EM-Critical Care
Airway Management for Out-of-Hospial Cardiac Arrest
A few weeks ago, Dr Harriott gave a talk on out-of-hospital cardiac arrest (OHCA) and pre-hospital airway management. She reviewed some historical context for the current EMS system and airway management. Her literature search suggested that for OHCA, paramedic-operated endotracheal intubation (ETI) was associated with increased mortality and decreased neurologic Read more…
Morning Report
Morning Report: 7/26/2013
Here’s Dr. Alsup with today’s Morning Report! Wolf Parkinson White Syndrome Pre-excitation syndrome. Accessory electrical conduction pathway between atria and ventricle (most common tract name is “Bundle of Kent”) The incidence of WPW is between 0.1% and 0.3% in the general population ECG Findings • Normal P waves Read more…
Morning Report
Morning Report: 07/25/2013
Today’s Morning Report is courtesy of Dr. Melton! Case: A 53 YOM BIBEMS in cervical spine precautions after being rear-ended in a motor vehicle collision. He complains of mild lateral neck pain from the seatbelt and tingling in his right arm, no midline tenderness, exam also remarkable for ecchymosis over Read more…
Morning Report
Morning Report: 7/23/13
Thanks to Dr. Berzon for today’s Morning Report! Blast Injuries The CPSC (Consumer Product Safety Commission), reports that in 2011, an estimated 9600 consumers were injured by firecrackers and that more than half of the injuries occurred during the 30 days surrounding Independence Day. Four fatalities were reported, one Read more…
Morning Report
Morning Report: 7/11/2013
First Morning Report of the new academic year is presented by Dr. Aluisio! Tranexamic Acid (TXA) What: Synthetic amino acid derivative of lysine that inhibits fibrinolysis by competitively inhibiting plasminogen (a TPI that prevents fibrin degradation). How: 1000 mg in 100cc NS over 10 minutes followed by Read more…
Residency Life
Save of the Month! June 2013
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…
Residency Life
Wednesday Wrap-up: EM Critical Care Conference June 2013
Thanks to Dr. Regan for putting together this summary of our last EM Critical Care conference! The Case: Man found unresponsive underneath subway train with right hip dislocation, electrocution by third rail, multiple burns and rhabdomyolysis. Electrical Injuries Voltage: -High voltage is >1000, low voltage is <1000 -Outlets Read more…
Morning Report
Morning Report: 6/25/2013
Thanks to Dr. Desmond for today’s Morning Report! Pediatric Thoracic Trauma Thoracic trauma in children is relatively uncommon. Usually from high force injuries such as falls or motor vehicle accidents (75%) and is usually blunt. When in isolation, mortality rate is low, however it TRIPLES when accompanied by head Read more…