Sun, 06/11/2017 - 2:16pm

A High Yield Summary of this week's Posts

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Fri, 06/09/2017 - 9:08am

For all of us who have placed a central line with the seldinger technique, you know that there is a risk that your needle will become displaced when trying to dislodge the syringe and place the guidewire. This causes increased time, multiple sticks, and pure frustration.

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Thu, 06/08/2017 - 6:52am

Looking for a refresher on the management of a potential TB patient?  This weekduring our Infectious Disease module, Dr. Misemer provided us some practical pearls about the management of the TB patient in your ED.  

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Wed, 06/07/2017 - 7:00am

A 55 year old male presents to the ED in respiratory distress with hypoxia, tachycardia, and tracheal deviation. The patient is stabilized after intubation and chest tube insertion. What's the diagnosis?

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Tue, 06/06/2017 - 5:00am
Mon, 06/05/2017 - 12:05am

Summer is fast approaching (woohoo)! For many of us living in endemic areas, that means we need to consider tick borne illnesses in many of our differentials of patients with flu-like illnesses and possibly a rash. Lyme disease and Rocky Mountain Spotted Fever are often the diseases that we remember easily. Below are some pearls to help clinch the diagnosis of some of the lesser known tick borne illnesses or, in some cases, answer a test question correctly!

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Fri, 06/02/2017 - 4:51pm

 

35 year-old male is brought in by family after intentional overdose of unknown substance. He’s unresponsive and has the following EKG. What's the diagnosis and how should it be managed?

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Thu, 06/01/2017 - 6:03am

How comfortable are you with eye complaints?  This week during conference we reviewed the approach to ocular complaints while emphasizing specific can't miss pathology.  Keep reading for some high yield pearls.     

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Wed, 05/31/2017 - 7:00am

A 62 y.o. male sustains an out of hospital cardiac arrest with prolonged CPR and eventual ROSC.  A CT scan of the brain is obtained. What's the diagnosis? (scroll down for answer) 

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Tue, 05/30/2017 - 9:29pm

You evaluate a patient complaining of acute onset of dyspnea with hypotension and hypoxia. You immediately consider the diagnosis of acute massive pulmonary embolism, but despite your best efforts can't get good cardiac windows on bedside ultrasound. Should you administer thrombolytics? Heparin? Send the shocky patient for a CT? Today Dr. Simpkins goes through the steps to perform 2-point compression ultrasound of the lower extremity to evaluate for DVT, an easy and rapid bedside test that may allow for indrect but more rapid diagnosis of acute, massive pulmonary embolism.

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