Category: Staten Island Corner

Permissive Hypoventilation… In Trauma?

Over the last decade or two, we have all seen, read, and are hopefully now doing some interesting stuff with the A in the ABC’s. Here, we discuss three interesting topics involving ventilating critically ill patients using less breaths…sometimes way…

That’s What She NSAID

With anywhere from 15-25% of pregnancies naturally terminating prior to the end of the first trimester, spontaneous abortions are common1. We frequently see UCG+ patients with vaginal bleeding and pain present to our ER. During my Gyn Sono rotation, I…

Urine Trouble

“Exam room 3 is a sign out, 23 yo F, here for nausea, found to be pregnant. US shows IUP, good heart rate. No VB, has outside PMD. Got Zofran, tolerating PO. No urinary complaints, but we are waiting for…

To culture or not to culture?

The Case 75 yo female, multiple medical problems presents with subjective fever/cough for 2 days.  Work-up shows – nml VS, lactate 1 and left lower lobe infiltrate.  Unfortunately she’s CURB-65 of 2 (age and BUN) with PORT score of 95. …

Leaving Against Medical Advice?

We’ve all been there – the 89 yo with cancer you want to admit for pneumonia who doesn’t want to spend another precious day in the hospital…the NSTEMI that has to sign out AMA to stop his car from getting…

So I get this transfer…

The Case:  (due to HIPAA all facts in this case have been changed) Middle aged Male, currently being treated for malignancy (with mets to liver/kidney/chest) presents with SOB from recurrent pleural effusions and is found to have a DVT.  Other…