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Boston City EM

Night School at the Old Boston City Hospital: My Grain in My ED

There are only a few things I know about the world. Sunrise in the east, sunset in the west. Death and taxes. Jennifer Garner was thinking about migraines. TL:DR – reglan, without benadryl. Decadron before they’re gone. Also try some... Continue Reading →

Old love

I don’t remember much of what happened that day. It was busy, an overwhelming state of chaos in an already overwhelming emergency department. I was called to the trauma bay— another medical resuscitation. She was 80. She was alone. We worked on... Continue Reading →

Conference Learning 1.24.18

Caution in Pediatrics Important medico-legal issues -Recognize high risk cases (i.e. close contact with Neisseria meningitis) -Be wary of unexplained tachycardia! -Avoid discharge diagnoses of "viral syndrome" or "gastroenteritis." Use "fever" or "vomiting" instead. -Considering discharge? Double check, vitals, document.... Continue Reading →

‘Lytics in Sub-massive PE – Part II

EM – Critical Care Journal Club Topic: 'Lytics in Sub-massive PE - Part II Article: Chatterjee, Saurav, et al. "Thrombolysis for pulmonary embolism and risk of all-cause mortality, major bleeding, and intracranial hemorrhage: a meta-analysis." Jama 311.23 (2014). Resident: Thiago... Continue Reading →

MOPETT Review

EM – Critical Care Journal Club Topic: Use of Thrombolytics in Submassive PE Article (2 of 4): Sharifi M, Bay C, Skrocki L, Rahimi F, Mehdipour M. Moderate Pulmonary Embolism Treated With Thrombolysis (from the “MOPETT” Trial). J Cardiol. 2013;... Continue Reading →

Thrombolysis for sub-massive PE

EM – Critical Care Journal Club Topic: Thrombolysis for sub-massive pulmonary embolism (PE) Article: Konstantinides, S.V., et. al. Impact of Thrombolytic Therapy on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. Journal of the American College of Cardiology. 2017. Volume 69,... Continue Reading →

Conference Learning 1.17.18

Sickle Cell Disease Acute Complications -Sickle cell pain: Diagnosis of exclusion! -Fever: Patients are functionally asplenic, prone to sepsis. Give antibiotics. -Chest pain/dyspnea: Acute chest syndrome (leading cause of death), PE -Headache: CVA ischemic (children and older) or hemorrhagic -Abdominal... Continue Reading →

PEITHO Review

EM – Critical Care Journal Club Topic: Use of tenecteplase in patients with intermediate-risk pulmonary embolism Article: Meyer et al. "Fibrinolysis for Patients with Intermediate-Risk Pulmonary Embolism." NEJM 2014. Resident Reviewer: Emily Zametkin, MBBS   Case / Problem Should we... Continue Reading →

A Photo For Your Thoughts?

Monday 3p-11p   You Always Remember Your First Code    Resident Photographer: Ted Mooncai, MD Faculty Editor: Elizabeth Mitchell, MD   What do you think about these photos? Share your thoughts with us below.

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