Thanks to Dr. McMillan for today’s Morning Report! Here’s the case: Female passenger of MVC presents with abdominal pain. Home pregnancy test just positive. Trauma in Pregnancy: Both blunt and penetrating a significant cause of maternal injury. Maternal Physiologic Changes Plasma volume increase (normal hematocrit of 31-35% Read more…
Here’s Dr. Jegede with today’s Morning Report! Therapeutic Hypothermia It’s benefits are compared to early defibrillation for improving survival in patients post cardiac arrest NNT to improve survival is 7. NNT to improve neurologic outcome is 5 Should be started as early as possible. According to 1 study, there Read more…
Here’s Dr. Aherne with today’s Morning Report! Carbon Monoxide Poisoning – CO: Odorless, tasteless, non-irritating – Formed by the incomplete combustion of hydrocarbons, or endogenously from the metabolism of methylene chloride (paint stripper, aerosol propellants) – Impairs oxygen delivery and peripheral utilization –> cellular hypoxia – Binds to hemoglobin Read more…
Dr. Julie presents his final Morning Report [tear] with a list of important tips he picked up along the way during his time at County. Airway: – Have a few seconds? Review the chart – Tonsil Cancer – Chronic pts/prior procedures/lab (trend) or radiology findings – Always remember your Read more…
Today’s Morning Report is courtesy of Dr. Joshi! Blast Injuries: NEJM 2005 DePalma RG, Burris DG, Champion HR, Hodgson MJ. Blast Injuries. NEJM. 2005 Mar 31;352(13):1335-42. PMID: 15800229. How to categorize Injuries: Few bombings in the US – 1995 Okalahoma bombing killed 168, injured 518 2004 Madrid Read more…
Thanks to Dr. Bradby for today’s Morning Report! Parasitic Worms Ascariasis – large intestinal roundworm – 807- 1,221 million people in the world are infected with Ascaris lumbricoides – live in the intestines, eggs passed in the feces of infected persons – eggs get ingested into GI tract, Read more…
Here’s Dr. Kong with today’s Morning Report! Intubation of the Asthmatic Summary: 1. Exhaust all pharmacologic and non-invasive breathing therapies 2. The decision to intubate is usually clinical. 3. Remember good pre-intubation prep. 4. Predicted difficult intubation: hard to pre-oxygenate/ poor O2 reserve/ fast desat. because of hyperinflation, Read more…
Today’s Morning Report is courtesy of Dr. Basile! Delayed Sequence Intubation Why do this? – Standard preoxygenation with NRB mask (65-80% FiO2) for 3 min or 8 vital capacity breaths has been shown to provide a buffer of 8 min in a healthy, non-obese adult patient before desats to Read more…
Thanks to Dr. Cheng for today’s Morning Report! Here’s the Case: 38 yo M no PMH, construction worker, s/p mechanical trip/fall onto left knee. No medical issues. BIBEMS, ice pack placed. Next steps? Ottawa Knee Rule (OKR) vs. Pittsburgh Decision Rule (PDR) Check out this article: Diagnostic accuracy and Read more…