A Shocking Idea

Septic Shock and you want me to give Esmolol? Written by Erena Weathers Today’s pearl is a fun one, and one it seems not many have heard about. It is the idea in septic shock you can give esmolol to improve mortality.  “But…

Hair Apposition

A HAT (Hair Apposition Technique) Trick Written by Mike Barsky Lacerations are one of the most common reasons patients present to the ED. Most lacerations require primary closure to avoid infection and achieve a functional and aesthetically…

Moonlighting

Please see the SinaiEM Survival Guide Moonlighting section for a more in-depth review of moonlighting guidelines.If eligible, you get paid $90-110/hr (changes depending on shift and/or location) for moonlighting. To moonlight:1) Check the a…

MSH Consent Forms

General Consent to Surgery/Procedure/Treatment/Anesthesia (Spanish) Consent to Transfusion (Spanish) AMA (Spanish) Medical Order for Life-Sustaining Treatment (MOLST) NYC Healthcare Proxy Form (Spanish) MRI Screening Form (Spanish) DNR: Adu…

What order of operations?

Cefepime + Vanc > Vanc + Cefepime Written by Erena Weathers So you’re in Resus, your very first one. Leibner is yelling, triage is yelling, and your sphincters are *tight*. Suddenly a nurse comes asking about your elderly septic pa…

EHC Consent Forms

General Consent for Procedure/Surgery (Spanish) Blood Transfusion (Spanish) Blank Transfusion (Spanish) Procedural Sedation (Spanish) Central Line (Spanish) Arterial Line (Spanish) Lumbar Puncture (Spanish) Chest Tube (Spanish) Paracentesis…

Mental Health Resources

If you are in need of mental health resources, please find some resources below. Do not be afraid to talk to your chiefs and the APDs/PD if you need additional support. STMH links to 24/7 support and crisis hotlines ACEP Wellness Assistance…