Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports
Thanks to Dr. Cheng for today’s Morning Report! Here’s the Case: 38 yo M no PMH, construction worker, s/p mechanical trip/fall onto left knee. No medical issues. BIBEMS, ice pack placed. Next steps? Ottawa Knee Rule (OKR) vs. Pittsburgh Decision Rule (PDR) Check out this article: Diagnostic accuracy and Read more…
Here’s Dr. Caputo with today’s Morning Report! Mastering the Tympanic Membrane Normal Anatomy: Acute Otitis Media: Highest risk 2 months – 6 years. Acute inflammation and effusion of the middle ear. Otoscopy should focus on color, position, translucency, and mobility of the TM. AOM causes the TM to Read more…
Here’s Dr. Kazzi with today’s Morning Report! Blunt Cardiac Injury Right heart most common site of BCI. MVCs and sports injuries are most common. Types of Injury: a) Myocardial contusion b) Chamber rupture (if free wall do not make it to ED, but other VSD / ASD may Read more…
Here’s Dr. Basile with today’s Morning Report! Ankle Dislocations – Can lead to long-term morbidity – Most commonly in young people in sports, falls, or MVCs – Isolated ankle dislocation is rare – Usually associated with malleolar fractures or fracture of the tip of the tibia – Open 25% Read more…
Today’s Morning Report is courtesy of Dr. Semenovskaya! Peripartum Cardiomyopathy Background – PPCM: Idiopathic cardiomyopathy that presents with heart failure secondary to left ventricular systolic dysfunction, typically manifesting in the last month of pregnancy and up to the first four months post-partum. – Etiology is unknown – theories Read more…
Thanks to Dr. Yeo for today’s Morning Report! Here’s the Case: A 22 year-old male patient is brought in by EMS from a nearby club for seizures. On arrival he is lethargic, hypertensive, febrile, and tachycardic. He is accompanied by his friend who reports the patient ingested multiple tablets Read more…
Here’s Dr. Willis with today’s Morning Report! Lidocaine Toxicity Epidemiology Inadvertent injection Repeated use of a therapeutic dose Unintentional administration of a toxic dose Pharmacology Amide Toxic dose: 5mg/ml and with epi 7mg/ml Blocks sodium channels (fast in, slow out mechanism) Toxicity potentiated by Med interactions (cimetidine, cipro, Read more…
Today’s Morning Report is courtesy of Dr. Kazzi! Placental Abruption Etiology: Maternal HTN ( #1 cause) , Motor Vehicle Accidents or blunt trauma, cocaine use Classification: 3 Grades of Severity Mild – No/Mild Vaginal Bleeding, slightly tender uterus, Normal maternal BP and HR, no coagulopathy or fetal distress Read more…
Thanks to Dr. Jegede for today’s Morning Report! Subarachnoid Hemorrhage Headaches make up 2% of all ED visits. Of all those with headaches, only about 1% will have a SAH. Among those with sudden onset headache and normal neuro exam, 10-16% will have SAH. Cause of SAH: Trauma is Read more…