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…
Here’s Dr. Chan with today’s Morning Report! Unprovoked First Seizure in Adults Was this really a seizure? -Fair Marker: Incontinence (38% sensitive, 57% specific) -Strong Markers: Postictal confusion, tongue biting, cyanosis, confirmed unresponsiveness, aura, eye deviation, rhythmic limb shaking, or dystonic posturing -Seizure 5x more likely than syncope Read more…
Dr. Corburn presents today’s Morning Report! Emergency Room Extramural Deliveries: What can go right? What can go wrong? What can go right? -Is the infant descending head-first (not breech-buttocks or feet first): decide this based on examination and confirm by ultrasound -Attempt to coach the mother in controlled Read more…
Thanks to Dr. Abram for today’s Morning Report! Dengue Fever (“Breakbone Fever”) Virus: Flavivirus – 4 related viruses (DENV 1-4). Other flavivirus include St. Louis Encephalitis, West Nile Virus, Yellow Fever. Vector: Mosquito – Aedes aegypti most common in western hemisphere, Aedes albopictus Prevention: mosquito prevention 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…
Today’s Morning Report is presented by Dr. Peralta!
Here’s Dr. Carmelli with today’s Morning Report! Dextrocardia and Situs Inversus Definitions Situs solitus: Normal position of organs/structures Situs inversus: Opposite or reverse of normal position of organs/structures Levocardia: Cardiac apex pointing to the left Dextrocardia: Cardiac apex pointing toward the right Cardiac displacement: A secondary shift of heart Read more…
Thanks to Dr. Wang for today’s Morning Report! Globe Rupture Occurs when a blunt object impacts the orbit Ruptures are commonly at the site where sclera is thinnest – insertion of the extraocular muscles or at the limbus History Type of object Time of injury Contact lenses? Prior history Read more…
Today’s Morning Report is presented by Dr. Osagie! Minor Head Injury Canadian Head CT Rule: CT is only required for patients with minor head injury with any 1 of the following findings. Patients with minor head injury who present with a Glasgow Coma Scale score of 13 to Read more…
Thanks to Dr. Muhlfelder for presenting today’s Morning Report! Plantar Puncture Wounds How remote is the injury? Comorbidities? Tetanus Status? Diabetics present later 2/2 neuropathy/decreased sensation, 3x risk of osteo For all, consider deep penetration given weight-bearing area, risk for osteo ~ 0.5% Imaging??? Assess for retained Read more…