Welcome to this month’s edition of Staten Island Corner. I was recently on EMS rotation so the inspiration for this month’s edition comes from an EMS topic. I decided to look into the debate of whether endotracheal intubation is the best way to manage an airway in the pre-hospital setting. Read more…
So to recap… our case was that of a 44yo F presenting from St. Vincents with fever, AMS and abdominal pain. Further pertinent negatives ans positives that were obtained through your questions were the following: No hx of DVT, abnormal rhythm, IVDU, valvular HD, HIV, hemoglobinopathy. No known medical problems. No FH Read more…
Just a quick “Wrap-up” today. Lots of good talks about environmental emergencies today. Dr. Shin, during ICU conference, mentioned a video on EMCrit that showed a technique for placing the esophageal temperature probe using an ETT. Just wanted to share that video with everyone: EMCrit Esophageal Temperature Probe Video The Read more…
Here’s Dr. Kong with today’s Morning Report! Regular Wide Complex Tachycardia: SVT with Aberrancy versus Ventricular Tachycardia Definitions: 1. Wide Complex Tachycardia: HR > 100, QRS > 0.12s 2. SVT with Aberrancy: Tachycardia originating above ventricles, (most commonly AVNRT) with apparent or rate related- conduction delay 3. Read more…
This month’s image is actually a CT scan. Take a look at the video below. 44yo woman presented to the ED. She just got off a plane from St. Vincents. Her chief complaint was fever, altered mental status and abdominal pain. During the course of her ED visit she had Read more…
ANSWER The first thing to note with this EKG is the 3rd degree heart block. As you can see, there is no clear associated between the P waves and the QRS. A good way to do this in practice is to mark the PP interval on the rhythm strip and Read more…
Today’s Morning Report comes from Dr. Fan! The Case: 60 yo M rolled out of bed and hit corner of eye on dresser. On exam, there is swelling with hemorrhagic chemosis. Globe Rupture Mechanism of injury: blunt or penetrating trauma, projectiles, metal grinders, be concerned for globe rupture with Read more…
Thanks to Dr. Caputo for today’s Morning report! Hand Infections Paronychia Recent trauma to the lateral nail fold Acute: History of nail biting or manicuring, finger sucking Chronic: Repeated exposure to water and/or irritants Erythema and pain in early stages, followed by frank abscess formation with increased pain History Read more…
Back with another week of Morning Report! Today’s is courtesy of Dr. Julie. Thanks Dr. Julie!
(A Review on Chest Tubes in the Trauma Patient ) Indications for Chest Tube Placement in Trauma Patients Pneumothorax (simple, tension) Hemothorax Esophageal rupture with gastric leak into pleural space Traumatic arrest (bilateral chest tubes) Quick Caveat: Detecting a traumatic pneumothorax in blunt chest trauma: Ultrasound vs Supine AP CXR- ULTRASOUND Read more…