Adult Blog

Congenital Pediatric Heart Disease

Congenital Pediatric Heart Disease – Board Review  (PDF with pictures) Basic Pathophysiology Fetal Circulation Have shunts to bypass liquid filled lungs Oxygenated blood from mom goes through placenta into baby via umbilical vein Half the blood goes to liver Half […]

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!

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

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 […]

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 […]