A 19 year-old patient presents to your ED with a nosebleed. His friend states they were in the bleacher seats of an anime convention when he became so aroused that his nose just started gushing blood. He’s been bleeding for about 30 minutes Read more…
Sepsis is no longer defined as SIRS + a suspected source but rather “life-threatening organ dysfunction due to a dysregulated host response to infection”. This is according to the new guidelines released by the Sepsis-3 task force in 2016. By Read more…
No everyone, I am certainly not saying you are not an empathetic person. But as a specialty, we seek individuals who are commanding, adaptable, and facile at moving from one task to the next. In residency, we ask you to Read more…
This month we had a great meeting where Dr. Janairo reviewed the Wilderness Medical Society Practice Guidelines for the treatment of Pitviper Envenomations in the United States. This was a great review article discussing crotalid envenomations and can be downloaded Read more…
It’s the afternoon and three level 1 trauma codes have come and gone. You are sitting in front of your computer schmoozing with your senior who is clearly not listening to you. She is obviously thinking about that job that she got on that other “better coast” with sunshine, Read more…
58 year-old man presents with chest pain: 1) What is the diagnosis and management? 2) What is the patient’s prognosis?
By Jaime Moran MD, PGY-3 Edited by Dr. deSouza Acromioclavicular joint dislocations: the “Separated” shoulder EPIDEMIOLOGY & MECHANISM OF INJURY 9-12% of shoulder girdle injuries More common in males Usually results as a direct blow to the shoulder; less commonly Read more…
Activated Charcoal (AC): To give or not to give? By Dr. Ferrari (Reviewed by deSouza) History of Activated Charcoal 1831 French Academy of Medicine: Tovery takes AC with a lethal dose of strychnine without symptoms 1960s, review article in Journal Read more…
Holy Tick the Inservice is TOMORROW! No time for chatting. Here is a quick review on something that always trips me up: Tick-Borne Infections. Here’s the story: Something-year-old somebody was camping at somewhere sometime ago. They come to you Read more…
We have ourselves yet another fresh mystery case yearning to be milked of its knowledge, so take a gander and see if you know what’s going on: A 52 year-old undomiciled man comes to your ED complaining of 1 Read more…
