An uncommon injury caused by three or more rib fractures in two places Injury resulting from blunt trauma such as a motor vehicle accident (75%), falls (15%) or direct percussion to the chest Causes decrease intrathoracic pressure, ineffect…
It’s winter and nobody has shoveled the roads; everyone and their mama is slipping. You have a patient with an obvious ankle dislocation and ortho is requesting that you put the patient to sleep so they can yank on the foot in peace w…
Activated Charcoal: A Quick Summary of a Summary inspired by Dr. Ahra Cho With all the Tox VMRs going on, we often turn to activated charcoal as a method of decontamination, but we don’t often talk about how exactly activated charcoal…
You see this EKG for your elderly patient who has just been admitted to the CCU and your eyes open up wide. What is the rhythm(s) below? SPOILERS AHEAD If you thought to yourself “is this complete heart block with a junctional escape…
In addition to his love of ketamine and proper PSA technique, Reuben Strayer has written and talked extensively about ED intubations. Here is his checklist so that you can minimize complications and maximize your success: For more informati…
Courtesy of our Resus nurse extraordinaire Molly Sullivan! Here are some of the specifics about setting up an A-line at Sinai:
I wanted to touch on some cool research that was circulated in the SinaiEM Journal Club WhatsApp this morning inspired by the Journal Feed newsletter. If you have trouble staying up to date on EM research, Journal Feed can help! It sends on…
Case Summary: 22 y/o M no pmh p/w painless jaundice x 5 days in the setting of recent febrile illness 1 week prior and taking Tylenol 1g q6h for several days. Physical exam was positive for jaundice, otherwise normal. Notable lab findings i…
It is now the standard of care to perform focused assessment using sonography for trauma (FAST) early in the evaluation of a sick trauma patient. Historically, there has been far less urgency to use ultrasound to evaluate the medical patien…
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