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EM Principles

A review of bread and butter Emergency Medicine topics

EM Principles Obstetrics/Gynecology

When You’re the Obstetrician for the Night: Peri-mortem C-section

You decide to take a break from the city and moonlight in a small rural hospital. You think you’ll be chilling for the night seeing urinary tract infections, or maybe you’ll finally see that snake bite you never thought you’d see. The night starts off slowly with a steady stream Read more…

By Surriya, 8 yearsJune 22, 2017 ago
Cardiovascular EM Principles

Pace/Off: Pacemaker Basics with Nicolas Cage

What if you woke up in a hospital and found out your mortal enemy had surgically removed your face and glued it onto his own and now he was out in the world pretending to be you? Living your life, hanging with all your friends, doing all your drugs, having all your fun? You’d Read more…

By Charles Murchison, 8 yearsJune 13, 2017 ago
EM Principles Orthopedics

Shoulder Dislocation – Diagnosis, Complications and Reduction Techniques

It’s Monday morning in the ED, and to your greatest surprise, it’s been quiet for a few hours. You are a bit too superstitious to say anything out loud, but you are pretty excited. In fact you are so excited, with a bit too much time on your hands, so Read more…

By Delna, 8 yearsJune 6, 2017 ago
EM Principles Otolaryngology/Dental Trauma

Le Fort Fracture

Over the Memorial Day weekend, I was so bored I binge watched the Rocky anthology. My favorite movie of the anthology is Rocky IV, not just because of the way he boxed, but mostly because he may have single-handedly ended the Cold War with this speech. Who knew that many Read more…

By Derick, 8 yearsMay 30, 2017 ago
EM Principles Gastroenterology

Homer’s Hepatic Board Review: Hepatic Encephalopathy

By Surriya Ahmad and Kylie Birnbaum It’s a busy night in the Springfield ED. You’ve just treated Lisa for a pneumothorax after she played her sax too hard, and you’ve treated her brother Bart for a laceration from skating too hard. You also treated Mr. Burns for narcissistic personality disorder! Read more…

By Kylie Birnbaum, 8 yearsMay 23, 2017 ago
EM Principles Wilderness Medicine

Electrical Injury – As Explained by Marv from Home Alone

Dr. McCallister, an ED physician, thinks back to his childhood. Remember when I almost killed those two burglars when I got lost in New York? I should reach out to them. And why did I keep getting left places? Were my parents, like, super negligent? I never talked to them about that. Man, that Read more…

By Charles Murchison, 8 yearsMay 16, 2017 ago
EM Principles Immune/Inflammatory Pediatric EM

Growing Spots: Henoch-Schonlein Purpura

You’re sitting in the peds ED, and just about done with the 10th URI you’ve seen all day. You’ve got the sniffles from those cute coughing babies, and you’ve been getting through the day on just those “free” pedialyte icee’s and apple juice, so you’re a bit delirious. You start Read more…

By Delna, 8 yearsMay 10, 2017 ago
EM Principles Infectious Disease

It Began to Murmur: Duke Criteria for Infective Endocarditis

An unknown young male makes his way into the critical care area of your emergency department on a boring night. He is minimally responsive and is breathing at a very slow rate. You look at his pupils, and they are pinpoint. You see track marks up and down his arms. Read more…

By Derick, 8 yearsMay 2, 2017 ago
EM Principles Otolaryngology/Dental

Retinal Detachment

It’s always a balancing act of knowing when to eat on shift. You’re hypoglycemic, but you just saw a patient with gastroenteritis. You’ve got to wash your hands and grab a quick snack before you syncopize or get gastro! On a particularly busy shift, I was starting to see spots Read more…

By Surriya, 8 yearsApril 25, 2017 ago
EM Principles Orthopedics

Sprains, Strains, and Ottawa Rules

A 40 year-old man presents to your ED with ankle pain. He rolled his ankle while engaged in various slapstick shenanigans involving snow storms, public transportation, and an overweight man who at first seemed oafish and ignorant, but in the end showed himself to be emotionally intelligent, leading our patient to realize that it Read more…

By Charles Murchison, 8 yearsApril 11, 2017 ago

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Welcome to the official blog of the Kings County/SUNY Downstate Emergency Medicine Residency!

We are the residents (and some attendings) of the Kings County Hospital Emergency Department who have put together a unique mostly resident-authored blog for medical professionals.

If you have ideas for a post or are just looking for a fun way to do some individualized learning, e-mail us at CountyEMBlog@gmail.com and come be a part of our team!

