Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports
Written by: Taylor Douglas, M.D. You are the single provider in a rural Emergency Department, taking care of an unstable bradycardic patient. You are successfully pacing your patient transcutaneously, and now it’s time to get them a more definitive and comfortable method of pacing before they are transferred for cardiology Read more…
Adapted from Morning Report by Chief Resident Rushabh Shah. Public fear regarding COVID-19 has caused the unexpected consequence of decreased ED volume in hospitals around the country. The much-needed breath of fresh air is appreciated, but fewer patients means fewer direct learning opportunities for EM residents. Here are some suggestions Read more…
Ted Segarra, MD & Nicole Anthony, MD The New 2020 GINA Asthma treatment guidelines[1] are out! Our focus will be on Adults & Adolescents 12+ years. The biggest change to our practice in the ED is that we will no longer be sending these patients home with short-acting beta-agonist (SABA)-only PRN Read more…
It’s the last hour of a busy shift and you are looking forward to handing over a good room to your colleague. A 28-year-old male patient with nausea and vomiting pops up on your board. You glance at his bed across from your computer and see a well-appearing, young man Read more…
In order for us to survive, our cells must produce adenosine triphosphate (ATP) energy by undergoing glycolysis which breaks down glucose to pyruvate. Ideally, pyruvate gets shuttled into aerobic metabolism for oxidative phosphorylation because this is the most efficient and abundant way to produce 32 ATP molecules (1). In oxygen-deprived Read more…
Here’s Dr. Carmelli with today’s Morning Report! Noninvasive positive pressure ventilation (NPPV) Definition -NPPV refers to positive pressure ventilation delivered through a noninvasive interface (nasal mask, facemask, or nasal plugs), rather than an invasive interface (endotracheal tube, tracheostomy). Indications: Younger age Lower acuity of illness (APACHE score) Able to cooperate, better Read more…
Thanks to Dr. Wang for today’s Morning Report! Lateral Orbital Canthotomy Indications: Retrobulbar hemorrhage Increase IOP (IOP >40mm Hg) Proptosis Contraindications: Globe rupture Hyphema Tear-drop-shaped pupil Peaked or irregularly shaped pupil Procedure: Positioning: patient in the supine position. Possibly restrained or undergo conscious sedation Local anesthesia Read more…
Congratulations to Dr. Aluisio for today’s Morning Report!
Dr. Kopping presents today’s Morning Report! Spiders…who needs that many legs, am I right? Several medically important specimens throughout the world I live in North America, which should I care about most? Black Widow Brown Recluse Hobo spider Black Widow (Latrodectus mactans) Likes temperate/tropical climates Found in stone Read more…
Dr. Bart presents today’s Morning Report! ACUTE ALTITUDE ILLNESS Intermediate Altitude High Altitude Very High Altitude Extreme Altitude 5000 to 8000 ft 8000 to 14000 ft 14000 to 18000 ft >18000 ft Denver Himalayas PATHOPHYSIOLOGY: -Sense decreased arterial oxygenation –> increased ventilation –> respiratory alkalosis Read more…