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 – Anaphylaxis
ANAPHYLAXIS By: Hima Khamar, PGY3 4-year-old female presents to ED with parents due to 1 week of cough, fever, congestion, irritability, and decreased PO intake. CXR shows RLL pneumonia, patient is started on Ceftriaxone. 5 mins after the initiation of Ceftriaxone infusion, patient begins to complain of itchy scalp, starts coughing uncontrollably (much worse than…
Case of the Week COW #21
Resident: Yenisleidy Paez Perez CC:“I”m bringing in my son. He has been having tooth pain since last night, and I gave him Tylenol but then he seemed to pass out and had white stuff at the mouth and his face and hands look blue” HPI: 5-year-old male presents to ED brought by his mother today after…
Emergency Medicine Symposium – Seventh Annual St. Joseph�s Regional Medical Center
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…
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…