We had some great senior lectures this morning that touched on a bunch of controversial issues in EM. I wanted to talk more about the concept of fluid responsiveness which has become an increasingly popular topic among the EM sepsis literature, lecture circuit, and blogosphere. Ever since the Rivers article from 2001, we Read more…
Here’s Dr. Harriott with today’s Morning Report. Thanks Dr. Harriott! Leave your comments below.
On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act, which was amended on March 30, 2010 with the Health Care and Education Reconciliation Act and together are known as the Affordable Care Act (ACA). The ACA is the most significant overhaul of the US health Read more…
Today we have a morning report from Dr. Auerbach with a review of intraosseous access! IO: Can I administer fluid rapidly? (up to 42ml/minute!) IO vs IV? Same time for medications to reach central circulation Same delivery rate of fluid as central or peripheral IV when pressurized (which is preferred Read more…
Here is this weeks EKG! Post your reading and your plan in the comments. I’ll post the answer next week!
Thank you to Dr. Meister for today’s Morning Report. Postpartum Headache: In a retrospective review of 95 women with severe postpartum headache, 39% were diagnosed with tension headache, 24% with preeclampsia/eclampsia, 16% with postdural puncture headache, 11% with migraine, and the remaining 10% with serious conditions such as intracranial Read more…
Thanks to Dr. Melendez for today’s Morning Report! Bath Salts Multiple drugs which are difficult to detect on drug screens have been made and used in an attempt to circumvent detection. The use of bath salts in the US has increased considerably over the last 2 years. In Read more…
Let’s face it. As emergency physicians, clearing the C-spine on an injured adult seems like a daily practice. We have evidenced based rules that we can use as guidelines and often if there is any doubt about injury or if the patient is obtunded/unable to accurately give a history, a Read more…
Today’s morning report comes courtesy of Dr. Lau. It begins with the following case presentation: 22 yo m with no pmh BIBEMS for syncope c/o nausea, fatigue, and generalized myalgias. Pt states just returned from a trip to Miami where he was enrolled at a training bootcamp for 2 days and Read more…
Here was our original image: Before we get to the full interpretation here is some background. The patient actually presented to another emergency department after a car accident. They were the back seat passenger on the non-driver’s side and the car was hit on the driver’s side by an ambulance. Read more…