A Killer Diagnosis- Aortic Dissection

tl;dr – Story Time (<5 minutes) Patient is a 59 year old MTF with a PMH of HIV (undetectable viral load) and HTN (on amlodipine) BIBEMS for evaluation of “pinching” chest pain and right flank pain. EKG in triage revealed sinus bradycardia – HR 55 with a BP 130/70s. Patient was well appearing, endorsed chest […]

Chaotic Energy: A-fib RVR

Intro: You are at Elmhurst and it’s your first cardiac shift ever. EMS rolls in, “Hey Doc, this patient is in a-fib.” The patient’s heart is beating fast. Your heart is beating fast.  He is a 70 year old patient with a PMH of HTN, CKD, and COPD presenting from the nursing home with SOB. […]

Mount Sinai and Elmhurst Haiku (Epic) Access

Here is a quick tip to swap between Mount Sinai and Elmhurst Haiku on your phone (iOS):Go to settings and search or scroll down to Haiku Under “Connection Settings” input the following “Server” and “Path” inputs for the respective site. Mount Sinai Server: epicsoapproxyprd.mountsinai.orgPath: interconnect-haiku-prd Elmhurst Server: epicproxypda.nychhc.orgPath: hhc-haiku Now you’re ready to re-login to […]

Paxlovid: The Need to Know

Why Paxlovid: According to Pfizer’s clinical trial data from 2021 (participants enrolled by 09/29/2021) which it used for FDA approval, subjects who took Paxlovid were 89% less likely to develop severe illness and death from COVID than those taking a placebo. Grain of salt here includes:  In the original study, participants took Paxlovid within 3 […]

September 2022