The Case So the radiology resident says to me in disbelief, “you want another lower extremity Doppler when this patient had a negative study 2 weeks ago?” I answered, “Yes. A single one does not rule out DVT.” He asked me where I got that fact, and unfortunately, I could Read more…
We recently had a case of pediatric GU injury after blunt trauma. This inspired me to write a piece on GU injuries. Enjoy! Most GU injuries are a result of blunt trauma. Up to 10% of patients in the ED with abdominal trauma will have GU injuries. They are Read more…
Thanks to Dr. Shin for today’s Morning Report! The Bougie Uses of the Bougie Assistance in endotracheal intubation, especially difficult airways Glidescope caveats The angle of the bougie that we have will not work in a glidescope assisted intubation unless we bend the bougie appropriately to match the angle Read more…
Today’s Morning Report is presented by Dr. Freedman! Troponin-emia 101 Background Compromised of three subunits: T, I, and C Both T and I subunits are highly-specific for cardiac tissue Since 1995, has emerged as the cardiac biomarker of choice Cardiac Specificity Predictable time course Rises above 99th percentile Read more…
Thanks to Dr Schechter for today’s review of the management and ultrasonography of the vaginal bleeder. As referenced, we believe in the discriminatory zone of B-HCG because, well, because we just do. But how helpful is it for distinguishing IUP vs ectopic pregnancy? Read and learn. http://www.ncbi.nlm.nih.gov.newproxy.downstate.edu/pubmed/21310509
Welcome to Save of the Month! where each month we recognize a resident who went above and beyond to make a great save in the ED. Nominations are solicited from the faculty each block and we pick one resident for recognition and embarrassment on this blog. This month’s edition goes to . Read more…
Thanks to Dr. Gichinga for today’s Morning Report! Carbamazepine Toxicity Carbamazepine (5H-dibenzazepine-5-carboxamide) is an iminostilbene derivative with a tricyclic structure. It is an antiepileptic drug widely used for treatment of simple partial seizures and complex partial seizures, trigeminal neuralgia, and bipolar affective disorder. Carbamazepine is absorbed erratically after oral administration because of Read more…
At the last WM meeting, we discussed black widow spider bites. Carl was kind enough to pull a great paper looking at the symptoms observed by a group that saw at 136 such envenomations. The paper can be found here: Black Widow PDF Carl was also kind enough to put Read more…
Here’s Dr. Basile with today’s Morning Report! Case: 60 yo female with pmh of htn, ESRD on HD presents as notification for syncope and hypotension. BP of 75/40, HR of 45. Afebrile Rectally. Bedside sono, no large pericardial effusion. Calcium Channel Blocker Toxicity Epidemiology: – In 1986: Read more…
ED Critical Care Conference: Sept 2013 The Curious Case of AMS with an (initially) Normal CT Head presented by Dr. Andy Grock Case: 24 yo M, no pmhx presents AMS s/p assault. MRI shows Diffuse Axonal Injury. TBI Discussion Severity by GCS Mild >13 Moderate >9 and <12 Severe <8 Read more…