Morning Report
Morning Report: 1/7/2014
Here’s Dr. McMillan with today’s Morning Report! The Glasgow Coma Scale
Morning Report
Morning Report: 1/3/2014
Here’s Dr. Nordstrom presenting today’s Morning Report! Case: 47 y.o male with history of EtOH abuse, presents with vomiting. VS: 97/52, HR 123 RR 24, Os Sat 98%. On exam the patient has a mildly distended abdomen with multiple dilated veins and spider angiomas. During evalutation the patient vomits Read more…
Morning Report
Morning Report: 1/2/2014
Happy New Year everyone! Morning Report is back with Dr. Paulson presenting the first edition of 2014! Hypothermia: From the sunny beaches and 80degree weather in SoCal, to the frigid wasteland that is our beloved Brooklyn… Skin temp can go down to 90 in cold weather, and down to Read more…
Residency Life
Another “worst headache of my life”?
In the evaluation of SAH in the ED, does everyone with a negative head CT require subsequent LP? On 1/29/14!, we’ll review Perry’s study in BMJ on CT performed within 6 hours of headache onset. Practice-changing? Peruse and decide. Enjoy! and please post your thoughts, comments and questions below. http://www.bmj.com.newproxy.downstate.edu/content/343/bmj.d4277?view=long&pmid=21768192 Read more…
Cardiovascular EM-Critical Care
Levophed-openia
The debate on the treatment of circulatory shock is over(-ish?). Ever since the NEJM put out its big RCT on the treatment of all-comer shock[i], we know that norepinephrine is the vasopressor of choice. Septic, cardiogenic….doesn’t matter. Norepinephrine is superior to dopamine. Bummer, right? Choice of vasoactive agent was so Read more…
Morning Report
Morning Report: 12/20/2013
Thanks to Dr. Shin for a very timely Morning Report! Carbon Monoxide Toxicity Carbon Monoxide: Colorless and odorless and created by incomplete combustion Common sources are automobile exhaust, coal, wood or kerosene stoves Pathophysiology: CO binds reversibly to hemoglobin 230-270x that of oxygen causing functional anemia Half Read more…
Trauma
What is the evidence for pre-hospital spinal immobilization of trauma patients?
Dr. Reisman presents today’s Morning Report! What is the evidence for pre-hospital spinal immobilization of trauma patients? Routine spinal immobilization in trauma patients: What are the advantages and disadvantages? S. Abram, C. Bulstrode The surgeon: journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 1 August Read more…
Wilderness Medicine
Pit Viper Envenomations
We did not had a good article to post to the WM blog this month. However, I realized that I never posted Andrew Koping’s article on Pit Vipers from a little while back. So, here that one is: Pitviper Coagulopathy This article was excellent but if you don’t have time Read more…
Morning Report
Morning Report: 12/13/13
Here’s a Friday the 13th edition of Morning Report presented by Dr. Waldman! The Case: 42 yo F hx of asthma, heavy smoker p/w 3 days of wheezing and SOB. Pt had been admitted for asthma in the past but never intubated. Albuterol and ipratropium were not helping at Read more…
Morning Report
Morning Report: 12/12/2013
Thanks to Dr. Lewis for today’s Morning Report! Coumadin-induced Coagulopathy Coumadin Antithrombic effect: blocks activation of vitamin K → interferes with hepatic carboxylation of coagulation factors II, VII, IX and X → impairs the extrinsic and common pathway Prothrombic effect: Blocks activation of protein C and S Circulating Read more…