A review of bread and butter Emergency Medicine topics
Here’s Dr. Alsup with today’s Morning Report! Hip Dislocations *Dislocations and fracture-dislocations are true orthopedic emergencies History: ABC’s: This injury is a red flag for multisystem injury Associated injury (95%) Assoc acetabular fracture 70% Knee fractures/ligamentous injury/ dislocation 30% Sciatic palsy 10% of patients (peroneal nerve branch) Read more…
All is quiet in your imaginary ED when a commotion rings in from the hallway. In comes in a very gravid patient making lots of groans, moans, and curses. She reports she has no medical problems, is full term, and started having contractions earlier that day. On your exam, you Read more…
A 69-year-old female with diabetes, HTN, high cholesterol, previous angina with stents placed 8 months ago presents for central, non-radiating chest pain with belching and shortness of breath. The pain began while watching the finale of the Bachelor this week. The patient endorses that she has not taken any of Read more…
A 27-year-old female presents following a “fall” at home. The patient denies having LOC, has had no vomiting since the incident. She denies blurred or decreased vision in the effected eye, no neck pain, no weakness, no numbness or tingling. Exam shows a well appearing woman with vital signs that Read more…
You see an 18 year old basketball phenom who stands a mere 6’11” tall. He complains of sudden onset chest pain lasting minutes after a deep inhalation that may or may have been related to marijuana use. On his chest x-ray, you see a “small” pneumothorax. By Read more…
After managing the ABC’s for a STEMI patient, you find out the cath lab is being used and cards cannot take the patient yet. You go back to reassess and the monitor shows a wide complex tachycardia at a rate of 110! It looks on the monitor like you have Read more…
ECG STEMI Basics Please describe: 1. What and where the pathology is 2. Where you would see reciprocal changes 3. Which artery is blocked, and 4. What other ECG’s are indicated. By Dr. Brenda Oiyemhonlan, Dr. Andrew Grock, and Dr. Sally Bogoch References: Gorgels, A., Engelen, Read more…
A 54-year-old female with diabetes, hypertension, end-stage renal disease on dialysis presents to the ED after “Snowmageddon” with a complaint of generalized weakness. She answers questions, but seems slightly confused. While awaiting for the initial vital signs, you feel her pulse and find that it is approximately 45. You place Read more…
Samwise Gamgee presents to your Emergency Department after an ankle injury. He was in the Mines of Moria when a flock of bats flew all around him and he fell, twisting his ankle. He doesn’t think he got any bites or scratches from the bates. He is ottowa ankle negative Read more…
Whew! We made it to the last week of Environmental Emergencies. I thought that it would never end. A terrified government worker who frequently receives threatening mail with strange powder in it presents with a rash accompanied by fever. The rash has been present for 4 days. What features of Read more…