Conference FOAMed 9/23/15
Here’s round 2 of conference FOAMed. I didn’t get any feedback on round 1 (http://theempulse.org/conference-foamed-72215/) but I figured that people are hungry for a bite of the online knowledge apple. I. SICKLE CELL DISEASE – http://epmonthly.com/article/sickle-cell-10-things-every-ep-should-know-about-scd-/ This little article emphasizes many of the points that Dr. Ramnarine hammered home today. Remember that sickle cell whacks […]
Achilles Tendon Rupture, by Dr. Joshua Guttman
Case: A 58 year old male with no significant past medical history presented to the ED complaining of pain to the back of the left ankle for 2 weeks. He is on no medications and is a non-smoker. His injury occurred when playing handball 2 weeks earlier, where he felt a sudden pain to his […]
A case of asymmetric gallbladder wall thickening
Case: A 50 year old female with a history of only iron deficiency anemia presented to the ED with 5 hours of a gradual onset of epigastric pain radiating into the chest as well as nausea, associated with one episode of vomiting. She had never experienced similar pain. Her ECG was normal and her […]
Journal Club for LIJ #EMconf – Sept 2, 2015
Two examples of the Therapeutic Hypothermia/Targeted Temperature Management discussion on FOAM: 1) Reports of therapeutic hypothermia’s death are greatly exaggerated by Dr. Chris Nickson/LITFL 2) EMCrit Wee – The Targeted Temperature Trial Changes Everything by Dr. Scott Weingart/Emcrit The articles for the 9/2/15 Journal Club: PGY1:PGY2: PGY3: PGY4:
Conference FOAMed 7/22/15
Here’s 5 great links to expand your mind if you want to go deeper on any of the topics we covered in conference today… I. PERICARDITIS Amal Mattu spits about a lesser know sign of pericarditis, the SPODICK SIGN: https://youtu.be/rR5ZYRTjY4A II. MYOCARDITIS/PERICARDITIS If it looks like pericarditis, sounds like pericarditis, but makes troponins, then it’s probably myo(peri-)carditis. […]
Pearls from Dr. Amal Mattu Speaking on Advanced Arrhythmias
Dr. Mattu came to speak at the North Shore-LIJ Emergency Medicine Grand Rounds today. This is the lecture’s twitter feed, Storified. [View the story “Dr. Amal Mattu at LIJ – Storified” on Storify]
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, […]
THE Rules
Apologies to the Fat Man and the Velominati: We are the keepers of the house of medicine. Others have fallen by the wayside, but we are the salaried employees with no skin in the game, slaves to the shift schedule, acolytes of the Suk school, Sisyphean laborers who take care of anyone, for anything, at […]
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 […]
