Boston City EM


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 →


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.

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 →

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