Wilderness Medicine
Venomous Land and Marine Animals, Poisonous Plants and Heat Stroke
Wrap up of our conference day focused on pediatrics and environmental emergencies.
Rhythm Nation - ECG
How helpful is S1Q3T3 for diagnosing PE?
ECG: NSR @ 90 bpm, normal axis, S1Q3T3 pattern BACKGROUND S1Q3T3 was first described in 1935 in JAMA by Drs. McGinn & White They report a case series of 9 patients with pulmonary embolism (PE) and “acute cor pulmonale” Read more…
Endocrinology Evidence-Based Medicine
Does Fluid Choice Make Any Difference in DKA?
Setting the Scene Your patient is a 21 year-old female with a history of type 1 diabetes mellitus who was brought to the ED by her boyfriend for diminished responsiveness. In a stupor, she is unable to give any history. Read more…
Hematology/Oncology
Old Drug, New Tricks: Tranexamic Acid Use in the Emergency Department
By Yanmen Yang, PharmD What is tranexamic acid? Tranexamic acid (TXA) is an antifibrinolytic agent approved by the Food and Drug Administration in December 1996 as an intravenous injection to reduce hemorrhage during tooth extractions and as an oral Read more…
Pediatric EM
Not your typical pain in the butt: Approach to the female patient with rectal pain
An 18 year-old female presents with rectal pain for one day. She states she was constipated for the past couple days and now has diarrhea. She started to experience painful stooling on the day of presentation. Stools are brown, loose Read more…
EM Principles Orthopedics
Sprains, Strains, and Ottawa Rules
A 40 year-old man presents to your ED with ankle pain. He rolled his ankle while engaged in various slapstick shenanigans involving snow storms, public transportation, and an overweight man who at first seemed oafish and ignorant, but in the end showed himself to Read more…
Case of the Month
Case of the Month 20
Keeping with the pediatrics theme, here is the freshest installment of Case of the Month. A 15 year-old boy with no significant past medical history presents to the Janus ED with chest pain and decreased oral intake over a two Read more…
EM Principles Pulmonology
Tension Pneumothorax – ED Management
It’s Friday night in Central Brooklyn, and it’s your 6th night shift in a row. It’s surprisingly quiet in the critical care/resuscitation unit, and that notification phone still hasn’t rung. Just when you sit down, corner deli coffee in hand, Read more…
EM-Critical Care
Emergency Department Management of Spontaneous Human Combustion
Emergency Department Management of Spontaneous Human Combustion Written by Adam Blumenberg, MD
EM Principles Pediatric EM Pulmonology
Croup
During a slow morning in the pediatric emergency department last week, I decided to pass the time scrolling through puppy pictures on behalf of National Puppy Day. By page 98,3457 of a Google image search for “puppies,” I imagine a Read more…
