An in-depth analysis of current topics in Emergency Medicine and Critical Care Medicine typically based upon our regular EM-CCM conference.
Written by Matthew Behrens MD Reviewed by Sage Wiener MD Case: A 31-year-old man was brought in by EMS after passing out while getting off the bus. Prehospital vitals were: HR 145/min BP 97/53 mm Hg RR 16/min SpO2 96% on 15L NRB Blood Glucose 141 mg/dL EMS placed Read more…
Author: Taylor Conrad Edited by: Eden Kim, Taylor Douglas, Robby Allen What is EBM? Evidenced-Based Medicine (EBM) is an important part of all medical disciplines and has been integral throughout the development of Emergency Medicine. According to the Agency for Healthcare and Research Quality (AHRQ) at the Department of Health Read more…
Author: Taylor Douglas, Raymond Beyda Edited by: Robby Allen You’re on a tough CCT shift, and you’ve just walked your junior resident through a complicated intubation, and she was successful. You’re congratulating yourselves behind the desk while ordering the confirmatory chest x-ray when the nurse comes to you and Read more…
EM-CCM Presentation Review 09/16/2020 Authors: Keesandra Agenor MD, John Riggins Jr MD Edited by: Raymond Beyda MD, Eden Kim DO Case A 74-year-old male with PMH of hypertension and dyslipidemia presents to the ED with acute tongue swelling, neck swelling, and changes in his voice that started the prior evening. Read more…
The Ultrasound Mini-Fellowship (Team Sono) met last month to discuss TransEsophageal Echocardiography (TEE) in cardiac arrest. We specifically discussed two major papers in the TEE literature discussing TEE during cardiac arrest. First, thank you to all of our amazing faculty (Drs. Maurelus, Ozaki, Aherne, Mahalingham, Balakrishnan, Kim, Cutright, Reisman, Beyda, Read more…
The notification phone rings: “Cardiac arrest, intubated, ETA 3 minutes.” Take a breath. You look around and notice you have a loaded team! EMS rolls in and moves that patient to the stretcher. Your awesome nurses get IV access on the first try while you promptly assemble the LUCAS device Read more…
A 58-year-old male is rolled into the critical care area of your ED with the complaint of crushing, midsternal chest pain that began one hour before presentation. The nurse tells you he has a history of hypertension and hyperlipidemia but is currently not on any medications. You look at the Read more…
Which aortic dissections need surgery? Although it is not the ED team’s decision whether to take a patient with dissection to the OR, it is vitally important for us to be familiar with the indications, so we can effectively advocate for our patients as needed. Management of aortic dissections differs Read more…
Last Updated: 4/29/2020 By: Noah Berland MD, Andrea Greene MD, Suvam Neupane MD, and Julian Watson MD Reviewed By: Robert Allen MD and Monisha Dilip MD Introduction This post is meant to be an easily digestible and up-to-date article. The post is broken up into multiple parts, and we have Read more…
Case: You are the senior resident working an afternoon trauma/critical care shift when a rapid response is called in the hospital. Shortly thereafter, an elderly woman with a history of metastatic colon cancer is brought to you by the nursing staff after losing consciousness while undergoing radiation therapy. Triage vitals Read more…