Today’s Morning Report is courtesy of Dr. Joshi! Blast Injuries: NEJM 2005 DePalma RG, Burris DG, Champion HR, Hodgson MJ. Blast Injuries. NEJM. 2005 Mar 31;352(13):1335-42. PMID: 15800229. How to categorize Injuries: Few bombings in the US – 1995 Okalahoma bombing killed 168, injured 518 2004 Madrid Read more…
Thanks to Dr. Bradby for today’s Morning Report! Parasitic Worms Ascariasis – large intestinal roundworm – 807- 1,221 million people in the world are infected with Ascaris lumbricoides – live in the intestines, eggs passed in the feces of infected persons – eggs get ingested into GI tract, Read more…
Here’s Dr. Kong with today’s Morning Report! Intubation of the Asthmatic Summary: 1. Exhaust all pharmacologic and non-invasive breathing therapies 2. The decision to intubate is usually clinical. 3. Remember good pre-intubation prep. 4. Predicted difficult intubation: hard to pre-oxygenate/ poor O2 reserve/ fast desat. because of hyperinflation, Read more…
Our original case was that of a 59YO F with CP and SOB. She had a significantly abnormal EKG. Here are some additional pieces of information you obtain as part of her workup… Does this affect your interpretation of the EKG? What about the DDx? Her CXR… Her Read more…
Today’s Morning Report is courtesy of Dr. Basile! Delayed Sequence Intubation Why do this? – Standard preoxygenation with NRB mask (65-80% FiO2) for 3 min or 8 vital capacity breaths has been shown to provide a buffer of 8 min in a healthy, non-obese adult patient before desats to Read more…
This months wilderness medicine club meeting discussed a great paper talking about lightning strikes. You can download the paper here: lightning Zina was also nice enough to put together a fast summary of the highlights of this article. Here they are: Wilderness Medical Society Guidelines for the Prevention and Treatment Read more…
Thanks to Dr. Cheng for today’s Morning Report! Here’s the Case: 38 yo M no PMH, construction worker, s/p mechanical trip/fall onto left knee. No medical issues. BIBEMS, ice pack placed. Next steps? Ottawa Knee Rule (OKR) vs. Pittsburgh Decision Rule (PDR) Check out this article: Diagnostic accuracy and Read more…
Here’s this weeks EKG case! Thanks to Niki for submitting the case! This week we’ll try to not just interpret the EKG but use it in addition to other clinical findings to bring us to our diagnosis. 59yo F presents with a chief complaint of chest pain and shortness of Read more…
Here’s Dr. Caputo with today’s Morning Report! Mastering the Tympanic Membrane Normal Anatomy: Acute Otitis Media: Highest risk 2 months – 6 years. Acute inflammation and effusion of the middle ear. Otoscopy should focus on color, position, translucency, and mobility of the TM. AOM causes the TM to Read more…
This is my first attempt to post the papers from our monthly wilderness medicine meetings so please bear with me. Last month Dr. Grock reviewed a nice paper discussing the dangers of messing around with the yellow scorpion. Lucky for us, you won’t find them in this part of the Read more…