Orthopedics Trauma
Another GSW?
Let’s imagine you are in this very shift in your critical care area (who knows, maybe this really happened). A 56 year old man was shot in lower abdomen in a robbery, brought in by EMS as a notification and a trauma code was called. But this post is not Read more…
Hematology/Oncology
To Transfuse or Not to Transfuse: That is the Question
Transfusion of blood is a common practice in both emergency departments, hospital wards, ICUs, and peri-operative settings worldwide; in the ED, we transfuse different kinds of patients all the time including but not limited to the trauma patient and GI/vaginal bleeder in hemorrhagic shock, and the undifferentiated symptomatic and sometimes Read more…
Immune/Inflammatory
Morning Report: DRESS Syndrome
Today’s Morning Report is presented by Dr. Peralta!
Cardiovascular
Morning Report: Dextrocardia and Situs Inversus
Here’s Dr. Carmelli with today’s Morning Report! Dextrocardia and Situs Inversus Definitions Situs solitus: Normal position of organs/structures Situs inversus: Opposite or reverse of normal position of organs/structures Levocardia: Cardiac apex pointing to the left Dextrocardia: Cardiac apex pointing toward the right Cardiac displacement: A secondary shift of heart Read more…
EM Principles Infectious Disease
Which Antibiotic Should we be using for Uncomplicated Cellulitis in the ED?
Its July 30th @6:09am and it is already ~100% humidity in your bucolic bike ride through the park. You know that you are going to smell like “armpit” all day, a fact that is accentuated by a whiff of fermenting garbage from the nearby garbage truck parking Read more…
Otolaryngology/Dental
Morning Report: Globe Rupture
Thanks to Dr. Wang for today’s Morning Report! Globe Rupture Occurs when a blunt object impacts the orbit Ruptures are commonly at the site where sclera is thinnest – insertion of the extraocular muscles or at the limbus History Type of object Time of injury Contact lenses? Prior history Read more…
Neurology
Morning Report: Minor Head Injury
Today’s Morning Report is presented by Dr. Osagie! Minor Head Injury Canadian Head CT Rule: CT is only required for patients with minor head injury with any 1 of the following findings. Patients with minor head injury who present with a Glasgow Coma Scale score of 13 to Read more…
Orthopedics
Morning Report: Plantar Puncture Wounds
Thanks to Dr. Muhlfelder for presenting today’s Morning Report! Plantar Puncture Wounds How remote is the injury? Comorbidities? Tetanus Status? Diabetics present later 2/2 neuropathy/decreased sensation, 3x risk of osteo For all, consider deep penetration given weight-bearing area, risk for osteo ~ 0.5% Imaging??? Assess for retained Read more…
EM-Critical Care Hematology/Oncology Immune/Inflammatory
Treatment of Disseminated Intravascular Coagulation
Presented by: Dr. Andrew Nguyen Summarized by: Dr. Wendy Chan Reviewed by: Dr. Ian deSouza The Fictitious Case: 81 y/o F with PMH HTN, DM, CVA, afib, CAD, and recent hospitalization presents with 1 week of generalized weakness, nausea w/o vomiting, and pain to left toes with swelling and discoloration. Read more…