Co-authors: Taylor Murtaugh MD, Esteban Davila MDThe CaseA 59-year-old male with a past medical history of hypertension, hyperlipidemia, and gastroesophageal reflux disease was brought in by EMS to the ED with severe chest pain. EMS administered 324 mg of aspirin. Read more…
Co-Authors: Esteban Davila, Hemil Chauhan This is part 2 of a 2-part series focusing on BRASH. Part 1 can be found here. Patient Presentation A 70-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (baseline Read more…
Co-Authors: Camilo Galeano Londono, Esteban Davila This is part 1 of a 2-part series focusing on BRASH Syndrome The little black phone in the Cardiac Care Unit (CCU) room rings. The cardiology fellow is on the other end of the Read more…
Co-authors: Balal Aslam MD, Esteban Davila MD Edited by: Alec Feuerbach MD Case: An 82-year-old female with a past medical history of diabetes and hypertension presented to the ED after a syncopal episode. The patient stated that she was walking Read more…
Author: Jamie Pospishil, MDEditor: Philippe Ayres, MD; Esteban Davila, MDCase:A 68-year-old male with a past medical history of hypertension, insulin-dependent diabetes, and dyslipidemia presents to the ED with chest pain that is intermittent, sharp, “stabbing”, lasting up to one minute Read more…
Authors: Esteban Davila, MD and Ian S. deSouza, MD Background Ketamine has many known cardiovascular properties both on the myocardium and the autonomic nervous system through central sympathetic stimulation and inhibition of catecholamine reuptake. The ketamine-induced hyperadrenergic state causes transient Read more…
Author: Rachelle Modeste, MD Editors: Alec Feuerbach, MD and Philippe Ayres, MD Faculty Editor: Anastasios Drenis, MD Why so Blue, Baby? Part I – County EM (clinicalmonster.com) Initial Evaluation: Now that we have described each of the cyanotic Read more…
Author: Philippe Ayres, MD Editor: Esteban Davila, MD Case: A 65-year-old male with a past medical history of hypertension, insulin-dependent diabetes, hyperlipidemia, and coronary artery disease was brought to the ED by EMS as a “STEMI notification”. He reported Read more…
Author: Nicole Anthony, MD Editor: Alec Feuerbach, MD A few years ago, I had a patient, a young woman, who had just immigrated to New York from Libya. She had left her family behind, and her only contact in New Read more…
