Here is a case where most to all of the medical history could be obtained from the chest x-ray. Patient is an 81 yo W found apneic and cyanotic and EMS was called and patient was intubated. Patient had never been here before and no history came with the patient. Read more…
Here’s Dr. Willis with today’s Morning Report! Lidocaine Toxicity Epidemiology Inadvertent injection Repeated use of a therapeutic dose Unintentional administration of a toxic dose Pharmacology Amide Toxic dose: 5mg/ml and with epi 7mg/ml Blocks sodium channels (fast in, slow out mechanism) Toxicity potentiated by Med interactions (cimetidine, cipro, Read more…
Today’s Morning Report is courtesy of Dr. Kazzi! Placental Abruption Etiology: Maternal HTN ( #1 cause) , Motor Vehicle Accidents or blunt trauma, cocaine use Classification: 3 Grades of Severity Mild – No/Mild Vaginal Bleeding, slightly tender uterus, Normal maternal BP and HR, no coagulopathy or fetal distress Read more…
Great conference today! In case you missed Dr. Caputo’s senior lecture, go to the Lecture Series page and check it out on our vimeo site (you must know the secret password to view it). Just wanted to use this time to say thanks to Dr. Joshi who blogged on the Read more…
Thanks to Dr. Jegede for today’s Morning Report! Subarachnoid Hemorrhage Headaches make up 2% of all ED visits. Of all those with headaches, only about 1% will have a SAH. Among those with sudden onset headache and normal neuro exam, 10-16% will have SAH. Cause of SAH: Trauma is Read more…
ED thoracotomies were introduced into medicine circa 1900, with endless debate and controversy to follow. It’s a procedure that no doubt can save a patient’s life, as without this “last ditch” effort, mortality would be 100% in a trauma patient left in cardiac arrest. Survival outcomes have been quoted anywhere Read more…
Thanks Dr. Grock and Dr. Freedman for your responses. Sorry for the delay in posting the answer. Before we do get to the answer… a little more of the history: Our patient was is an 18yo F who’s only past medical history if that of an arrhythmia 3 months ago in Read more…
History: 76 year old M with HTN, DM, HLD, Dementia BIBEMS via NH due to complaint of questionable syncope and possibly chest pain (poor historian even through speaking on Cyracom with him – ie Q: Have you ever had any surgeries? A: I worked in the circus and I always Read more…
Mild Traumatic Brain Injury in Children You’re working in the peds ED and the weather outside is just starting to get warmer. Your first patient of the day is a young 2 yo girl with no PMH as per the parents, that was playing in the park when she fell Read more…