Quick Hit – Femoral Central Lines
By Duncan Grossman, DO
Quick Hit – Bougie
By Duncan Grossman, DO
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 baseline) that resolve in 1-2 hours after glucocorticoid therapy. Generally this occurs in patients with …
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 …
Case of the Week COW#16
CC: BIB BLS for “Psych Evaluation” HPI: 46-year-old female w/ PMH of asthma, SLE, RA and seizure disorder presents to the emergency department by BLS for evaluation. Patient states, “I don’t like people accusing me of doing things I didn’t do, I only took 2 Percocet and that’s it!” Patient states that she has been …
Pediatric Pearls – Bronchiolitis
Check out this month’s Pediatric Pearls on Bronchiolitis brought to you by our own Dr. Hima Khamar PGY-2!
Euglycemic DKA
Hi all. I wanted to bring to your attention a great case. The case was a young woman with relative euglycemic diabetic ketoacidosis. This diagnosis used to be quite rare and associated with pregnancy or very poor PO intake. However, with the use of SGLT2 inhibitors (which this young woman was taking) the incidence is increasing. The diagnosis highlights some very important factors about the treatment of DKA.
Case of the week COW #10
CC: Nausea and vomiting and “ I think my sugar is low” HPI: 36-year-old Female with PMH of Diabetes presents to the Emergency Department complaining of multiple episodes of non-bloody, non-bilious vomiting for the past 5 days. Associated symptoms include chills and a mild sore throat. Denies fever, HA, neck pain, chest pain, SOB, abdominal …
ACEP Now Review on LVADs
Check out this excellent review on managing patients with LVADs from this month’s ACEP Now publication which was written by our own Dr. Yenisleidy Paez Perez, DO PGY-3 and one of our newly graduated residents, Dr. Terrance McGovern, DO.
EM Conference Pearls (8/2/17)
Check out Take Home PEARLS from this week’s Wednesday EM Conference! Topics include Asthma/COPD, Sepsis, and mgmt of hemoptysis.
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
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 #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!”