Thanks to Dr. Melendez for today’s Morning Report! Rabies Post Exposure Treatment In the United States, there has been an average of two fatal human rabies cases annually since 1980, the majority associated with exposure to bats. Timing of prophylaxis — Rabies postexposure prophylaxis is an urgent medical intervention and Read more…
Thanks for all the responses and sorry for the delay in posting this answer. Ritchie hit it right on the head. The patient was diagnosed with West Nile Encephalitis. The WNV PCR eventually came back positive. While the diagnosis was not made in the emergency department, the treating physician had Read more…
Here is the new EKG. There is a gift card prize to the person with the most complete answer. Look at Dr. Silverberg’s website for a guide on how to answer. Good luck.
Here’s Dr. Basile with today’s Morning Report! Ciguatera Poisoning – One of the most common reported forms of vertebrate fishborne poisonings in the United States (more than half of the reported cases) – Endemic to warm-water, bottom-dwelling shore reef fish living between 35 degrees south and north latitude (Indian Read more…
Is the Physical Exam a relic of the past because our tools are relics of a prior era in medicine? A few months ago I wrote a piece about the physical exam and the importance of actually doing a thorough exam and teaching how to do a good exam. I cautioned Read more…
Thanks to Dr. Lau for today’s Morning Report! The Case: Unknown male BIBEMS after being dragged by street cleaning vehicle for unknown distance, “lost vitals in ambulance bay”. Right side of chest visibly deformed (close flail chest). After definitive airway management, still no access. Tried multiple peripheral IVs, femoral central Read more…
Today’s Morning Report comes courtesy of Dr. Louis! Epistaxis
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 (or sometimes two!) resident for recognition and embarrassment on this blog. This edition’s Save of Read more…
Here’s Dr. Paulson with today’s Morning Report! HYPOKALEMIA Hypokalemia < 3.5 meq/L Moderate < 3 meq/L Severe <2.5 meq/L Up to 20% admitted pts hypokalemic, only 4-5% clinically significant, “severe” uncommon. Presentation: The history may be vague. Often asymptomatic, or symptoms reflect underlying cause. Think about it with Read more…
Welcome everybody to this month’s edition of Staten Island Corner. I recently had a case that we see on a regular basis in the ED that is the motivation for this month’s topic. Supratherapeutic INR is something we see all the time, but it is something that I feel is Read more…