You’re at a Taylor Swift concert and Tay Tay is killing it – the costumes, the dances, and the oh-so-catchy pop singles. Taylor is about to start performing your favorite Taylor Swift single “Shake It Off”. The performance starts off with a wicked light show. Everyone’s into it. One audience Read more…
It’s a perfect sunny day in San Diego, and Ron Burgundy is about to broadcast another episode of his highest rated (local) news show. Little does the public know that Ron suffers from hydrocephalus and has a ventriculoperitoneal (VP) shunt. While on air, he becomes altered, sleepy, and garbles his speech Read more…
Nominated by: Dr. Wiener This month we would like to congratulate the one and only DR. ADAM BLUMENBERG for a great save!! A disheveled patient was placed in the hallway complaining of weakness and was labeled “ETOH, vomiting.” Our amazing resident, Dr. Blumenberg avoided premature closure and all the other biases Read more…
It’s a beautiful night in the ED in 1986. Bad fashion is in, EM docs are still cowboys who heal the world, and yours truly is about to be born. Most importantly, Michael Jackson is performing in your city tonight and while you are disappointed that you are working Read more…
It’s the afternoon and three level 1 trauma codes have come and gone. You are sitting in front of your computer schmoozing with your senior who is clearly not listening to you. She is obviously thinking about that job that she got on that other “better coast” with sunshine, organic starfruit and “proper Mexican food”. Mid-sentence you suddenly notice that you Read more…
Thank you Dr. Kopping for this Morning Report. Initial treatment goals: As per “expert opinion” and Dr. Kopping’s opinion ABCs this is EM after all Vitals, oxygenate, IV, finger stick, fluid resuscitate Stop the seizure: Benzo’s (lorazepam (IV) and midazolam(IM) specifically) -Everyone worried about resp depression with benzos. In Read more…
Here’s Dr. Chan with today’s Morning Report! Unprovoked First Seizure in Adults Was this really a seizure? -Fair Marker: Incontinence (38% sensitive, 57% specific) -Strong Markers: Postictal confusion, tongue biting, cyanosis, confirmed unresponsiveness, aura, eye deviation, rhythmic limb shaking, or dystonic posturing -Seizure 5x more likely than syncope Read more…
Today’s Morning Report is presented by Dr. Osagie! Minor Head Injury Canadian Head CT Rule: CT is only required for patients with minor head injury with any 1 of the following findings. Patients with minor head injury who present with a Glasgow Coma Scale score of 13 to Read more…
Here’s Dr. Kincade with today’s Morning Report! ETOH Withdrawal Case: A 45yo M presents to the ED for EtOH detoxification. Drinks 1L of vodka daily. Last drink 18 hours prior. VS: HR:150 beats/min, BP: 172/84 mm Hg, diaphoretic and has a severe tremor. The patient denies illicit drug use Read more…