Thanks to Dr. Lau for today’s Morning Report (presented on 4/13/2012)! Here’s the case: 26 day old female brought in by mother for increased crying and fussiness Vitals normal: T 98.9, RR 44, HR 130, BP normal PMH: NICU stay until 6 days ago – ex-35 weeker on methadone Read more…
Special thanks to the SIM team and all those who participated in our Sim Throwdown/ Rumble/ Battle Royale. Congratulations to Drs. Aherne, Kendall and Grock for winning our first Sim Competition! Take home points from the simulation cases: 1) When you see a difficult airway, LOAD THE BOAT early! Get Read more…
Dr. Kazzi presents some clinical pearls about preoxygenation for today’s Morning Report (originally presented 4/10/2012): Preoxygenation Physiology of Preoxygenation: Preoxygenation extends the duration of safe apnea (defined as the time until a patient reaches a saturation level of 88-90%) Below 88% patients are on steep decline of O2 saturation curves Read more…
Today’s Morning Report is courtesy of Dr. Melendez (presented 4/12/2012). Follow the along and think about how you would handle this scary presentation. A mother brings her 9 day old infant in because “she has not urinated in the past 12 hours and she is very sleepy”. VS: BP70/30, Read more…
As per Dr. DRE it’s the next episode: It continues in the trauma bay. A trauma code is called and the room is suddenly full. The initial survey is done. It turns out that the patient is not as bad as the notification phone had said. He has been hit Read more…
Answer and ECG submitted by Dr. Eli Brown. Thanks Richie/Shin. Good work in spotting the “widow maker. “ I would like to point out that this patient actually has poor R-wave progression. That, along with the QS complexes (III, aVF, V4), should raise suspicion for a subacute to chronic Read more…
Thanks to Dr. Guy for today’s Morning Report (presented on 4/9/2012)! Central Retinal Artery Occlusion Epidemiology: 55% mortality rate over 9 years 2% bilateral involvement mean age 62 Pathophysiology: emboli in retinal artery/ branches ophthalmic artery from intraorbital branch of internal carotid artery ischemia and edema irreversible cell injury Read more…
Welcome to this week’s edition of Wednesday Wrap-up! There was some great lectures this morning making it very tough to pick a topic to focus on but I think the subject that generated the most discussion was palliative care in the ED. Thanks Dr. Tan for a great senior lecture. Read more…
Today’s Morning Report is thanks to Dr. Willis with some clinical pearls about strangulation/hanging injuries: Strangulation / Hanging injuries Mortality: Death from injury to spinal cord or brainstem, mechanical constriction of neck structures, bradycardic cardiac arrest (carotid sinus stimulation and increased vagal tone) Types: Complete –> feet Read more…
Thanks to Dr. Brothers for putting together today’s morning report (which was presented on 4/2/2012)! Here’s the case: 35 yo F history gastric bypass surgery 7 years ago presents with severe epigastric pain. Denies N/V/D. Has been constipated for past 2 weeks, hasn’t been taking her bowel regimen for past Read more…