Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports
Today’s Morning Report is presented by Dr. Christopher! Rabies Background One of the deadliest viruses known – case fatality rate 100% Zoonotic – carried by warm blooded animals Fatal if post-exposure prophylaxis is not initiated prior to symptoms Majority of deaths occur in Asia/Africa Pathophyisiology Lyssavirus – RNA Read more…
Here’s Dr. DiMare with another Morning Report! Fibrinolytics for Suspected PE in Cardiac Arrest tPA in cardiac arrest seems like a great idea – 81% are from MI and PE – only 2-10% survival in out of hospital arrest When should you give it? – Current literature Read more…
Here’s Dr. DiMare with today’s Morning Report! Post Traumatic Seizure (PTS) Seizure after mild to moderate trauma: – 1.5 to 15% of patients – Are due to focal, structural changes as a result of injury – “Early” – occurring within 1 week of event, but generally not within Read more…
Today’s Morning Report is presented by Dr. Kendall! THE DENGUE Swahili: Ka dinga pepo → Caribbean, 1800s → West Indian Spanish: dengue Background -Flavivirus transmitted by genus Aedes mosquito -50 to 390 million annual infections, 25,000 deaths -Primarily in the tropics, associated with urbanization -1st infection Read more…
Thanks to Dr. Paulson for today’s Morning Report! Toxicology Corner The bat phone rings: “There’s a fire in the area, how many critical/non-critical beds do you have?” Dr. Silverberg: “1 million of each” Carbon Monoxide (CO) and Cyanide exposure Carbon Monoxide – Rapidly absorbed across the alveolar membrane Read more…
Today’s Morning Report is presented by Dr. Brown! Recommendations for Management of First-time Seizure and Status Epilepticus 1. Are we mandated to report to DMV? – no, but other states (CA, DE, NV, NJ, PA) have mandatory reporting laws. 2. Which AED’s can you measure blood levels? – Read more…
After a small hiatus, MR is back with Dr. Reisman presenting today’s special Halloween edition! (sorry nothing really Halloween related but still good stuff!) Abdominal Paracentesis: prevention and management of persistent ascites leak Diagnostic paracentesis – New onset ascites – Patient with ascites and signs of SBP Read more…
Thanks to Dr. Shin for today’s Morning Report! The Bougie Uses of the Bougie Assistance in endotracheal intubation, especially difficult airways Glidescope caveats The angle of the bougie that we have will not work in a glidescope assisted intubation unless we bend the bougie appropriately to match the angle Read more…
Today’s Morning Report is presented by Dr. Freedman! Troponin-emia 101 Background Compromised of three subunits: T, I, and C Both T and I subunits are highly-specific for cardiac tissue Since 1995, has emerged as the cardiac biomarker of choice Cardiac Specificity Predictable time course Rises above 99th percentile Read more…
Thanks to Dr. Gichinga for today’s Morning Report! Carbamazepine Toxicity Carbamazepine (5H-dibenzazepine-5-carboxamide) is an iminostilbene derivative with a tricyclic structure. It is an antiepileptic drug widely used for treatment of simple partial seizures and complex partial seizures, trigeminal neuralgia, and bipolar affective disorder. Carbamazepine is absorbed erratically after oral administration because of Read more…