Steroids for SJS and TEN?
Here’s a quick hit summary of the evidence regarding the use of systemic corticosteroids in the treatment of SJS/TEN
Case of the Week #3 – Why my flap sunken?
Case of the week #3 is brought to us by Dr. Nilesh Patel with a case of an entity that most of us have never heard of before! Check it out
Take Home Pearls from 2017 UM EM Cardiac Arrest Symposium
Check out this review of the key points of each lecture from the 2017 University of Maryland Emergency Cardiology Symposium which was hosted by Amal Mattu, MD in Baltimore, MD. This year’s topic was cardiac arrest.
Antibiotics for chest tubes
If you are cutting into someone’s chest to put a tube in it, should they get presumptive antibiotics? Check this out
Case of the Week #2 – I can’t pee!!
This week’s COTW is about a surprising cause of urinary retention, check it out!
Who got that stank?
Patients that stink can really hinder an ED. It creates a difficult work environment for ED staff and makes nearby patients, families and visitors uncomfortable. Here are a few ways I came across to neutralize the stank
Bronchiolitis!
Not much gets more exciting than bronchiolitis! Check out this quick review of the quick hitting points
Case of the Week #1
Our inaugural first Case of the Week is brought to you by Dr. Kristen Pena with a tricky EKG case!
Getting ready to intubate? Let’s pray they don’t DESATurate!
You head over to bed 44 to meet the BLS crew as they start telling you about an 82 year old man who has been having trouble breathing and is “confused” as per his family. His oxygen saturation when you check is 76% and quicker than you can say “sepsis”, the eager resident has popped …
Read more “Getting ready to intubate? Let’s pray they don’t DESATurate!”
AMA after Narcan – Is it safe?
In comes a 34-year-old male who is obtunded with pinpoint pupils and breathing at five times a minute; likely due to heroin abuse. He wakes up after Narcan is appropriately administered, but now he wants to leave. What is the risk of death if he leaves? Do we restrain him against his will to monitor him …
Habitat for Humanity Day of Service
As a residency we have been wanting to get more involved with our surrounding community instead of just interacting with the residents of Paterson in the ED. A couple weeks ago we went to Habitat for Humanity in Paterson to help with some construction instead of being cooped up at St. Joe’s for conference. Joe …
Recent Pubs
We’ve had a bunch of publications in both peer-reviewed and non peer-reviewed sources over the past few weeks! Check them out when you get a chance: Traficante and Kashani in the Journal of Clinical Toxicology talking about a Massive Calcium Channel Blocker OD McGovern and D’Amore in Annals of Emergency Medicine talking about Peds EM …
Just because she cannot pee, does not mean “No UCG”
Let’s face it, we’ve all done it. And, believe me when I tell you all the cool cats are doing it, too. Of course, I am referring to the use of whole blood to determine a woman’s pregnancy status in the Emergency Department using the urine pregnancy test strip. Did you know that the common …
Read more “Just because she cannot pee, does not mean “No UCG””
TLC: Triple Lumen Complications
Placing central venous cathethers, whether under ultrasound guidance or based off of your landmarks can be difficult and still prone to many complications. With the increased use and now standard of care for placing central lines with ultrasound guidance you would think we are immune to the “catastrophic” complication of an inadvertent arterial cannulation. But does ultrasound make us infalliable? Are there other methods that we can use to confirm venous placement of these large catheters?
Lisfranc injuries
Quick Review of Lisfranc Injuries Lisfranc injures are a spectrum which result in a sprain or complete disruption of the tarsometatarsal joints of the midfoot. They most commonly occur at the base of the 2nd metatarsal with oftentimes subtle or even absent findings on standards x-ray views, especially when they result from low velocity injury. What is mechanism of …