A deep dive analysis of current topics in Emergency Medicine
The Case 75 yo female, multiple medical problems presents with subjective fever/cough for 2 days. Work-up shows – nml VS, lactate 1 and left lower lobe infiltrate. Unfortunately she’s CURB-65 of 2 (age and BUN) with PORT score of 95. More importantly she lives by herself and doesn’t seem altogether Read more…
We’ve all been there – the 89 yo with cancer you want to admit for pneumonia who doesn’t want to spend another precious day in the hospital…the NSTEMI that has to sign out AMA to stop his car from getting towed…the stab victim that insists on leaving CCT at 3 Read more…
The Case So the radiology resident says to me in disbelief, “you want another lower extremity Doppler when this patient had a negative study 2 weeks ago?” I answered, “Yes. A single one does not rule out DVT.” He asked me where I got that fact, and unfortunately, I could Read more…
It’s a busy shift in good old A pod. A nurse comes up to you with a bag of blood tubes for a vomiting patient and asks if you want to shotgun labs and give some anti-emetics. You happily oblige, ordering a liter of normal saline, Zofran, and some labs. Read more…
The Case: (due to HIPAA all facts in this case have been changed) Middle aged Male, currently being treated for malignancy (with mets to liver/kidney/chest) presents with SOB from recurrent pleural effusions and is found to have a DVT. Other pmhx includes chronic liver disease and htn. The patient is Read more…
For those of you not in conference last Wednesday, there was a brief review of Rhabdo that listed bicarb as a potential treatment. Feeling like the junior that I was (but of course am no longer), I was hesitant to speak and, instead, waited anxiously for an official senior or an attending Read more…
Welcome to the first edition of the California version of Staten Island Corner. It’ll be similar to the old Staten Island Corner but with more smiles and vegetables. I think we’ve all been in the following situation: You’re in CCT and in walks an older gentleman with a distended Read more…
Welcome to this month’s edition of Staten Island Corner. The motivation for this comes from a common question that I am sure all of you have had at one point or another. The other day during a shift there was a debate about the accuracy of ruling in or ruling Read more…
Welcome everybody to this month’s edition of Staten Island Corner. I recently had a case that we see on a regular basis in the ED that is the motivation for this month’s topic. Supratherapeutic INR is something we see all the time, but it is something that I feel is Read more…
Welcome to this month’s edition of Staten Island Corner. The subject of this month’s edition comes from a recent topic on EMRAP. There was an interview with Dr. Ron Walls, who is a well known Emergency Medicine Physician and nationally recognized airway expert. The topic of the discussion was the Read more…