Month: March 2017

So Bored I Hiccup’ed

It is 4 AM in the morning and a 50 year-old male is next to be seen in the emergency department. You think to yourself, what can possibly compel this patient to leave the warm comforts of his bed to…

Rhythm Nation: March 2017

It’s Sunday morning 10 am and a patient finally pops up on the whiteboard: “19 Y M, CHEST PAIN.” Your favorite. The patient is a 19 year-old man with no PMH BIBEMS with chest pain. He lifted weights yesterday, and…

Aortic Dissection

Thoracic Aortic Dissection A difficult to diagnose, uncommon, and potentially fatal condition: Emergency Medicine at its finest!   Let’s talk about a patient we think see every day in the ED. A man comes in complaining of chest pain with elevated…

Don’t Clam Up: Emergent Thoracotomy

    29 year-old male arrives as a trauma notification. EMS states patient had a single gunshot wound to the mid-chest with vitals as follows: HR 120, BP 90/50, RR 22, SpO2 95%. The patient is mumbling incoherently with spontaneous…

Clinical CT – April 2016

Clinical CT for April 2016 by Adam Blumenberg MD Special thanks to Mark Silverberg MD A 78 year-old man presents to the ED for pre-syncope and back pain. Physical exam is remarkable for systolic blood pressure in the 80s and…