EHC Consent Forms

Posted on by Foam Admin

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 (Spanish) AMA (Spanish) DNR/DNI/FHCDA CPORT Consent (Spanish, Arabic, Bengali, Chinese, Hindi, Korean, Polish, Russian) NYC Healthcare Proxy Form (Spanish) Full list of EHC Consents (must be on Elmhurst […]

Put a ring on it … and now what?

Posted on by Foam Admin

Life hacks to ring removal Written by Erena Weathers You have a nice middle-aged lady, she’s been out and about, and sees a cute ring. She puts it on and goes about her day. She hits up some stores, gets some great finds and picks up some almojabanas (the superior cheese bread of Mira Cali) and heads […]

Museums & Art

Posted on by Chandni Pawar

So, of the 83 museums in New York City, here are a handful that are worth spending a day off getting lost inside. Be sure to get a NYC ID if you don’t already have one for discounted tickets. Also, free museum days and times are game changers.  Also, also, also, art is everywhere you […]

Survival Guides & Resources

Posted on by Jason Huo

General Survival Guides Survival Guide Landing PageOfficial Residency Policies & RequirementsWorking in the EDOff-Service & Special Rotations MSH Resources MSH Remote AccessMSH PIT Resident GuideMSH Stroke Resident GuideMSH QPATH (requires MSH internet or VPN)MSH Hospital Care Team DirectoryMSH ED FAQ (Being phased out and not always UTD)MSH Documents (must be on MSH internet or VPN)MSH […]

Using the M-Turbo

Posted on by Foam Admin

1. Power on the machine 2. Press the Start & End key to enter the patient data screen 3. Enter exam data: Patient Last: YOUR IBEX initials Patient ID: Patient’s MR# Press Done 4. Select the desired transducer: Cardiac/Abdo: Cardiac, general torso scanning (including FAST, gallbladder, aorta, etc.) Abdo: general torso scanning Small parts: venous access, procedure guidance, DVT, soft tissue ICT: Intracavitary […]

Elmhurst ED
Posted on by Foam Admin

Hello! Welcome to Elmhurst! We have linked some frequently used links below. For Off-Service/Out-of-Hospital Residents EHC ED Orientation  Critical Reminders Rotator’s Guide Common Resources: EHCED.org – helpful for ED updates, guidelines and forms. Commonly used numbers in the ED EHC Updates and FAQ CONSENT FORMS – all languages (needs to be open on Elmhurst network) […]

 Sengstaken-Blakemore Tube Placement for Bleeding Esophageal Varices
Posted on by Sam Ledonne

Before placementof your Sengstaken-Blakemore tube, your patient should be intubated to prevent aspiration. As this is only a temporizing measure, other services (GI, ICU, Maybe IR) should be notified and start mobilizing for definitive management. Equipement Sengstaken-Blakemore Tube 60 cc syringe Salem Sump Kelly Clamp 2 Three-way stopcocks with caps Lubricant Manometer Water Sharpie Suction […]

Metformin Toxicity
Posted on by Sam Ledonne
The Case: A 50 year old male presents to the emergency room with complaints of shortness of breath. He appears altered, and is not able to provide more history. There is no collateral information available in his chart.  Labs reveal a glucose of 300, lactic acid > 15, ph 6.9, + anion gap. Patient is [...]

Serotonin Syndrome
Posted on by Sam Ledonne

Agents that Can Precipitate Serotonin Syndrome Cocaine MDMA Tramadol Cyclobenzaprine Dextromethorphan St. John’s Wort MAOI Fentanyl Treatment for serotonin syndrome involves supportive care, discontinuing the offending agent, and providing the antidote. Sedation with benzodiazepines is important for controlling agitation as well as correcting mild increases in blood pressure and heart rate. Haloperidol and Droperidol should […]

APRV
Posted on by PrezPaulPeng
(Previous posts: work of breathing, mode of ventilation, ventilator alarms) NOTE: this is NOT a peer-reviewed post (pending) and is continuously under construction on the sinaiem.org website! (Last update: 4/18/20) Airway pressure release ventilation (APRV) was used historically as a rescue mode for ARDS, which is classically characterized by heterogeneous lung injury resulting in uneven [...]

ventilator alarm!
Posted on by PrezPaulPeng
(Previous posts: mode of ventilation, work of breathing) As the ventilator alarm grows louder and louder as you walk closer to the room of the patient you just intubated, you review the "DOPES" mnemonic in your head. Except that in the COVID era, you have to be careful with aerosolization (can't BVM or allow ETT [...]

work of breathing
Posted on by PrezPaulPeng

All of this discussion hinges on understanding the origins of air FLOW. A pressure differential or gradient is the key requirement. Tachypnea is the expected response to lung inflammation that produces stimulation of irritant, stretch, and J receptors. Respiratory rates of 25 to 35 breaths per minute should not be viewed as ipso facto justification […]

mode of ventilation
Posted on by PrezPaulPeng
(Previous post reviewed work of breathing, next post: ventilator alarm) Even though we often place patients on "volume-control ventilation", the goal of this post is to precisely define the mode of ventilation, which is often inconsistently or loosely described. It will hopefully serve as the foundation for characterizing other advanced modes. The mode of ventilation [...]