Dr. Kong presents today’s Morning Report! Ketofol What is it? A mixture of Ketamine and Propofol used for sedation Why is it better than Ketamine or Propofol alone? 1. In theory, use of medications together produce rapid (Propofol), consistent (Ketamine) sedation with maintenance of blood pressure (Ketamine), Read more…
Thanks to Dr. Grock for today’s Morning Report! The case: 20 yo male no pmhx, presents with pleuritic chest pain, dizziness, and worsening DOE x 3 days (class IV). No fevers, no toxic habits, no travel/sx/immobilizations/hx dvt or pe. VS: tachycardic to 110s (up to 130s with minimal exertion), Read more…
Here’s Dr. Adal with today’s Morning Report! Differential diagnosis for generalized weakness Neuromuscular (UMN and LMN) Amyotrophic Lateral Sclerosis: Degeneration of the motor neuron Botulism: Toxin prevents release of Ach at neuromuscular junction Ciguatoxin: Toxin causes cell membrane excitability and instability Cord compression Cord infarction CVA: Ischemic Read more…
Thanks to Dr. Alsup for today’s Morning Report! Laryngeal Mask airway for Prehospital Respiratory Failure LMA as a rescue airway It’s great when stuff hits the fan. A certain percentage of people you just won’t be able to intubate. It’s easy to fit in, it’s quick. Minimal interruptions in Read more…
Today’s Morning Report is courtesy of Dr. Reisman! This morning report we are reviewing a paper from a cardiology journal that proposes modification of the criteria for emergent cath lab activation. The goal is to recognize ECG patterns associated with acute coronary artery occlusion that do not present as Read more…
Here’s Dr. Bon with today’s Morning Report! Heat Induced Illness Epidemiology: 1979-1999 – totally of 8,015 related deaths according to CDC Heat wave – 3 or more consecutive days with air temps > 90 Heat related death – exposure to hot weather, body temp > 105, and lack of 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…
Here’s Dr. Youn with today’s Morning Report! Hyponatremia Source: Schrier RW and Bansal S. Diagnosis and management of hyponatremia in acute illness. Current Opinion in Critical Care 2008, 14:627-634 SERIOUS COMPLICATIONS: Cerebral edema, seizures, AMS, coma, death, iatrogenic (overcorrection of sodium) INITIAL MANAGEMENT: ABCs, IV, O2, Read more…
Today’s Morning Report is presented by Dr. Bradby! Human Bite Wounds Overview – 10-15% of human bite wounds become infected – Most injuries occur in the hands – Saliva contains as many as 100 million organisms per mL and up to 190 different species! – HIV is unlikely to Read more…