An in-depth analysis of current topics in Emergency Medicine and Critical Care Medicine typically based upon our regular EM-CCM conference.
The Case 34 year-old woman with past medical history of postpartum cardiomyopathy (EF 15%) with AICD, mechanical mitral valve replacement, and depression was brought in by EMS for non-accidental ingestion of bupropion, furosemide, and warfarin. The dosage, number of tablets, and timing of ingestion was unknown. The patient was lethargic and Read more…
The Case 58 year-old man with history of mitral valve prolapse presents with 4 days of intermittent palpitations, lightheadedness, and shortness of breath. The symptoms resolve spontaneously. He denies any illicit substance use. Vital signs on arrival: T 97.5F, HR 71, BP 140/89, RR 18, SpO2 100% on room air. Read more…
The Case: 38 year-old-male no PMH presents with severe RUQ pain for 1 day with nausea and nonbloody/nonbilious vomiting but no diarrhea. No history of abdominal surgeries. BP 155/103 HR 61 RR 18 Sp02 100% on room air temp 97F. On physical exam patient was pale, diaphoretic, and in severe distress. His abdomen Read more…
The Case 36 YOF PMH GERD, lap band s/p removal 8 months prior BIBEMS for multiple episodes of hematemesis, melena x1, syncope x1. Patient was lethargic upon arrival. BP 70/55 HR 120 RR 22 02 Sat 98% Temp 97.8F. On physical exam, patient was ill-appearing with pale conjunctiva, tachycardic, LLQ Read more…
Presented by: Dr. Jaime Moran Summarized by: Dr. Yonatan Yohannes Reviewed by: Dr. Ian deSouza, Dr. Wendy Chan A guy walks into a bar and orders a drink. He syncopizes before taking his first sip. I know what you’re thinking and the answer is no, he didn’t pre-game (i.e. Read more…
The Critical Care Mini fellowship crew had an excellent discussion (and dinner) on October 21st led by Dr. Wendy Chan (moi!) and facilitated by Dr. Ashika Jain. We share our review of the literature with you below. Thank you for all who participated. I have included links to the orginal Read more…
Presented by: Dr. Cassie Thomassin Summarized by: Dr. Yonatan Yohannes Reviewed by: Dr. Ian deSouza, Dr. Wendy Chan The Fictitious Case A 22 y/o F with PMH insulin-dependent DM and hypothyroidism is brought in by EMS for altered mental status. Family members on the scene noted she has been Read more…
Presented by: Dr. Luke Donnelly Summarized by: Drs. Wendy Chan and Yonatan Yohannes Reviewed by: Dr. Ian deSouza The Case: 27 year-old male no PMH BIBEMS for syncopal episode in bathroom. + significant family Hx of PE. Initial vitals: HR 138, RR 33, BP 87/64, 91% 02 on room air. Read more…
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…