Blogs

Adrenal Crisis Review

Adrenal Crisis, by Dr Nilesh Patel -Also known as acute adrenal insufficiency or Addisonian crisis -No universally accepted definition. Proposed Definition: Acute deterioration in health status associated with hypotension (SBP < 100) or relative hypotension (drop in 20 mmHg from […]

Trauma Month!

Trauma Month!

We love us some trauma here at Joes! Check out our favorite sources of FOMED that supplemented our Tintinalli readings!   Trauma 1 Cant Miss Readings: RebelEM: Ten Commandments of Trauma Resuscitation http://rebelem.com/ten-trauma-resuscitation-commandments/ RebelEM: Spinal Immobilization in Trauma Patients http://rebelem.com/spinal-immobilization-in-trauma-patients/ […]

Nitrous Oxide in the Pre-hospital setting

Nitrous Oxide in the Pre-hospital Setting By: Gregory Cassidy M.D., PGY3 Nitrous oxide is a colorless, tasteless gas that is administered in combination with oxygen, often referred to as “laughing gas”.  It is absorbed via the pulmonary vasculature following inhalation […]

Resiliency

Resiliency is the human character trait to suffer an insult and return to a state of dis-despair, to return to one’s homeostatic equilibrium. In life we all will encounter problems, errors, disasters. How we deal with it, is how we […]

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 […]

Case of the Week COW #21

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 […]

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 […]

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 […]

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 […]