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 →
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.
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 →
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 →
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 →
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 →