Wednesday Wrap-up: 5/16/12

So we arrive at another Wednesday wrap up. We had a really good line up that included the below: Time:  Speaker: Lecture: 8-8:50 Basile Peds Case Conference: ITP 9 -9:50 Krinsky Peds Oral/Dental 10 -10:50 Kong Peds Case Conference: Mastoiditis…

Morning Report: 5/14/2012

Today’s Morning Report was originally presented by Dr. Tan on 5/7/2012: Left Ventricular Assist Device (LVAD)   Indications: New York Heart Association class 4 heart failure Ejection fraction <25% VO2 max less than 15 among other criteria How does it…

Peds in a Pod: Submersion

      Splash!!! Welcome to the first entry of our monthly pediatric blog.  Here we will talk about evidence based medicine and it’s clinical utility in the ER with our younger patients.  Enjoy!   Here’s a case to get…

Wednesday Wrap-up: 5/9/12

So we arrive at another Wednesday wrap up. We had a really good line up that included the below: Time:  Speaker: Lecture: 8-8:50 Valesky Topic Review: Epistaxis, nasal fractures, ear emergencies 9 -9:50 Dr. Ross Medicolegal 10 -10:50 Dr. Gernsheimer…

Morning Report: 5/10/2012

Thanks to Dr. Yeo for today’s Morning Report on Acute Angle-Closure Glaucoma! Acute Angle-Closure Glaucoma Introduction: Ocular emergency caused by sudden/increase in IOP Prolonged increased IOP may lead to optic nerve damage and irreversible blindness Iris is pushed or pulled…

Morning Report: 5/7/2012

The following is a case presentation courtesy of Dr. Lau:   56 yo M h/o DM, HTN, previous cocaine abuse, CHF (EF 15-20%) presents with mild shortness of breath and chest pain. Initially, vitals BP 105/62, 85, 20, 98%. Patient…

Morning Report: 5/3/2012

Thanks to Dr. Pearsall for this review of the clinical pathways to diagnosis of lower extremity DVT!   Dx of Suspected 1st LE DVT   Tools to Dx DVT: Wells Prediction Rules D-dimer 2-point proximal compression US Whole leg doppler…

Morning Report: 5/1/2012

Thanks to Dr. Melendez for today’s Morning Report (originally presented on 4/24/2012)! Venous Access in Neonates   A continuation of my case from 2 weeks ago: A mother brings her 9 day old infant in because “she has not urinated…

Morning Report: 4/30/2012

Today’s morning report is courtesy of Dr. Cioe. Here’s the case: A 3 year old female presents to ED with 3 day history of vomiting, throat pain, abdominal pain.  On exam, the patient is febrile, tachycardic, and ill appearing.  The…

Legal Matters: I-STOP

While there is a lot on New York’s 2012 Legislative Agenda, there are few policies that affect us as EM physicians as much as the I-STOP Act.  I-STOP stands for the Internet System for Tracking Over-Prescribing.  It serves as a…

Morning Report: 4/27/2012

Thanks to Dr. Nadir for today’s Morning Report (originally presented on 4/20/2012)! 76 year old male with hx of emphysema presents with slowly progressive SOB, over the last 10 days. VS: HR 110, RR 28, O2 sats 93%, BP 110/76.…

Morning Report: 4/24/2012

Here’s Dr. Caputo with a Morning Report on lower extremity nerve blocks:   MASTERING NERVE BLOCKS OF THE LEG   1)KNOW THE 2 MAIN NERVES GOING INTO LEG: FEMORAL AND SCIATIC 2)FEMORAL NERVE: HIP, ANTERIOR THIGH, QUADRACEPS, AND HAS SAPHENOUS…

Wednesday Wrap-Up: 4/18/12

Special thanks to the SIM team and all those who participated in our Sim Throwdown/ Rumble/ Battle Royale. Congratulations to Drs. Aherne, Kendall and Grock for winning our first Sim Competition! Take home points from the simulation cases: 1)  When…

Morning Report: 4/17/2012

Dr. Kazzi presents some clinical pearls about preoxygenation for today’s Morning Report (originally presented 4/10/2012):   Preoxygenation   Physiology of Preoxygenation: Preoxygenation extends the duration of safe apnea (defined as the time until a patient reaches a saturation level of 88-90%) Below…

Morning Report: 4/16/2012

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…

EKG 2 answer

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,…