Morning Report

Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports

Morning Report: 3/15/2013

Thanks to Dr. Melendez for today’s Morning Report!   Rabies Post Exposure Treatment   In the United States, there has been an average of two fatal human rabies cases annually since 1980, the majority associated with exposure to bats. Timing of prophylaxis — Rabies postexposure prophylaxis is an urgent medical intervention and Read more…

By Jay Khadpe MD, ago

Morning Report: 3/8/2013

Here’s Dr. Basile with today’s Morning Report!   Ciguatera Poisoning –        One of the most common reported forms of vertebrate fishborne poisonings in the United States (more than half of the reported cases) –        Endemic to warm-water, bottom-dwelling shore reef fish living between 35 degrees south and north latitude (Indian Read more…

By Jay Khadpe MD, ago

Morning Report: 3/5/2013

Thanks to Dr. Lau for today’s Morning Report! The Case: Unknown male BIBEMS after being dragged by street cleaning vehicle for unknown distance, “lost vitals in ambulance bay”.  Right side of chest visibly deformed (close flail chest).  After definitive airway management, still no access.  Tried multiple peripheral IVs, femoral central Read more…

By Jay Khadpe MD, ago

Morning Report: 2/26/13

Here’s Dr. Paulson with today’s Morning Report! HYPOKALEMIA Hypokalemia < 3.5 meq/L Moderate  < 3 meq/L Severe  <2.5 meq/L   Up to 20% admitted pts hypokalemic, only 4-5% clinically significant, “severe” uncommon.   Presentation: The history may be vague. Often asymptomatic, or symptoms reflect underlying cause. Think about it with Read more…

By Jay Khadpe MD, ago

Morning Report: 2/5/2013

Here’s Dr. Shin with today’s Morning Report! How to Tap a VP Shunt Ventriculoperitoneal (VP) shunts, which are used to treat hydrocephalus, shunt cerebrospinal fluid (CSF) from the lateral ventricles of the brain into the peritoneum. Tapping or aspirating the shunt is performed to obtain more information for evaluation for Read more…

By Jay Khadpe MD, ago

Morning Report: 1/22/2013

Thanks to Dr. Jegede for today’s Morning Report! Digoxin Toxicity What is it? Digoxin is a cardiac glycoside used in CHF refractory to other meds, atrial flutter/atrial fibrillation. Cause of digoxin toxicity? –       Ingestion by children –       Intentional suicidality –       Dosing error in the elderly (not accounting for renal impairment) Read more…

By Jay Khadpe MD, ago

Morning Report: 1/15/2013

Today’s Morning Report is courtesy of Dr. Caputo!   Penetrating Neck Injuries Zone I:  Extends from the clavicle to the cricoid cartilage and includes the thoracic inlet Subclavian vessels, brachiocephalic veins, common carotid arteries, aortic arch, and jugular veins, trachea, esophagus, lung apices, cervical spine, spinal cord, and cervical nerve Read more…

By Jay Khadpe MD, ago