Hope everyone had a happy Thanksgiving holiday weekend! Dr. Adal is back today with Morning Report! Priapism Definition A persistent erection of the penis or clitoris that is not associated with sexual stimulation or desire. Epidemiology Incidence of 0.73 per 100,000 men each yr. Has a bimodal Read more…
Thanks to those who participated. That’s Dr. Dan Zeccola. And, Dr. Dan Zeccola. Dan did a fantastic job of running through the findings that can help distinguish ventricular tachycardia vs a rhythm of supraventricular origin. I also recommend you check out lifeinthefastlane.com, which is chock full of EM and Read more…
Thanks to Dr. LoCascio for today’s Morning Report! Out-of-Hospital Cardiac Arrest AMA Council on Ethical and Judicial Affairs states that CPR may be withheld, even if requested, “when efforts to resuscitate a patient are judged by the treating physician to be futile.” ACEP “physicians are under no ethical Read more…
Today’s Morning Report is presented by Dr. Christopher! Rabies Background One of the deadliest viruses known – case fatality rate 100% Zoonotic – carried by warm blooded animals Fatal if post-exposure prophylaxis is not initiated prior to symptoms Majority of deaths occur in Asia/Africa Pathophyisiology Lyssavirus – RNA Read more…
EM CCM Conference: October 2013 BETA-BLOCKER TOXICITY PRESENTED BY DR. KENDALL SUMMARY BY DR. YOUN The Case: HISTORY: 91F with HTN, DM on carvedilol, labetalol BIBEMS for weakness, dizziness, and near-syncope. VITALS: BP 76/38, HR 41 PRIMARY INTERVENTIONS: Intubation, fluids, atropine, dopamine drip, pacer pads applied PHYSICAL:, Read more…
Here’s Dr. DiMare with another Morning Report! Fibrinolytics for Suspected PE in Cardiac Arrest tPA in cardiac arrest seems like a great idea – 81% are from MI and PE – only 2-10% survival in out of hospital arrest When should you give it? – Current literature Read more…
Here’s Dr. DiMare with today’s Morning Report! Post Traumatic Seizure (PTS) Seizure after mild to moderate trauma: – 1.5 to 15% of patients – Are due to focal, structural changes as a result of injury – “Early” – occurring within 1 week of event, but generally not within Read more…
Today’s Morning Report is presented by Dr. Kendall! THE DENGUE Swahili: Ka dinga pepo → Caribbean, 1800s → West Indian Spanish: dengue Background -Flavivirus transmitted by genus Aedes mosquito -50 to 390 million annual infections, 25,000 deaths -Primarily in the tropics, associated with urbanization -1st infection Read more…
Thanks to Dr. Paulson for today’s Morning Report! Toxicology Corner The bat phone rings: “There’s a fire in the area, how many critical/non-critical beds do you have?” Dr. Silverberg: “1 million of each” Carbon Monoxide (CO) and Cyanide exposure Carbon Monoxide – Rapidly absorbed across the alveolar membrane Read more…
Today’s Morning Report is presented by Dr. Brown! Recommendations for Management of First-time Seizure and Status Epilepticus 1. Are we mandated to report to DMV? – no, but other states (CA, DE, NV, NJ, PA) have mandatory reporting laws. 2. Which AED’s can you measure blood levels? – Read more…