POCUS guided LP

Intro Raise your hand if you ever struggled obtaining a CSF sample from a Lumbar Puncture. I “virtually” see that most if not all of you at one point in your career struggled with this. This pearl is inspired by an overnight Elmhurst A-side shift I had several months ago with a patient requiring a […]

ECMO made EZ

Intro For this week’s teaching pearl, I wanted to go back and cover a medical pearl. We always hear the word “ECMO” thrown around but I want to today go into a very brief overview of what ECMO is and why it is being used more commonly. I am going to provide the pearl in […]

 Feedback: The PO trial of Med-Ed

 Intro I am going to switch it up and give a TR pearl on a “hidden curriculum” skill – How to deliver effective feedback. This is loosely based on an EMRA Education Committee feedback workshop that we held at ACEP. Feedback is an essential part of any professional field but can be challenging to provide […]

Tetralogy of Fallot – Hypercyanotic Spell

Intro Case Introduction: You are the overnight Peds EM resident and at 3 o’clock in the morning you get a notification (~5 minutes away) that a 4 month old boy with a hx of Tetralogy of Fallot who is awaiting elective repair is coming in appearing severely cyanotic, crying loudly, and hypoxic to ~40%. After […]

Pressors 101

By Lara Silverman, MD/MPH Emergency Medicine PGY3 Pressors are used in hypotension. Per Scott Weingart, there are three main reasons we use pressors:  Maintain critical perfusion pressors, especially to the brain, heart, and kidneys. Below a MAP of ~50, a person will begin to have altered mental status and below ~40, the brain starts to […]

The Well-Appearing Patient with Acute Dizziness

Lara Silverman MD/MPH, Emergency Medicine PGY3 Dizziness is vague, subjective, and the differential is literally everything from “you’re drunk go home” to life-threatening. Classically, we’re taught that dizziness is separated into 4 categories: vertigo (“room-spinning”), presyncope (“lightheadedness”), disequilibrium (“I feel unbalanced”), and non-specific / other. However, placing a patient in one of these categories relies on a patient’s subjective description […]

Conference Summary: October 5th, 2022

Conference Summary: October 5th, 2022Psychiatry Day  Complied by Lara Silverman MD/MPH, Emergency Medicine PGY3 Alcohol Withdrawal with Dr. Olmedo Intro: The lecture starts with a story about “Jack, who had been drinking for 78 days” and then suddenly stopped drinking. Within 12 hours of his last drink, he became weak, sweaty, nauseous, tremulous, and started having […]

The Venous Blood Gas Panel 101

By Lara Silverman MD/MPH, Emergency Medicine PGY3October 2, 2022 Intro: Turns out most things in medicine are about acid-base disorders. A vent, understanding sepsis, kidney failure, respiratory failure, toxicology: so much of diagnosis and management alike comes down to acid-base. And while we’re not going to talk too much about equations, most of that stuff […]

October 2023