Tue, 10/06/2020 - 2:21am

EM physicians see patients with headaches every day in the ED. The vast majority have a simple primary headache, but a tiny fraction of patients will have a much more serious etiology that might result in death, blindeness, or crippling neurologic complications if not promptly diagnosed. The trick, of course, is picking up on the serious causes of headaches...

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Mon, 10/05/2020 - 5:00am

Admittedly not so much a “basic” concept, but this does bring me back to textbooks and medical school. Having seen this recently in a real patient, thought it was useful to review.  Highlights the importance of a good medication reconciliation!

 

MAOI + tyramine  tyramine reaction  hypertensive urgency/emergency

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Sat, 10/03/2020 - 5:00am

 

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Fri, 10/02/2020 - 3:00am

Its 3am in the ED and you need to call a consult.  What strategies can you use to get great care for your patients and be a good colleague?

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Thu, 10/01/2020 - 7:37am

Does giving bicarbonate during cardiac arrest increase return of spontaneous circulation (ROSC) and good neurological function upon discharge?

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Wed, 09/30/2020 - 7:00am

A 31 yo male presents with left thumb pain after a dirt bike crash.

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Tue, 09/29/2020 - 2:21am

A 69 year old man is brought in by EMS with complaints of chest pain. ALS noted pt to be in sinus bradycardia in the 30s en route. As you approach the room you wrack your brain: what are the common causes of bradycardia? More importantly - will I get to actually perform a transvenous pacemaker i.e. the most highly sought after procedure as an emergency medicine resident?

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Mon, 09/28/2020 - 5:04am

Your two minute review on right and left bundle branch blocks - brought to you by Dr. Kate Billings.

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Sat, 09/26/2020 - 5:00am

A 50 yo female wi

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Fri, 09/25/2020 - 2:01am

A 49-year-old woman was intubated for acute hypoxemic respiratory failure secondary to pneumonia, which was complicated by empyema. She failed extubation and ultimately required tracheostomy for prolonged mechanical ventilation. After transfer to the intermediate care unit, she was successfully weaned from the ventilator for over 24 hours. She tolerated prolonged deflation of her tracheostomy cuff and swallowed water without aspiration. She underwent a tracheostomy tube occlusion test and there was no obstruction to air flow with a size 7 fenestrated tracheostomy tube in place. She is requiring suctioning once every 12 hours. You are assessing her readiness for tracheostomy decannulation and are considering the utility of a capping trial.    

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