Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports
Today’s Morning Report is courtesy of Dr. White-McCrimmon! Here’s the Case: Notification phone rings: “Hi this is an EMS notification … we have a 42 year old male en route to the hospital who is actively seizing after a diamondback rattlesnake bite…ETA 10 minutes”. On arrival to the ED Read more…
MR is back from a small hiatus (vacation!). Here’s Dr. McMillan with today’s edition: Here’s the case: You have a 47 year-old male who presents with shortness of breath and leg weakness… Myasthenia Gravis and Myasthenic Crisis Myasthenia gravis (Gr mya- muscle; asthenia- paralysis; gravis- grave or serious): Read more…
Thank you to Dr. Melendez for today’s Morning Report! Thyroid Storm Patients may have a known history of thyrotoxicosis. In the absence of previously diagnosed thyrotoxicosis, the history may include symptoms such as irritability, agitation, emotional lability, a voracious appetite with poor weight gain, excessive sweating and heat Read more…
Thanks Dr. Coquillon for today’s Morning Report! Alteplase: Mechanism of Action Recombinant human tissue-type plasminogen activator (t-PA); produces local fibrinolysis Promotes thrombolysis by converting plasminogen to plasmin which degrades fibrin and fibrinogen Pharmacokinetics Initial Half-Life: 5 minutes (free unbound form) Terminal Half-life: 72 minutes Onset: Coronary thrombolysis occurs in Read more…
Today’s Morning Report comes courtesy of Dr. Melendez: Posterior Knee Dislocation Approximately 30 percent rate of amputation because the popliteal artery is interrupted and sometimes goes unrecognized In some instances, a knee will dislocate and relocate prior to medical evaluation. For this reason, it is quite important to evaluate Read more…
Thanks to Dr. Semenovskaya for today’s Morning Report! Heat Illness Heat Illness comprises a spectrum of disorders caused by environmental heat exposure. Can be subdivided into three relative stages: 1) Heat Cramps: Heavy sweating; muscle cramps and spasms 2) Heat Exhaustion: Weakness; cool, pale, clammy skin; may Read more…
Here’s another Morning Report from Dr. Cioe. Man, is this guy ever coming back from Africa?! Notes from Princess Marina Hospital, Gaborone, Botswana Ketamine Sedation in the ED: A 6 year old HIV positive child presents to the ED for multiple painful cutaneous abscesses. The child is Read more…
Today’s Morning Report comes from our Save of the Month recipient Dr. Melton! “Please evaluate for projectile vomiting” A 17 day old baby boy with no significant birth history is sent in by his pediatrician for evaluation of projectile vomiting. Mom states that the vomiting began 4 days prior to Read more…
Today’s Morning Report comes all the way from Botswana courtesy of Dr. Cioe. Thanks Dr. Cioe!
Thank you Dr. Shin for today’s Morning Report! Pediatric Urethral Prolapse What is it? It is a protrusion of the distal urethra through the external meatus. Rarely diagnosed condition most common in prepubertal black females and post-menopausal white women. Urethral prolapsed is defined as the complete eversion of the Read more…