Here’s Dr. Brevil with today’s Morning Report! Ocular Ultrasound Since the anterior and posterior chambers of the eye contain vitreous fluid, the eye is an ideal acoustic window for ultrasound imaging Normal Anatomy: Iris separates lens and anterior chamber Retinal Detachment Atraumatic RD in 1/10,000 Presence of unilateral Read more…
Welcome to my first blog post, otherwise known as The Space for a Longtime Repressed Writer. I approached our editors about writing some sort of “human interest/lessons learned” blog to complement the multitude of great educational posts and interesting ED cases in TOKC, sort of allowing your mind to “take Read more…
Thanks to Dr. Wang for today’s Morning Report! Lateral Orbital Canthotomy Indications: Retrobulbar hemorrhage Increase IOP (IOP >40mm Hg) Proptosis Contraindications: Globe rupture Hyphema Tear-drop-shaped pupil Peaked or irregularly shaped pupil Procedure: Positioning: patient in the supine position. Possibly restrained or undergo conscious sedation Local anesthesia Read more…
Here’s Dr. Kincade with today’s Morning Report! ETOH Withdrawal Case: A 45yo M presents to the ED for EtOH detoxification. Drinks 1L of vodka daily. Last drink 18 hours prior. VS: HR:150 beats/min, BP: 172/84 mm Hg, diaphoretic and has a severe tremor. The patient denies illicit drug use Read more…
Ultrasound-Guided Fascia Iliaca Block *Consider this as an adjunct for pain control in patients with hip fractures. Fascia Iliaca is located anterior to the iliacus muscle -Femoral and lateral cutaneous nerves lie under fascia iliaca -Injecting anesthetic under the fascia will allow the anesthetic to spread and reach Read more…
Thanks to Dr. Kopping for presenting today’s Morning Report! Digoxin Toxicity Digoxin falls under cardioactive steroids Fox glove, oleander, dried toad secretions Na/K ATPase inhibition Resting potential more positive, more likely to depolarize Increases inotropy by preventing Ca leaving cell via Na/Ca channel Increases automaticity Narrow therapeutic window Poisoning Read more…
Congratulations to Dr. Aluisio for today’s Morning Report!
Dr. Kopping presents today’s Morning Report! Spiders…who needs that many legs, am I right? Several medically important specimens throughout the world I live in North America, which should I care about most? Black Widow Brown Recluse Hobo spider Black Widow (Latrodectus mactans) Likes temperate/tropical climates Found in stone Read more…
Today’s Morning Report is courtesy of Dr. Grock! Burnout Definition: Syndrome of emotional exhaustion, depersonalization, and a sense of low personal accomplishment that leads to decreased effectiveness at work (Shanfelt, et al, American Journal of Medicine, 115, 2003). Guess what: doctors are burned out. This year – 46% Read more…