No, it’s not. But some trauma consultants may feel that way. This month’s journal club will feature the NEXUS Chest criteria for blunt thoracic trauma. Is CXR and/or CT Chest always indicated in the blunt trauma patient? Is there a set of criteria that predicts an extremely low-risk of clinically Read more…
Thanks to Dr. Martinez for today’s Morning Report! CASE: 26 y/o M recently immigrated from Haiti p/w AMS after episode of whole body shaking. Per mom, he is not responsive. He was well until this morning with no complaints except for a cough x months. He was given an Read more…
Here’s Dr. McMillan with today’s Morning Report! Ketamine Pearl – Laryngospasm
Today’s Morning Report is courtesy of Dr. Grock! Case: 64 yo male PMH of DM/HTN/prostate ca s/p RT presents with fever. Important questions? TRAVEL HISTORY!!!!! Fever pattern, other symptoms… ROS: neck stiffness and recently returned from West Africa (Liberia). PE: tachycardia to 100s, febrile orally to 103, 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…
Thanks to Dr. Bradby for today’s Morning Report! Stroke in Sickle Cell Disease Neurological and Hematological Emergency 24% of sickle cell disease patients have a stroke by the age of 45 years these people have an increased risk of secondary stroke 2-3 years after initial CVA (recurrence rate of Read more…
Welcome back to another edition of Wednesday Wrap-up! We had some great conference topics today including Geriatric Trauma, Reversal of Anticoagulation, and Toxic Alcohols! The topic I wanted to talk more about was the approach to CAP which was raised during a case discussion today. Unfortunately time was short and Read more…
Here’s Dr. Youn with today’s Morning Report! Lateral Canthotomy/Cantholysis Emergent concern: retinal ischemia, optic nerve compression Indications: Acute orbital compartment syndrome – usually 2/2 traumatic retrobulbar hemorrhage Decreased visual acuity IOP > 40 mmHg (normal range: 10-20) Proptosis APD Contraindication: Globe rupture (teardrop pupil, positive Seidel Read more…
EM-Critical Care Conference: August 2013 PULMONARY EMBOLISM Summary by Dr. Eugene Kang Diagnosis and EKG: -Most common EKG finding: non-specific ST-T changes (at least for our boards) -Other findings: sinus tachycardia, complete or incomplete RBBB, RAD, right atrial enlargement, dominant R in V1, atrial tachyarrhythmias -Some likelihood ratios (see Read more…
Thanks to Dr. Waldman for today’s Morning Report! PERI-PARTUM CARDIOMYOPATHY (PPCM) Case: 35 yo F G1P1 no PMH presents 5 days s/p c-section for arrest of delivery comes ℅ BLE edema for the last 2 days a/w SOB. Pt denies the presence of edema during her pregnancy or Read more…