By Yonatan Yohannes In July’s edition of ACEP Now, an article titled “Seven Best Practices to Reduce ED Misuse” discusses policies implemented in Washington State to reduce the overall cost of Emergency Department care. These policies were pioneered by the Washington state ACEP Chapter (go ACEP!) as well as Read more…
You’re kicking back in an empty CCT when you hear a ruckus in the hallway. In comes in a young man with a penetrating injury to the neck. He’s stridorous and diaphoretic on arrival. By Dr. Andrew Grock and Dr. Sally Bogoch Read more…
A 2 week old presents with multiple episodes of green vomiting today with inability to tolerate PO. Pt has had no fevers and normal birth history. On exam, baby has a distended belly with moderate generalized tenderness. By Dr. Andrew Grock and Dr. Sally Bogoch Read more…
Thanks for the variety of responses. The winner of course is ablumenberg thanks to his thorough differential diagnosis. The Case In short, we have a 54 yo male with ptosis x 2 weeks and no other symptoms or complaints. By Andrew Read more…
Clinical Monster @kingsofcounty · Dr. Andrea Ferrari lecturing about sick kids. #clinicalmonster #emconf Clinical Monster @kingsofcounty · What to do with an ALTE baby?…….always admit for observation. http://www.ncbi.nlm.nih.gov/pubmed/22855928 #clinicalmonster #emconf Clinical Monster @kingsofcounty · Intussusception re-occurs 7-12% post reduction. Perhaps best to observe? How long? http://pediatrics.aappublications.org/content/134/1/110.abstract … #clinicalmonster #emconf Clinical Monster @kingsofcounty · In DKA, beta-hydroxybutyrate is the ketone Read more…
Made up Case: 70 yo ESRD (LUE fistua, MWF, last yesterday), HTN, DM, severe COPD presents peds struck by semi: Airway, Breathing, Circulation initially intact, IV/O2/Monitor placed 102, 150/60, 28, 93% on RA Secondary survey neg except for pan-right sided pain. CXR/pelvis X-Ray unremarkable. Pan-Scan (come on, 70 and hit Read more…
Brought to you by Dr. Michelle DiMare Also titled: US vs H&P Welcome to yet another exciting installment of our awesome ultrasound blog! For this post, “Name that Tune” rules apply and I challenge you to “name that diagnosis” in 1 number, 1 letter, 1 word and 1 Read more…
This is a fictitious patient seen at a fictitious hospital called Janus General. Don’t believe me? I’m on staff there – see 54 yo male, past medical history HTN, sent by his primary doctor to the ED for “rule out stroke”. He is complaining that his left upper eye Read more…
Our excellent Critical Care Medicine Mini-Fellowship met last week for our monthly meeting. We reviewed three articles on cardiac arrest in the pregnant patient which I have summarized for you below: 1. Management of Cardiac Arrest in Pregnancy: A Systematic Review 2. Management of Cardiac Arrest in Pregnancy 3. Resuscitation of Read more…
For those of you not there, you missed a doozy today. Besides some board review and M&M, we had a great senior lecture by Dr. Sadia Hussain, a EM-CCM lecture by Dr. Elizabeth Abram (the summary of which will be posted at a later date), and a lecture on bayesian Read more…