A Clinical Blog by the Emergency Medicine Residents at St. Joseph’s University Medical Center
Silk City Emergency Medicine
About the Residency
Established originally in 2004, our residency program has quickly grown to support the needs of the Emergency Department at St. Joseph’s Regional Medical Center in Paterson, NJ. With over 165,000 annual ED visits…
Pediatric Pearl: UTI (February)
FEBRUARY UTI – Hima Khamar Pediatric Urinary Tract Infection By: Hima Khamar, PGY3 In a previous pediatric pearl, we discussed how to treat febrile infants below 60 days. This pearl discussed management of pediatric urinary tract infection (UTI), but also discusses patients above the age of 60 days with a fever with no obvious source…
COW
Presenting Resident: Katrina D’Amore, PGY4 Chief Complaint: Palpitations Brief HPI: 36 y/o F G4P2012 at 18 weeks gestation presents complaining of palpitations that began this morning. Patient reports a history of “SVT” multiple times in the past and she even underwent ablation in 2012. Patient states that “Adenosine never ever works for me.” Patient denies…
TRANEXAMIC ACID (TXA)
TRANEXAMIC ACID (TXA) By: Hima Khamar M.D., PGY3 Tranexamic acid (TXA) has become a huge asset in the world of emergency medicine when it comes to controlling hemorrhage. The main use in the ED is in traumatic hemorrhage, but there are many other uses for TXA. In this article, I will discuss some of the…
Pediatric Pearl – January PAIN MANAGEMENT & VASO-OCCLUSIVE CRISIS IN SICKLE CELL DISEASE By: Hima Khamar, PGY3 & Dr. Patel, PGY16 Sickle cell disease (SCD) is a common disease process we encounter in the ED. There are multiple complaints related to SCD that patients present with such as: pain, fever, stroke like symptoms, anemia. In this…
Physician burnout
As physicians, we all decided to help others. Those of us in Emergency Medicine decided to help others at their most ill, at the most traumatic moment in their lives, or at their wits end as far as where to seek answers. Sometimes we can help, and sometimes we cannot. Regardless of what their reason…
Case of the Week COW #20
Resident: D’Amore/Clayton CC: “My heart is racing.” HPI: 26 year old male with no past medical history presents to the Emergency Room with complaints of palpitations. Patient states that while exercising at the gym just prior to arrival, he suddenly developed palpitations along with associated lightheadedness. He reported one similar episode in the past that…
Pediatric Pearl
OCTOBER Foreign Body Ingestion – Hima Khamar FOREIGN BODY INGESTION By: Hima Khamar M.D., PGY3 HISTORY WITNESSED or UNWITNESSED Time of ingestion Description of object: Size, Shape, Length, Width Sharp end, similar object for comparison Last meal time History of GI anomaly, surgery or disease Symptoms: FB sensation Refusing oral intake Drooling, dysphagia, gagging Choking…
COW #19
Presenting Resident Nicholas Mota, DO PGY3 Chief Complaint Double vision Brief HPI 30-year-old male with no past medical history presented with acute onset left ocular pain and double vision x1d. Patient states that last night he turned off the light and had immediate symptoms. Patient denies using glasses or contact lenses. Patient has never felt…
Case of the Week COW #18
CC: Shortness of Breath HPI: ALS box call to St. Joseph Wayne ED # 1: 92 year old female from nursing home with PMH of Alzheimer Disease and failure to thrive, RUE DVT on Eliquis with complaints of SOB. BiPAP was initiated in the nursing home with minimal improvement. On arrival, Patient was in severe respiratory…
Case of the Week COW#17
CC: Hand Injury-Job Related HPI: 35 yo otherwise healthy male presents to the Emergency Dept. (ED) with a laceration over the palmar surface of the left hand, proximal to the PIP joint and extending over the MCP joints of the 4th and 5th digit. He sustained this injury at work one hour ago. He is…
Student Clerkship
Our Emergency Department (ED) is one of the busiest in the country and provides an excellent opportunity for medical students interested in Emergency Medicine. Throughout the 4-week rotation students will…