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Bi-level Positive Airway Pressure Ventilation- The Very Basics!

By Zaid Altawil, MD Faculty Advisor: Laura Welsh, MD Bi-level positive airway pressure ventilation, known as the BiPAP, has seen widespread use in Emergency departments across the nation as an effective form of Non-invasive Positive Pressure ventilation. We most commonly... Continue Reading →

Night School at the Old Boston City Hospital: Show me the ECG, Syncope in the ED.

There are only a few things I know about the world. Sunrise in the east, sunset in the west. Death and taxes. Cheese is definitely ok to toss on to your baby in a high chair, but probably not ok... Continue Reading →

Night School at the Old Boston City Hospital: Discharging Chest Pain Patients Without Suffering A Heart Attack (You Or Them)

There are only a few things I know about the world. Sunrise in the east, sunset in the west. Death and taxes. Black Friday at one time referred to a SINGLE day that came immediately after Thanksgiving. TL:DR – HEART... Continue Reading →

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 →

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 →

An Approach to Access in Trauma Room Patients

By: Dan Resnick-Ault, MD At Boston City EM, tradition is alive and well in the resuscitation bays, where obtaining vascular access is delegated to a PGY-1 or 2 while an emergency medicine (EM) senior resident ‘runs’ the case (supervised by an... Continue Reading →

Palliative Care in the Emergency Department: Yes, We Can & Yes, We Should

By: Drs. Gips, Jaworski, and Zametkin Case: An 82 year-old female with a past medical history of HTN, DM, CAD and cardiomyopathy with multiple recent admissions presents with shortness of breath. The patient had been admitted one week prior, during which... Continue Reading →

SEP-1: Severe Sepsis by the Numbers

By: William Baker, MD THINK SEPSIS: SAVE LIVES Scope of the problem Approximately 1 million patients in the United States are affected by severe sepsis (SS) annually Most common cause of death among critically ill patients in non-coronary intensive care units (1)... Continue Reading →

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