Morning Report
Morning Report: Levamisole Toxicity
Thanks to Dr. Nordstrom for today’s Morning Report! The Case: A 45 y.o female presents to the ED with a chief complaint of leg pain. She says the rash started 1 week ago and is located on both of her legs and also both ears. The rash has been Read more…
Neurology Procedures
Morning Report: Burr Hole Craniostomy
Burr Hole Craniostomy Mark H Wilson, David Wise, Gareth Davies and David Lockey. “Emergency burr holes: “How to do it” “Scand J Trauma Resusc Emerg Med. 2012; 20: 24. 1) Ensure indications are appropriate 2) Ensure patient is supine and physiologically optimised (intubated, ETCO2 4.5kPa, normotensive, c-spine protection, mannitol/hypertonic saline Read more…
Immune/Inflammatory
Morning Report: Toxic Shock Sydrome
Thanks to Dr. McMillan for today’s Morning Report! Here’s the Case: 21 year-old recently postpartum female presents with chief complaint of diffuse, red rash started shortly before calling EMS. Paramedic notes that she looks like anaphylaxis, but he didn’t give epinephrine due to no respiratory involvement. She is diffusely Read more…
Residency Life
Save of the Month! March 2014
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…
Endocrinology
Morning Report: Approach to the Complicated Metabolic Acidosis
Here’s Dr. Freedman with today’s Morning Report! Delta Force An approach to the possibly complicated metabolic acidosis 1st What’s primary? Compensation is alright, but its never enough Ph? What’s the respiratory system doing? 2nd Gapped or non-gapped? Normal AG? Gapped MUDPILES But what are they really? Left Total Read more…
EM-Critical Care Gastroenterology
Rectal bleeding
EM-CCM Conference: February 2014 (Sorry posting this a little late!) Presented by Dr. Freedman Summary by Dr. Youn CASE: 84M with CAD (recent NSTEMI) on ASA and Clopidogrel, CHF, HTN, DM p/w 4 episodes of BRBPR with dizziness and SOB. Pt was hypotensive, tachycardic with pale conjunctiva and gross red Read more…
Infectious Disease
Morning Report: Mammal Bites
Welcome back to Morning Report! Today’s edition is presented by Dr. Alsup! Mammal bites Cat bites Deep puncture wounds, difficult to irrigate 10-40% rate of infections Staph, step and pasteurella multocida P. multocida, a highly virulent, facultatively anaerobic, gram-negative rod found in the oral cavity or nasopharynx of Read more…
Morning Report
Morning Report: 3/25/2014
Thanks to Dr. Ting for today’s Morning Report! Chronic SCI Complications of chronic SCI – DVT/PE – Decubitus ulcers – Pneumonia (even down to thoracic levels although only C3-5 controls the diaphragm due to impaired cough reflex) – Increased prevalence of CAD – UTI/renal stones due to bladder Read more…
Morning Report
Morning Report: 3/21/14
Dr. Shin presents today’s special March Madness edition of Morning Report! Inferior Alveolar Nerve Block A nerve block of the intraoral mandibular or inferior alveolar nerve anesthetizes the following: The body of the mandible and the lower portion of the ramus All mandibular teeth The floor of the Read more…