Visit our YouTube channel for our recorded monthly conference lectures
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Before you Walk in the Room: Abnormal Uterine Blee
Before you Walk in the Room: Abnormal Uterine Bleeding 
Is your patient presenting with abnormal uterine bleeding? Use the mnemonic PALM-COEIN to quickly formulate a differential before you walk in the room.
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential #mnemonic #step1 #step #step3


County EM presents a case of an 18 year old male B
County EM presents a case of an 18 year old male BIBEMS after being found collapsed during a half marathon. He is obtunded, diaphoretic, tachycardic, tachypneic, and has a rectal temp of 107F.
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Exertional Heat Stroke

Take Home Points:

1. Though there are no head-to-head comparisons, cold water immersion appears to be the most effective method of rapid cooling

2. Consider placing defibrillator pads before water immersion

3. Consider the use of a body bag for rapid initiation of cold water immersion

4. Employ an ‘all hands on deck’ strategy to obtain ice from the nearest source

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Morning Report Recap- Dr. Natassia Buckridge on Ke
Morning Report Recap- Dr. Natassia Buckridge on Ketamine vs PNB for analgesia


Before you Walk in the Room: Headaches
The key to

Before you Walk in the Room: Headaches
The key to tackling headaches? Knowing primary from secondary. 
#emergency #headache #migraine #emergencymedicine #em #emresident #medicalstudent #ms4 #ms3 #awayrotation #rotations #subi #diagnosis #foamed #step1 #step2 #step3


BYWITR: Joint Pain
Is your patient presenting with

BYWITR: Joint Pain
Is your patient presenting with joint pain? Think arthritis. Here's a way you can formulate a differential diagnosis before you walk into the room.
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential


Slit lamp mechanics with our very own Dr. Silverbe
Slit lamp mechanics with our very own Dr. Silverberg!


Before You Walk In The Room: Eye Pain
Going to see

Before You Walk In The Room: Eye Pain
Going to see a patient with a painful eye? remember to take an anatomical approach!
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential


County EM presents a case of an 18 year old male B
County EM presents a case of an 18 year old male BIBEMS after being found collapsed during a half marathon. He is obtunded, diaphoretic, tachycardic, tachypneic, and has a rectal temp of 107F.
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Exertional Heat Stroke

Take Home Points:

1. Exertional heat stroke is a time-sensitive diagnosis.

2. The core body temperature threshold of > 40 degrees Celsius may be inaccurate.  More attention should be focused on pathological symptoms in the right clinical context.

3. Anticipate common complications including thrombocytopenia, coagulopathy, liver damage, acute kidney injury, lactic acidosis, cardiovascular dysfunction, and rhabdomyolysis.

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Before you Walk in the Room: Sinus Tachycardia
He

Before you Walk in the Room: Sinus Tachycardia 
Heart rate not going down? Looking for the cause? 
Use the mnemonic "FHAST PACED" to quickly identify potential causes of tachycardia in your patient. 
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential


H2H: De Winters Pattern: An OMI Equivalent for Pro
H2H: De Winters Pattern: An OMI Equivalent for Proximal LAD Occlusion
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential #mnemonic


BYWITR: Syncope
Picked up a patient with syncope?

BYWITR: Syncope
Picked up a patient with syncope? Use this framework to formulate a differential before you walk in the room 
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential


County EM presents a case of a 40-year-old woman w
County EM presents a case of a 40-year-old woman with a history of CAD and prior RCA stent who arrives to the ED with chest pain for one day. Her triage vitals are within normal limits but you notice the patient holding her chest in pain with diaphoresis. Besides ECG and blood work, what else can be used to risk stratify the patient for ACS?
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TTE for Regional Wall Motion Abnormalities

Take Home Points:

1. Regional wall motion abnormalities occur early, before ECG changes or pain

2. Consider TTE if ECG is non-diagnostic for OMI, especially in patients with moderate to high likelihood of OMI

3. Look at a prior TTE, if available

4. Know the “false-positive” causes of regional wall motion abnormalities

5. Learn the coronary anatomy to correlate with regional wall motion abnormalities

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Welcome to our Before you Walk in the Room series-
Welcome to our Before you Walk in the Room series-
Altered mental status
Is your patient confused or acting out of character? Identify the cause with AEIOU-TIPS, a mnemonic for altered mental states
#emergencymedicine #residency #medicalstudent #meded #foamed #intern #ms4 #ms3 #mnemonics


Welcome back to part 3 of Hypertrophic Cardiomyopa
Welcome back to part 3 of Hypertrophic Cardiomyopathy!
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Take Home Points:

1. When patients with known or suspected HCM present hypotensive, maximize preload and afterload and avoid inotropes and chronotropes as they may worsen LVOTO.

2. Patients with HCM can have poor tolerance to atrial fibrillation and rhythm control strategy with cardioversion or antidysrhythmics drugs should be considered.

3. First-line treatment to prevent recurrent of ventricular dysrhythmias in HCM patients are beta-blockers.

4. ICD placement in patients with HCM has been shown to reduce mortality and is a class 1 recommendation in those with an episode of SCD in the past, ventricular fibrillation, or sustained ventricular tachycardia. Remember to ask about SCD risk factors such as family history of SCD or unexplained syncope. 

