Thanks to Dr. Regan for preparing this edition of ICU Conference Wrap-up! The Case: Syncope and Polymorphic Ventricular Tachycardia San Francisco Syncope Rule -CHESS (history of CHF, Hct<30%, EKG other than sinus or change from prior, c/o SOB, SBP<90) -If ANY of these are present, pt is high risk Read more…
We’re always talking about reducing health care costs. One of the ways major ways to reduce costs is to stop ordering unnecessary tests. Let’s talk about CT scans for a minute. CT scans can cost anywhere from $300-1500 per scan of the body part for your patient, with CT head Read more…
Welcome to this week’s edition of Wednesday Wrap-up! We had a great conference day including a great discussion on how to deal with anterior shoulder dislocations. Dr. Melton presented an EBM review of the literature comparing intra-articular lidocaine to procedural sedation for reducing shoulders. The evidence suggests that there is Read more…
Here’s Dr. Shin with today’s Morning Report! How to Tap a VP Shunt Ventriculoperitoneal (VP) shunts, which are used to treat hydrocephalus, shunt cerebrospinal fluid (CSF) from the lateral ventricles of the brain into the peritoneum. Tapping or aspirating the shunt is performed to obtain more information for evaluation for 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 (or sometimes three!) resident for recognition and embarrassment on this blog. This edition’s Save of Read more…
This 18yo F presented with one episode of chest pain which lasted a 2-3 minutes, was left sided, sharp and 8/10. Vitals in the ED were BP 112/71 HR 106, RR 18, T98.9. The above EKG was obtained as part of the workup for ACS. Post your questions/comments Read more…
Thanks to Dr. Jegede for today’s Morning Report! Digoxin Toxicity What is it? Digoxin is a cardiac glycoside used in CHF refractory to other meds, atrial flutter/atrial fibrillation. Cause of digoxin toxicity? – Ingestion by children – Intentional suicidality – Dosing error in the elderly (not accounting for renal impairment) Read more…
I always knew about podcasts, but felt that I was not an auditory learner and therefore was reluctant to use it. I would laugh at the jokes, and feel good listening to it. But I didn’t listen to it on a regular basis! To me, learning was reading Rosens, reading Read more…
For those of you who could make it, we had a great Grand Rounds presentation by Dr. Prashant Mahajan from the Children’s Hospital of Michigan on the past, present, and future of evaluation of the febrile child. I will keep it brief but just wanted to share the current ACEP Read more…