Happy Thanksgiving to all from EM Daily! Hopefully many of you are able to watch some football and spend quality time with your family and friends. The conference pearl for this week is from Dr. Lisa Filippone who explains why you may get a false negative pregancy test. Take a few minutes to read about the Hook Effect...
Do you ever wake up at night in a cold sweat from a nightmare about a shoulder dystocia delivery? This week, our OBGYN colleague Dr. Michelle Salvatore educated us on maneuvers to relieve shoulder dystocia during an ED delivery. Read ahead for her helpful tips so you can sleep easier!
You are caring for a sick patient with an acute COPD exacerbation. What O2 sat should you target? What meds should you give? If you have to intubate, what are the issues you'll have to deal with? This week we glean some valuable management pearls for the management acute COPD exacerbations from this month's Internal Medicine module at Cooper.
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?
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....
This week for our Grand Rounds, Dr. Kate Aberger, MD, FACEP discussed Emergent Suffering in the ED. It is important that Emergency Physicians are aware of best practices when caring and communicating with patients nearing their end of life. Read ahead for useful Palliative Care tips.