Category: Staten Island Corner

Refractory Shock

It’s a busy night shift when a nurse alerts you to an elderly patient sent from a nursing home who is hypotensive, tachycardic, tachypneic, febrile, altered, and appears dehydrated.  You assume sepsis, send labs, begin treating empirically with broad spectrum antibiotics, and…

TXA in Trauma

Tranexamic acid (TXA) is an antifibrinolytic drug that was first discovered nearly 60 years ago by two Japanese scientists. TXA has been used to mitigate blood loss in elective surgeries, hemophiliacs, post-partum hemorrhage, and most recently after major trauma1. Here in…

Popping Bottles: PO Contrast in the ED

It’s a busy day in the Emergency Department and you pick up a patient sent from clinic to “r/o appendicitis.” He is tachycardic and appears uncomfortable with moderate RLQ abdominal tenderness. Your attending tells you to give the patient some oral…

The Non-Stroke TPA Debate

  TPA for MI when PCI is not available – recommended so thoroughly it’s in textbooks. TPA for clotted AV fistulas – surgeons do it. TPA in stroke…not going anywhere near it. TPA for PE…Interested?   After a lit search…