It’s a busy day in the Emergency Department and you pick up a patient sent from clinic to “r/o appendicitis.” He is tachycardic and appears uncomfortable with moderate RLQ abdominal tenderness. Your attending tells you to give the patient some oral contrast to drink for the CT scan. When you arrive Read more…
This month in the wilderness medicine group meeting we spoke about using therapeutic plasma exchange to treat refractory systemic loxoscelism after a brown recluse spider envenomation. The paper that describes that treatment modality can be found here: Brown recluse envenomation-therapeutic plasma exchange (J Med Toxicol 2015) We had a pretty Read more…
You just finished rounding in the critical care area at Janus General Hospital when the triage nurse wheels over a patient from walk-in triage. The patient is a 75 year old male with a history of well controlled hypertension presents to the ED complaining of chest pain. The Read more…
The EKG is an integral diagnostic tool in EM let alone the whole of medicine. It is a rapid, reliable and cost-effective method to aid in the diagnosis of cardiac pathology including ischemic and arrhythmic events. So how did it come about? The 12 lead EKG was innovated via multiple Read more…
Another busy day in the pediatric ED and Tim ‘The Tool-man’ Taylor brings in his 6yo boy who was complaining of abdominal and flank pain after drinking something in dad’s car garage. The boy said he “drank some of dad’s green garage gatorade” and Tim the Toolman says he’s acting a bit Read more…
http://zimmerfidget.com/MedEd/Suturing/ Four ultra-short videos on how to suture. Videos on: simple interrupted, figure of 8, horizontal mattress, vertical mattress.
Thanks to Dr. Wang for today’s Morning Report! Lateral Orbital Canthotomy Indications: Retrobulbar hemorrhage Increase IOP (IOP >40mm Hg) Proptosis Contraindications: Globe rupture Hyphema Tear-drop-shaped pupil Peaked or irregularly shaped pupil Procedure: Positioning: patient in the supine position. Possibly restrained or undergo conscious sedation Local anesthesia Read more…
http://phil.cdc.gov/phil/details.asp?pid=3168 A 2 year-old boy presents to your ED with a history of 7 days of tactile temperatures and a rash. The rash started on day 3 of the fever and now has spread to the whole body. The child is from the Caribbean and has not Read more…
Hello Blog nation! Please enjoy this month’s EKG blog post! Also, seniors, please see below for a hint, just for you ;). Here is the case: 58 yo M with h/o mitral valve prolapse p/w acutely worsening palpitations, dyspnea on exertion & lightheadedness x 4 days. Palpitations previously occurred intermittently, Read more…
Great discussion on this month’s COtM, and with that comes our first winner of the academic year. Dr. Kopping, in all his chiefdom, gets the spoils. Great job! See original case here: CotM 1 Quick recap: 26 y/o M identifies as MSM with rectal pain, thin bloody purulent discharge, mild lower Read more…