Weber, et al. Prehosp Emerg Care, 2mg naloxone nebulized with 3mL normal saline 105 cases- 22% complete response, 59% partial response, 19% no response No adverse events, no intubations or BVM ventilations Only 10% were given a second dose of naloxone Unclear how response was determined (likely subjective) Baumann et Read more…
Thanks to Dr. Kopping for today’s Morning Report! THYROID STORM Thyrotoxicosis represents anywhere from 0.05% to 1.3% Storm represents <10% of hospitalized However untreated 80 to 100% mortality Drops to 20 to 30% with treatment What makes the difference from thyrotoxicosis to thyroid storm? Comparable levels Precipitating Read more…
Here’s Dr. LoCascio with today’s Morning Report! Landmark Guided Wrist Blocks Ultrasound guided blocks are great but we can’t forget how to do it based on landmarks. Median Block Locate the space between flexor palmaris logus and flexor carpi radialis. Insert the needle in this space between the Read more…
Today’s Morning Report is presented by Dr. Kendall HEMOPHILIA Hemophilia A – Factor VIII deficiency Hemophilia B – Factor IX deficiency History: Type and severity of factor deficiency? Nature of the hemorrhage? Previous treatments with blood products? Presence of inhibitors, probable titer? For hemophilia A, history of Read more…
Dr. Freedman is back with Part 2 of his Morning Report! Part 2: Quick Case: A 32 year-old gentleman, with no past medical history, presents with “I can’t move my legs.” Serum potassium = 1.4mmol/L. Diagnosis: Hypokalemic Periodic Paralysis Background: The periodic paralyses are a family of Read more…
Thanks to Dr. Freedman for today’s Morning Report! Part 1: ECG Findings of Hypokalemia First some definitions: Mild: K < 3.5 mmol/L Moderate: K < 3.0 Severe: K < 2.5 ECG Changes: Typically appear at ~2.7 Increased amplitude and duration of P wave PR prolongation T wave Read more…
Dr. Grock presents today’s Morning Report! The Case: 65 M h/o HTN, CHF w/ EF 25% with AICD presents s/p 3 shocks. Appears well. ECG: LBBB unchanged without any other scariness. What do you do? (IV/O2,Cards for device interrogation, Check lytes (ca, k, mag), (cbc?/Trop?)) Cards interrogates: three runs of Read more…
Thanks to Dr. Muhlfelder for today’s Morning Report! Inhalant Injuries Initial Mgmt: ABCs, IV, oxygen supplementation, monitor Exam: bronchospasm, airway edema, nares +/- thermal injury initial eval of airway is not good predictor of progressing edema/compromise, progresses over 24-72 hours bronchopulmonary injury + cutaneous burns >30%BSA increases Read more…
Here’s Dr. Aldokhi with today’s Morning Report! AG Acidosis Case 1 HX 29 YOM no PMH , sent from CPEP for abnormal labs, patient has unspecified psychosis, no etoh, no drugs Px Vitals normal, dry MM, flat affect rest of exam within normal. labs CBC 12.5>15.5/46<318 CMP 142/4/99/18/39/1.2<73 AG Read more…
Dr. Bains is back with another Morning Report presentation!