Month: July 2017

Choking!? Oh No!

Case: You are working a busy peds shift and are nearing the end of your shift when EMS brings in this adorable 12-month-old girl with her mother. Mom says her child’s only medical history is eczema, and an hour prior…

Rhythm Nation: July 2017

Faithful Bloggers! Rhythm Nation is back from its brief hiatus for another installment of critical analysis of the ECGs seen at King’s County. 76M, past history of HTN, dyslipidemia, Stage III CKD, presents with headache and AMS. Concerned family members…

Bored Review – Just Another RV Infarction

I’d like to thank our 4th year resident, Dr. Michael Griesinger, for essentially giving me this entire lecture in real time as he diagnosed and treated an inferior STEMI with right ventricular (RV) infarction yesterday. He nailed every aspect of it. Everything I researched today was just confirmation.…

Case of the Month – July 2017

  After a two-month hiatus, Case of the Month returns! Get your thinking caps on for July’s Edition…   The patient is a 50-year-old woman with a previous history of type II diabetes, and recently completed a 6-month course of…

Save of the Month!

This month’s excellent save goes to… Dr. Steven Greenstein! Dr. Greenstein was working during a particularly busy shift in the Critical Care / Trauma area when EMS brought in a patient with a history of prostate cancer and a chief…

EM-Critical Care: Valproic Acid Toxicity

The Case 50-year-old woman is brought in by EMS after intentional ingestion of her 500 mg extended release valproate in a suicide attempt approximately 40 minutes prior to arrival. She had recently filled her valproate prescription with 80 tablets and…