Male hipster presents – bicyclist struck. He is 22 years old, lives in Williamsburg, and arrives wearing really tight pants and an ironic mustache. He reports pelvic pain and reports he fell off the seat onto his handlebars. He reports feeling “devo” about how “totes hard” he hit his groin Read more…
By Dr. Brenda Oiyemhonlan The last Health Policy Mini-Fellowship meeting discussed “safe harbors”, which can be defined as a set of clinical guidelines that define negligence and appropriate care in the ED. While safe harbors can protect ER docs from medical liability, they have the unintended consequence of attempting Read more…
By Dr. Jacqueline Shibata A 35 y/o with Lupus presents to the ED with 1 day of chest pain…. The worst because, as we all know, systemic lupus erythematous (SLE) is an autoimmune rheumatologic disease that can be deadly in young women. Ask yourself: Is this just a bad Read more…
60 yo M, unrestrained driver in MVA, no airbags, no LOC, no head trauma, complaining of chest pain – midline, reproducible to palpation, worse on moving. VS 120, 96/47, 22, 100% Trauma labs are sent, portable CXR and Pelvis Xray are unremarkable. Let’s say his hypothetical pan-scan is normal. Read more…
Hello Hard-Working Residents, On behalf of Dr. Richardson, Dr. Mehta, and Dr. Aluisio, I am happy to provide the next Journal Club Article – a prospective RCT of epinephrine versus no epinephrine in patients that received ACLS. Will it change how you practice? As usual, please comment on the article Read more…
A young man was standing on the corner, minding his own business, on his way to church, when he… EMS reports + LOC with 2 episodes of vomiting after, and amnesia of the entire event. He is still perseverating and unable to comply with a complete neurologic exam. You are Read more…
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 less…sometimes not breathing at all. Part 1 For starters, Read more…
Thanks to our own ablumenberg for his 3 responses! I applaud your effort and thoroughness…though you were not entirely correct, you were the only one to answer. So you WIN! To review some pertinent facts of the case, we had a 4 year old, no pmhx, presenting with altered mental Read more…
I’m sure you all read the Affordable Care Act (ACA) when it came out…(if not, click here for the 906 page handout), and have been anxiously awaiting some data on how it has been doing. Well last month the Health Policy Mini-Fellowship discussed the newest updates and Dr. Claudia Martinez 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 After seeing your 44th URI of the day in the Peds ER, you get a call on the batphone – a 4 year old female, altered mental status, Read more…