This month’s wilderness medicine meeting took place in Brooklyn Heights and we talked about how to deal with anaphylaxis if it occurs in the out-back. Julie Waldman did a nice job discussing the following paper: Anaphylaxis Wilderness Julie also put a nice summary together if anyone is interested in reading Read more…
This patient was sent from GI clinic with the above EKG. The patient was completely asymptomatic except for occasional palpitations. What would you do if this was your patient in the ED?
Thanks for the responses! Here is the answer and case discussion EKG Interpretation – Rate – 70-80s Rhythm – no discernable P waves. Regular rhythm. No fusion or capture beats to suggest AIVR. Thus, the most likely diagnosis is an Accelerated Junctional Rhythm Axis – Extreme Left Axis deviation with Read more…
Thanks to Dr. McMillan for today’s Morning Report! Here’s the case: Female passenger of MVC presents with abdominal pain. Home pregnancy test just positive. Trauma in Pregnancy: Both blunt and penetrating a significant cause of maternal injury. Maternal Physiologic Changes Plasma volume increase (normal hematocrit of 31-35% Read more…
Here’s Dr. Jegede with today’s Morning Report! Therapeutic Hypothermia It’s benefits are compared to early defibrillation for improving survival in patients post cardiac arrest NNT to improve survival is 7. NNT to improve neurologic outcome is 5 Should be started as early as possible. According to 1 study, there Read more…
Here’s Dr. Aherne with today’s Morning Report! Carbon Monoxide Poisoning – CO: Odorless, tasteless, non-irritating – Formed by the incomplete combustion of hydrocarbons, or endogenously from the metabolism of methylene chloride (paint stripper, aerosol propellants) – Impairs oxygen delivery and peripheral utilization –> cellular hypoxia – Binds to hemoglobin Read more…
Dr. Julie presents his final Morning Report [tear] with a list of important tips he picked up along the way during his time at County. Airway: – Have a few seconds? Review the chart – Tonsil Cancer – Chronic pts/prior procedures/lab (trend) or radiology findings – Always remember your Read more…
“Life is tough enough without having someone kick you from the inside.”—Rita Rudner Thankfully, these teeny kicks don’t cause trauma!! Critical illness, including trauma, actually affects less than 1% of all pregnancies in the US. However, this patient population can be exceedingly complicated due to the plethora of physiologic alterations Read more…