2 weeks ago, I had a patient presenting with an upper GI bleed. Despite aggressive treatment, the patient was still hypotensive and actively bleeding. Unfortunately, the GI fellow was on home call and further than expected from the hospital…
GI
Case: 37-year-old M presenting with obtundation and possible seizure-like activity after a large overdose of sustained-release bupropion (Wellbutrin XL), gabapentin, and other unknown medications. Given the severity of this patient’s…
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…
For more information on ED Pain Management check out the PainFreeED website. Information is taken from a lecture by Dr. Sergey Motov. Follow Dr. Sergey Motov’s @painfreeED Why It Matters Abdominal pain is the most frequent complaint i…
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 mana…
One of the most frequent requests we receive as teaching residents (and probably as senior residents) is assistance with performing paracenteses. By now, all of the EM residents are probably comfortable with this procedure. But, July is com…
