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Boston City EM

Conference Learning 12.6.17

Dosing the Turkey Sandwich: De-Escalation in the ED Categorizing Agitation 1) Agitated but cooperative 2) Disruptive without danger 3)Agitated delirium -Multiple ways to classify the increasingly agitated patient, pick one that works for your practice. -Consider having a step-wise treatment... Continue Reading →

First Impressions

By: Madeline Brockberg, MD In my eight short weeks as an intern, I have gotten very used to the fact that I will not just be frequently wrong, but I will be spectacularly and imaginatively wrong.  Recently, I met two... Continue Reading →

Night School: ‘Roid Rant

By: Dr. Steve McGuire  Night School at the Old Boston City Hospital: ‘Roid Rant – On the ED use of Steroids.   There are only a few things I know about the world. Sunrise in the east, sunset in the west.... Continue Reading →

Emesis as Nemesis

By: Jordan Spector, MD Case Presentation You are an intern in the ED at BostonCityEM, and you encounter the following patient: 28 year old male with a history of mild asthma who presents to the ED with approximately 12 hours... Continue Reading →

Conference Learning 10.11.17

By: Tom Gill, MD  Hematologic Emergencies: Lecture by Shayna Sarosiek, MD   Disseminated intravascular coagulation (DIC) -Causes: Many...infection, inflammation, malignancy, toxins, liver dysfunction -Microvascular thrombus most common -Work up: Platelets, INR, D-dimer, fibrinogen, PTT -Treatment: Cryoglobulin (if low fibrinogen), FFP (if bleeding), other... Continue Reading →

Conference Learning 11.4.17

By: Jeffrey Rixe, MD One Minute Neuro Exam of the Hand Median Nerve (OK) -Sensory: test 2nd digit light touch -Motor: thenar muscles, thumb pincer grasp, form the "OK" sign -Injury: supracondylar fracture, laceration near flexor retinaculum, carpal tunnel syndrome... Continue Reading →

Thoracic Aortic Aneurysms- Silent but deadly

By: Dr. Zaid Altawil Case Discussion A 40-year-old male with no past medical history presented to the ED 12 hours after a minor motor vehicle collision. The patient’s car was rear-ended by another vehicle. He complains of minor back and... Continue Reading →

When Veggies are BAD for you

By: Joseph Benedict, MD 35 year old female with a history of of IV drug use (last use 3 days prior) complicated by HCV, 2 prior overdoses presents from detox center with 2 days of worsening abdominal pain, malaise, myalgias,... Continue Reading →

Oh, My Aching Aorta

By: Adam Weightman, MD, MBA A 56 year-old male presents at 2 AM complaining of flank pain. He tells you the pain came on gradually over the past 8 hours and he describes it as a dull, aching sensation in... Continue Reading →

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