This month’s post goes out to the new doctors in the department welcome! Congratulations! You made it graduating from medical school and matching into one of the best emergency medicine residency programs in the country. Here are just a few tips to help you get started with good habits. Read more…
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. Regan for putting together this summary of our last EM Critical Care conference! The Case: Man found unresponsive underneath subway train with right hip dislocation, electrocution by third rail, multiple burns and rhabdomyolysis. Electrical Injuries Voltage: -High voltage is >1000, low voltage is <1000 -Outlets Read more…
For those of you not in conference last Wednesday, there was a brief review of Rhabdo that listed bicarb as a potential treatment. Feeling like the junior that I was (but of course am no longer), I was hesitant to speak and, instead, waited anxiously for an official senior or an attending Read more…
Thanks to Dr. Desmond for today’s Morning Report! Pediatric Thoracic Trauma Thoracic trauma in children is relatively uncommon. Usually from high force injuries such as falls or motor vehicle accidents (75%) and is usually blunt. When in isolation, mortality rate is low, however it TRIPLES when accompanied by head Read more…
Last week Dr. Paulson discussed this excellent review that went over the manifestations, pathophysiology and treatment of heat related illness. This paper can be found by clicking here. The Evaluation and Management of Heat Injuries in the Emergency Department Dr. Paulson was also gracious enough to summarize that article in Read more…
Today’s Morning Report is courtesy of Dr. DiMare! Color Change Capnography How does it work? pH based REVERSIBLY reacts with expired CO2 purple with ETCO2 < 3mmHg yellow with ETCO2> 15mmHg How good is it? – nearly 100% specific (97-100% different studies, different devices) WHEN USED PROPERLY Read more…
Recently, I reviewed a pediatric spinal trauma case. The recommendation for steroids was the most controversial part of the case. One service recommended it, another didn’t. One service from another hospital where the patient was to be transferred recommended it, but another service at the same hospital adamantly was opposed Read more…
24yo F presents with SOB, wheezing and chest tightness. Exam shows tachycardia and wheezes. The above EKG is obtained. What is your DDx? Any other information about the patient you would like to know?
Here is the answer for our last EKG: Rate: 300 Rhythm: Sinus rhythm – although the P waves are difficult to discern in the rhythm strip, they are visible in V1. Mapping the P waves in V1 to the rhythm strip, you can see that the P Read more…