Thursday

#EMconf: 24 y.o. with Near Syncope

For the final week of our cardiology module, Dr. Lisa Filippone presented a great case.  A 24 y.o. male  playing basketball developed palpitations, lightheadedness, dizziness and almost 'passed out'.  On arrival to the ED the patient looked well and had no complaints except for palpitations:  HR 190, BP 130/70.  Lungs were clear, heart without an audible murmur and neuro exam was unremarkable.  ECG shown is shown.  What is the diagnosis and treatment?   

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#EMconf: Acute SOB

This week at our EM/Cardiology interdisciplinary conference, Dr. Lisa Filippone presented a case of a 75 year old male who presented with acute SOB.  This patient presented to the ED 3 days after a NSTEMI with hypotension and hypoxia.  No injury pattern was identified on his ecg but his CXR was consistent with pulmonary edema.  A bedside ECHO was performed that revealed the diagnosis....

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#EMconf: Serotonin Syndrome

To wrap up our toxicology module, Dr. Sumaya Mekkaoui reviewed serotonin syndrome.  This can be a challenging diagnosis to make and is often misinterpreted as other psychiatric or medical syndrome.  Look ahead for a quick review on the  clinical presentation, drugs implicated in serotonin syndrome, and comparing/contrasting similar toxidromes.  

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#EMconf: The (Dis)Utility of the Urine Drug Screen

The Urine Drug Screen (UDS) is a commonly used test in the emergency department, however there are many shortcomings that limit its diagnostic utility. The Urine Drug Screen is exactly that – a SCREENing and not a confirmatory test!  This week Dr. Lauren Murphy educated us on: 1) the potential false positives and negatives of the UDAS and 2) the detection times that drug metabolites are at a concentration in the urine to trigger a positive result (cutoff value).  Read ahead for the reference tables!    

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#EMconf: Ultrasound vs. CXR for Pediatric Pneumonia

Have you considered using ultrasound to diagnose pneumonia in children?   This week for his critically appraised topic, Dr. Michael Coletta researched whether point-of-care ultrasound is a better imaging study for diagnosing pediatric pneumonia than chest xray.  Read ahead for the details....  

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#EMconf: Shore Retreat! Tips for Discussions With Consultants and Patients

Last Thursday was the yearly Cooper EM residency retreat at the shore in Avalon, NJ. In addition to some spectacular teaching tips on summer emergencies, we had some great small group discussion and role-playing regarding one of the toughest (and least discussed) aspects of our jobs: difficult discussions with consultants, admitting physicians, and patients. Read on for some great interpersonal communications tips (and some pics of the Cooper EM residents hard at work).

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