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Boston City EM

Happiness Crumb

By: Allie Gips, MD  It is hot and I am tired and I am walking out of the hospital feeling angry when the man yells to me. That’s a big chip! I am eating a rice cake. It’s a rice... 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 →

The Many Paths to Critical Care Fellowship

By: Dr. Travis Manasco and Dr. Matthew Tyler Over the past 5-10 years, critical care has become a popular fellowship choice after emergency medicine (EM) residency training.  Many EM physicians enjoy performing procedures and taking care of critically ill patients.... 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 →

Move Faster

By: Eric Devries, MD “Move faster” It’s my constant inner monologue. When I was a kid I hated mowing the lawn. It wasn't the task;  it was the noise. Noise has always put me on edge. My pager has to be... Continue Reading →

Trauma 3

Photo Credit: Ben Grimmnitz, MD By: Allie Gips, MD  For ten minutes my gloved fingertips brush against the chubby fold where your leg smushes into your abdomen. For ten minutes I poke and poke at your cold skin while your body... Continue Reading →

Tuesday

By: Ellie Wallace, MD Alone. Empty room. Alarm goes off, shower, coffee, run to the bus, get to work. Sorry for the long sign-out, sorry the board is so long. Man with leg swelling, can’t afford his medications, now needs dialysis.... Continue Reading →

Night School – BNP

An evidence based analysis of the commonly ordered and frequently misunderstood lab test: BNP. First post in a new series titled: "Night School" at the Old Boston City Hospital, by emergentologist, educator and nocturnist: Dr. Steve McGuire. There are only a few... Continue Reading →

SOB with clear lungs: POCUS for the win!

Case: 49 year-old woman with past medical history of HTN presented to the ED with approximately four days of malaise, myalgias, a feeling of “coming down with something” accompanied by mild shortness of breath.  She developed dyspnea while climbing stairs... Continue Reading →

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