You are evaluating a patient in the trauma bay with a suspected unstable pelvic injury. Without a commercial device, how can you temporarily stabilize it?
Which type of shoulder dislocation is most common- posterior, inferior, anterior? Which x-ray views can you obtain to help you differentiate among these types?
You are asked by the triage nurse to evaluate a pregnant patient whose water broke and is experiencing contractions. Over the course of the next 45 seconds, you find yourself holding a newborn boy. He’s limp, apneic and not making a sound….
You are taking a water break during your resus shift when you hear “clinical upgrade, acute zone 1”. You rush back to see a 60-year-old patient holding a bucket of bright red blood and you find out that he has an extensive PMH including Hep…
Your patient arrives by ambulance having a seizure. EMS administered ativan 10 minutes ago. You give a second dose but the seizure continues. What should you do?
Your patient is a 25 year old male with a shoulder dislocation. He needs analgesia, but has a date later and does not want to risk dimming his considerable mental acuity with systemic medications. What to do?
What over the counter opiate derivative can induce serotonin syndrome? (and dissociation)
You are managing an elderly patient with septic shock. The ICU team is requesting ScvO2 measurement to be used in consideration of inotropic support. You are not sure how to make decisions about inotropes based on ScvO2 and wonder: What…
It’s Caturday night and you have a young, healthy male in your ED who dislocates his shoulder for the first time just 30 minutes prior to arrival. He seems like the purrfect candidate to perform a reduction without sedation, a…
All of us have looked a patient’s past medical history, his/her triage note, chief complaint of chest pain, and instantly knew that patient was headed for admission despite a normal EKG and negative troponins. But are we doing more h…
A G1P0 10-week pregnant female presents to the ED with lower abdominal pain and vaginal spotting. She’s had no prenatal care. Being the highly motivated resident that you are, before even the urine is collected and the pregnancy is verified…
Earlier this year at a conference, I met a vendor from the makers of Rapid Rhino who compared the device to the Dad Bod: it’s old and not sexy like this, but it gets the job done and everyone has them (or used them) at some point in…
The traditional teaching (and pre-2013 ACC/AHA guidelines) for a new left bundle branch block (LBBB) on EKG (shown above) is that it is a STEMI equivalent and the cath lab should be activated. However, recent evidence in the last several ye…
It’s 4pm on Monday and you’re the resus resident at Sinai with all 5 beds full and 2 more waiting in the hallway. Despite channeling your inner Stephanie Hernandez you’re still completely overwhelmed. The triage nurse calls yet another resu…
Yesterday, the 7th mortality from legionella in NYC occurred. There have been 71 cases since July 10, all of them in the South Bronx after Legionella was found in cooling towers. This bacteria typically live in reservoirs of water or…
