Today’s Morning Report is courtesy of Dr. Melendez (presented 4/12/2012). Follow the along and think about how you would handle this scary presentation. A mother brings her 9 day old infant in because “she has not urinated in the past 12 hours and she is very sleepy”. VS: BP70/30, Read more…
As per Dr. DRE it’s the next episode: It continues in the trauma bay. A trauma code is called and the room is suddenly full. The initial survey is done. It turns out that the patient is not as bad as the notification phone had said. He has been hit Read more…
Answer and ECG submitted by Dr. Eli Brown. Thanks Richie/Shin. Good work in spotting the “widow maker. “ I would like to point out that this patient actually has poor R-wave progression. That, along with the QS complexes (III, aVF, V4), should raise suspicion for a subacute to chronic Read more…
Thanks to Dr. Guy for today’s Morning Report (presented on 4/9/2012)! Central Retinal Artery Occlusion Epidemiology: 55% mortality rate over 9 years 2% bilateral involvement mean age 62 Pathophysiology: emboli in retinal artery/ branches ophthalmic artery from intraorbital branch of internal carotid artery ischemia and edema irreversible cell injury Read more…
Welcome to this week’s edition of Wednesday Wrap-up! There was some great lectures this morning making it very tough to pick a topic to focus on but I think the subject that generated the most discussion was palliative care in the ED. Thanks Dr. Tan for a great senior lecture. Read more…
Today’s Morning Report is thanks to Dr. Willis with some clinical pearls about strangulation/hanging injuries: Strangulation / Hanging injuries Mortality: Death from injury to spinal cord or brainstem, mechanical constriction of neck structures, bradycardic cardiac arrest (carotid sinus stimulation and increased vagal tone) Types: Complete –> feet Read more…
Thanks to Dr. Brothers for putting together today’s morning report (which was presented on 4/2/2012)! Here’s the case: 35 yo F history gastric bypass surgery 7 years ago presents with severe epigastric pain. Denies N/V/D. Has been constipated for past 2 weeks, hasn’t been taking her bowel regimen for past Read more…
Here’s another EKG to get you guys talking. Thank you Dr. Silverberg and Dr. Brown for the case. 73 chinese female h/o dm, htn and high cholesterol had syncopal episode. Felt heart racing and palpitations prior to passing out at bingo in her church. Only complaint now is slight chest Read more…
Pediatric Conference 4/4/12 Follow Up: DKA Management Clinical Pearls DKA in Pediatrics: DKA occurs when there is a disruption in the balance between insulin and counter-regulatory hormones secondary to a deficiency in circulating insulin. The resulting state is hyperglycemia, hyperosmolarity, increased lipolysis, ketonemia and metabolic acidosis. Diagnostic criteria Read more…
Welcome to the first Evidence Based Medicine blog entry, where we discuss the mounds or molehills of data for what we do in the ED. Are we practicing dogma? Or is there some science behind it? For the first topic, I bring you… To Lavage or Not – Are We Read more…