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Hofstra-Northwell EM are at SAEM17!

Check out all the Hofstra-Northwell EM faculty and residents who will be presenting at the 2017 Meeting of the Society for Academic Emergency Medicine.

Syncope? Aw, Thaaat’s Not Syncope.

What the heck is syncope, anyway? “Oh, you know, it’s when you pass out.” -Okay. After an overnight shift, I usually syncopize for a period of…

LIJ EMconf Extras for Oct 14, 2015

Another round of that FOAM-EY goodness for you all… I. OUTPATIENT PNEUMOTHORAX – Probably not ready for prime time but here’s Sanjay and Mike waxing poetic regarding pneumothorax management. http://www.emrap.org/episode/february2015/paperchase02 II. PNEUMOTHORAX AND PIGTAILS – If you are convinced, here’s how to put in the pigtail III. CORD SYNDROMES – Here’s the quick and dirty synopsis […]

Commandments

Thou shalt treat according to level of risk rather than level of risk factor. Thou shalt exercise caution when adding drugs to existing polypharmacy. Thou shalt consider benefits of drugs as proven only by hard endpoint studies. Thou shalt not bow down to surrogate endpoints, for these are but graven images. Thou shalt not worship Treatment Targets, […]

Hypertensive Emergucation – Part II

  To continue on the ranty but too lengthy exposition of IV blood pressure lowering… Where else does hypertensive emergency get invoked, in my opinion, inappropriately? Let’s continue and go through our top 4 sources of end organ damage so we can see what therapies are indicated: Heart! In association with angina and ACS, the […]

Hypertensive Emergucation – Part I

Overhead: “Level 1 triage coming in to Trauma-B” Me: “Who’s in triage? What are they sending?” Charge RN: “It’s a tachycardic emergency.” Me: “Um, but what is it? What are they here for?” Charge RN: “I just told you! HR was 146.  EMS gave Lopressor x 2 with no relief.” Me: “…” (head explodes- triaged as […]