and cyanide INHALATION INJURY: Most common Read more…
This one is not from our annals but it is the best study on the use of Mg in severe asthma exacerbations. Thankfully most asthmatics with sever exacerbations do not die or get intubated but they often get admitted, does treating them with Mg result in better outcomes over placebo? Read more…
Morning Report is back in the new year! Here’s Dr. Bogoch with a brand new 2015 edition! Evaluation of Vaginal Bleeding in Second Trimester > 20 weeks: we generally do not see the patients except for severe illness or trauma. Differential Diagnosis: Ectopic pregnancy is exceedingly rare, but Read more…
Jonny Utah () presents to your ED clutching his knee, grimacing, and firing his weapon unnecessarily into the ceiling. After he puts his weapon down, you assess the leg. He has a deformity to the knee, cannot bear weight, and is NV intact at the foot. Read more…