5. Patients with symptoms should be admitted while those that are  asymptomatic with known or suspected HCM can follow up with cardiology on an out-patient basis.

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Welcome to "Did You Ask?" a segment where we talk
Welcome to "Did You Ask?" a segment where we talk about important pieces of information that you need to get on history when examining patients. 
Today we're gonna be talking about back pain one of the most common chief complaints in the ED. 
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential #mnemonic #backpain #step1 #step2 #step3 #ms1 #ms2


Welcome back to part 2 of Hypertrophic Cardiomyopa
Welcome back to part 2 of Hypertrophic Cardiomyopathy!
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Take Home Points:

1. Ask about chest pain, shortness of breath, palpitations, and/or syncope on exertion during your interview 

2. ECG findings are not diagnostic but classic findings include LVH, pathologic ‘dagger’ Q waves, deep S waves in V1-V3, and high R wave in V4-V6 with abnormal T waves 

3. A bedside parasternal short axis view with an end-diastole wall thickness ≥ 15 mm is highly suspicious for HCM and warrants further investigation 

4. Beta blockers are first line pharmacological intervention and in those with refractory symptoms consider disopyramide or surgical intervention via myomectomy or alcohol septal reduction

Stay tuned for part 3 as we discuss treatment of emergent conditions and prevention of SCD!

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Heart 2 Heart
Identifying Wellen's Syndrome- Keep

Heart 2 Heart 
Identifying Wellen's Syndrome- Keep an eye out for reperfusion T waves in the inferior or lateral leads if you have transient reperfusion of the RCA or LCx- the same pattern can happen in any of the coronary distributions!


County EM presents a case of a 59-year-old male wi
County EM presents a case of a 59-year-old male with a past medical history of hypertension, hyperlipidemia, and gastroesophageal reflux disease was brought in by EMS to the ED with severe chest pain
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Hypertrophic Cardiomyopathy (HCM)

Take Home Points:

1. HCM includes a complex interplay of left ventricular outflow tract obstruction (LVOTO), mitral regurgitation, diastolic dysfunction, myocardial ischemia, arrhythmias, and autonomic dysfunction

2. Although classically thought of as septal hypertrophy leading to LVOTO, multiple variants have been identified. Variants including concentric, reverse septal, neutral, and apical HCM have been identified, and nearly any pattern of LV wall thickening can occur with HCM.

3. Common adverse events include sudden cardiac death, symptoms of left ventricular outflow tract obstruction, heart failure, and arrhythmias 

4. Patients with HCM are at higher risk for myocardial ischemia even in the absence of CAD. 

5. The pathophysiology of anginal chest pain and rising troponin in HCM is related to increased oxygen demand secondary to hypertrophy, microvascular dysfunction, and small coronary vessel medial hypertrophy, which causes decreased coronary flow reserve and regional myocardial ischemia. 

Stay tuned for part 2 as we discuss early identification of HCM!!

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Today we share a post on the pathophysiology and m
Today we share a post on the pathophysiology and management of priapism. The big takeways are as follows:

1) Priapism is  either ischemic or non-ischemic and this is one of the most important distinctions to make as untreated ischemic priapism leads to fibrosis and permant sexual dysfunction.

2. Cavernosal blood gas in ischemic priapism will show elevated PaCO2 > 60 mmHg, decreased PaO2 < 30 mmHg, and pH < 7.25.

3. The most important treatment for priapism is drainage. This is achieved by injecting a 20-gauge needle into the 3 o'clock or 9 o'clock (sometimes both) position to aspirate blood from the corpus cavernosum. It is important to only aspirate from these positions to avoid injury to dorsal vessels or the urethra.

4. Once drainage is complete, inject phenylephrine into the corpus cavernosum to help prevent re-accumulation.

5. Most pharmacies will give you a phenylephrine bottle with 10 mg/mL concentration. You should dilute this ten-fold: take 1 mL of phenylephrine and mix into a 9 mL saline flush, creating a new concentration of 1mg/mL, or 1000 mcg/mL. You can inject 0.5cc of your phenylephrine mixture into the corpus cavernosa using the same needle you used for drainage (limit to 3 injections).

6. Lastly, all patients with priapism should be scheduled for urgent urology follow-up. For patients with recurrent episodes, or where multiple attempts at drainage have proven unsuccessful, you can consider an emergent urology consult.

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Today we share a post on the management of intracr
Today we share a post on the management of intracranial hemorrhage. The goal in the ED is to prevent hematoma expansion, edema, and herniation. The big takeaways are as follows:

1. For patients presenting with systolic blood pressure (SBP) between 150 and 220 mmHg, acute lowering of SBP to a target of 130 to 150 mmHg is safe and reasonable 

2. Seizure prophylaxis is not routinely recommended except in lobar involvement.

3. Studies show that hypertonic saline leads to a greater reduction in ICP when compared to mannitol.

Check out our story and highlight reel for direct links to the article! Also, check out our website for more juicy content!



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