Category: Morning Report

Brainstem Rule of Fours

Who remembers the brainstem in medical school? You vaguely remember pictures like the one to the right that made you want to adopt a pug? Well, stick with me and let’s learn a system for the brainstem. I promise I…

Morning Report: Disseminated Gonorrhea

By Dr. Ajala Osagie The Case 23 year-old man s/p treatment for primary syphilis at an outside clinic about 6 weeks ago presents to fast track with worsening joint pain and swelling x 1 month. Symptoms started shortly after receiving…

Management of RV Failure and Pulmonary Hypertension

By Dr. C. Sterling M.D. Pathophysiology of Right Ventricular Failure   The most common cause of pulmonary hypertension in the U.S. is left-sided heart failure, but many cases of pulmonary hypertension remain undocumented. Pulmonary arterial hypertension is a specific category of pulmonary hypertension…

The Humeral Intraosseous Line

By Dr. Sterling When compared to the proximal tibia site, the humeral site may provide a 5x greater flow rate. Indications: Emergent vascular access needed Peripheral IV access cannot be quickly obtained Consider for RSI, cardiac arrest, septic shock, hypotension Contraindications…