Congratulations to Dr. Noah Berland, aka Julia Man-Child, for this month’s Save of the Month. Dr. Berland was in Fast Track getting peppered with Shetty trivia when a middle-aged man came in complaining of headache and pain in his right leg after having what appeared to be minor trauma a Read more…
For those who were not in conference yesterday: Dr. Rushabh Shah discussed AV nodal blocks: For all AV blocks consider: beta blocker or calcium channel blocker overdose, hyperkalemia, inferior MI, cardiomyopathy, and myocarditis 1st degree and 2nd degree Mobitz type 1 AV block: typically benign 2nd degree Mobitz type 2: Read more…
This article is brief overview of the management of femur fractures in the emergency department. In general, femur fractures can be identified with x-ray. AP pelvis, hip and femur x-rays will be sufficient in most cases. Femur fractures can be categorized as proximal fractures and femoral shaft fractures. There are Read more…
It is a quiet morning in the ED. I know it’s difficult to believe. The triage nurse rolls in a young patient who is screaming in pain. “Doc, doc, my n@&* are killing me!” You can’t help but start thinking about a differential diagnosis on your way to interview your Read more…
Welcome to our weekly Wednesday Wrap-Up from our academic conference today: Dr. Jesus Granados discussed how to eat better as residents: Add fiber (salad) to your meals (pizza) to slow your metabolism Prep a large meal at the beginning of the week Actually eat during a shift Dr. Sage Wiener Read more…
This article will not attempt to wade into the pathophysiology of acid-base disorders. From reading the nephrology literature, it seems that this topic is more closely akin to theoretical physics than the sturdy biochemistry I learned in college. Researchers can’t even agree on how to define acidosis, much less what Read more…
It’s 2:00 am in the Main ED and you’re racing to get caught up on the board when a nurse comes to notify you about a patient who is still waiting to be seen. A quick glance at the triage chief complaint reads “Cough and fevers x 2 days.” The Read more…
How does one get a nail bed injury? Distal phalanx injuries are the most common hand injury, particularly in children. These are often due to crush injuries also resulting in subungual hematomas and nail bed lacerations. If a subungual hematoma involves more than half the nail plate, there is a Read more…
This board review post will go over the basics of Radial Nerve Palsy. How does one get a radial nerve palsy? Contrary to what I previously thought, “Saturday-night palsy” rarely results from prolonged axilla compression. The classic story of an intoxicated person falling asleep with their arm draped over Read more…
Seeing neonates in the Emergency Department makes me nervous. Hopefully this review can simplify one of the more common neonatal presentations. Following are the key points emergency clinicians need to know about neonatal jaundice. Neonatal jaundice is often physiologic, not pathologic Almost all newborns will develop a bilirubin level Read more…