Boston City EM

Conference Learning 10.11.17

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 →

Conference Learning 11.4.17

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 →

Thoracic Aortic Aneurysms- Silent but deadly

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 →

When Veggies are BAD for you

By: Joseph Benedict, MD 35 year old female with a history of of IV drug use (last use 3 days prior) complicated by HCV, 2 prior overdoses presents from detox center with 2 days of worsening abdominal pain, malaise, myalgias,... Continue Reading →

Oh, My Aching Aorta

By: Adam Weightman, MD, MBA A 56 year-old male presents at 2 AM complaining of flank pain. He tells you the pain came on gradually over the past 8 hours and he describes it as a dull, aching sensation in... Continue Reading →

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 →

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