Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports
First Morning Report of the new academic year is presented by Dr. Aluisio! Tranexamic Acid (TXA) What: Synthetic amino acid derivative of lysine that inhibits fibrinolysis by competitively inhibiting plasminogen (a TPI that prevents fibrin degradation). How: 1000 mg in 100cc NS over 10 minutes followed by Read more…
Thanks to Dr. Desmond for today’s Morning Report! Pediatric Thoracic Trauma Thoracic trauma in children is relatively uncommon. Usually from high force injuries such as falls or motor vehicle accidents (75%) and is usually blunt. When in isolation, mortality rate is low, however it TRIPLES when accompanied by head Read more…
Today’s Morning Report is courtesy of Dr. DiMare! Color Change Capnography How does it work? pH based REVERSIBLY reacts with expired CO2 purple with ETCO2 < 3mmHg yellow with ETCO2> 15mmHg How good is it? – nearly 100% specific (97-100% different studies, different devices) WHEN USED PROPERLY Read more…
Here’s Dr. Kong with today’s Morning Report! HiNTS exam What is the HiNTS exam? A set of 3 tests used to specifically differentiate central from peripheral etiology in setting of acute vestibular syndrome/ AVS (rapid onset (seconds to hours) of vertigo, nausea/vomiting and gait unsteadiness with head-motion intolerance and Read more…
Thanks to Dr. Bradby for today’s Morning Report! Myxedema Coma or Crisis Definition: Severe (decompensated) hypothyroidism leading to decreased mental status, hypothermia, and other symptoms related to slowing of function in multiple organs. Epidemiology: – Mortality rate if not promptly diagnosed and treated: approx. 50% or more Read more…
Here’s Dr. DiMare with today’s Morning Report! WTF? = What the …fanny-pack? What is an LVAD? – Left ventricular assist device – Basically an extracardiac pump – The LV goes from being a pumping device to just a filling chamber – Cannula Read more…
Today’s Morning Report is thanks to Dr. Chapman! This Morning Report is based on the Emergency Medicine Practice Article, Emergency Management of Dyspnea in Dying Patients; the following Vignette is also based heavily on the vignette in the article: It’s 2 a.m. You’re in the middle of a Read more…
Thanks to Dr. Joshi for today’s Morning Report! Brown Recluse Spiders Species Facts: “violin spider” Loxosceles reclusa (genus name) Sicariidae (family name) family of 6 eyed spiders known for their necrotic bites most spiders have 8 eyes Two genus in this family (Loxosceles and Sicarius) Genus Sicarius is known Read more…