SinaiEMSinaiEMSinaiEMSinaiEM
  • Faculty
  • Faculty

Blog

pediatric blood transfusion

By Monica Sethi | hematology, Pearl of the Day, pediatrics | Comments are Closed | 18 January, 2019 | 0

So you’re in peds and your patient is anemic. You need to transfuse, but you are confused. How much blood do you give? How fast do you give it? How much: The volume of blood to be transfused may vary depending on the clinical scenario. The transfusion volume is usually 10 to 15 mL/kg. InfantsRead more

Overshot that INR

By Jayram Pai | critical care, hematology | Comments are Closed | 5 October, 2018 | 0

There have been a few cases of supra-therapeutic INR in the Sinai ED recently, and at the request of one of our superstar interns, below you will find a brief set of recommendations regarding Supratherapeutic INR. The following bolded recommendations are for your patients who have no clinically significant bleeding: (These are recommendations based on AmericanRead more

Absolute Lymphocyte Count as a Predictor of CD4

By Angela Chen | hematology, Infectious disease, Sinai Resus | Comments are Closed | 21 July, 2017 | 0

An HIV positive patient presents to the ED but doesn’t know his CD4 count. He hasn’t been taking his HAART and you’re rightfully concerned that he might be susceptible to opportunistic infections. Unfortunately, you can’t find any information about how immunosuppressed he is. Is there a way to estimate his CD4 count? Luckily, there is!Read more

Just a simple guaiac test….but what makes it tick?

By Zachary Kuschner | GI, hematology | Comments are Closed | 7 May, 2016 | 0

Lets be honest: whether you like it or not, it’s a rare day working in the ED when you don’t guaiac someone. To “guaiac them” is of course slang for performing a point of care fecal occult blood test. Its a valuable tool and can yield useful clinical information when used appropriately. But do youRead more

Tumor Lysis Syndrome

By Milana Zaurova | hematology | Comments are Closed | 8 January, 2016 | 1

A young lad with acute lymphocytic leukemia (ALL) shows up to your ED feeling very weak and c/o sever muscle cramps. On further questioning he reveals that he started chemotherapy 3 days ago. Labs show potassium of 6.5 mEq/L, calcium of 6.3 mg/dl and a creatinine of 11.1 mg/dL. How are you going to help this lad? ANSWER:Read more

Six of One, Half Dozen of the Other?

By morrison | hematology | Comments are Closed | 18 August, 2015 | 0

Your patient is a 50 year old male who presents with head trauma.  He takes aspirin daily.  Neuroimaging demonstrates subdural and subarachnoid hemorrhage.  You plan to treat with DDAVP and platelet transfusion.    When ordering the platelets you note that, whereas you are used to ordering a platelet “six pack,” the default order is forRead more

Pittfalls in Dvt Management

By sinaiem | hematology, Pearls | Comments are Closed | 19 December, 2014 | 0

You’re on your last patient of the day, starting to thinking about which type of sushi you’re going to order later, when the ultrasound comes back. Positive study, you were sure of it, after all, the patient had a hx of cancer and 3 days of progressive leg swelling and pain. He looked like this:Read more

Ddavp for Hemorrhage in Esrd Patients

By sinaiem | hematology, Pearls, Renal | Comments are Closed | 5 September, 2014 | 0

CASE: 45F h/o ESRD on dialysis presents ped struck. Pt is obtunded, intubated for airway protection. CT head shows subdural hematoma with midline shift. Neurosurgery is activated. No antiplatelets or anticoagulants. Is this person coagulopathic simply by having ESRD? If so, should we address it with any particular medication?Read more

Head Injury in Hemophilia

By sinaiem | hematology, Pearls, pediatrics | Comments are Closed | 17 December, 2013 | 0

An 8 year old female is brought in by her mother after falling off her scooter one hour ago. She was not wearing a helmet, and hit her head on the ground. Patient and mother deny LOC. On exam, she is well-appearing, playing with her mother’s cell phone. She has a mild hematoma over herRead more

Heme Questions

By sinaiem | hematology, Pearls | Comments are Closed | 21 December, 2012 | 0

Here are some Heme questions for your holiday weekend. Enjoy! 1. A 9-year-old female with mild type I von Willebrand’s disease presents with mild gingival bleeding after her first overly vigorous attempt to use dental floss. She stopped as soon as she noticed bleeding, which is limited to the space between her upper central incisors.Read more

12

Recent Posts

  •  Sengstaken-Blakemore Tube Placement for Bleeding Esophageal Varices
  • Metformin Toxicity
  • Serotonin Syndrome
  • APRV
  • ventilator alarm!

Archives

  • May 2020
  • April 2020
  • July 2019
  • June 2019
  • May 2019
  • April 2019
  • March 2019
  • February 2019
  • January 2019
  • December 2018
  • November 2018
  • October 2018
  • September 2018
  • August 2018
  • July 2018
  • June 2018
  • May 2018
  • April 2018
  • March 2018
  • February 2018
  • January 2018
  • December 2017
  • November 2017
  • October 2017
  • September 2017
  • August 2017
  • July 2017
  • June 2017
  • May 2017
  • April 2017
  • March 2017
  • February 2017
  • January 2017
  • December 2016
  • November 2016
  • October 2016
  • September 2016
  • August 2016
  • July 2016
  • June 2016
  • May 2016
  • April 2016
  • March 2016
  • February 2016
  • January 2016
  • December 2015
  • November 2015
  • October 2015
  • September 2015
  • August 2015
  • July 2015
  • June 2015
  • May 2015
  • April 2015
  • March 2015
  • February 2015
  • January 2015
  • December 2014
  • November 2014
  • October 2014
  • September 2014
  • August 2014
  • July 2014
  • June 2014
  • May 2014
  • April 2014
  • March 2014
  • February 2014
  • January 2014
  • December 2013
  • November 2013
  • October 2013
  • September 2013
  • August 2013
  • July 2013
  • June 2013
  • May 2013
  • April 2013
  • March 2013
  • February 2013
  • January 2013
  • December 2012
  • November 2012
  • October 2012
  • September 2012
  • August 2012
  • July 2012
  • June 2012
  • May 2012
  • April 2012
  • March 2012
  • February 2012
  • January 2012
  • December 2011
  • October 2011
  • September 2011
  • August 2011
  • July 2011
  • June 2011
  • May 2011
  • April 2011
  • March 2011
  • February 2011
  • January 2011
  • December 2010
  • October 2010
  • September 2010
  • August 2010
  • July 2010
  • June 2010
  • May 2010
  • April 2010
  • March 2010
  • February 2010
  • January 2010
  • December 2009
  • November 2009
  • October 2009
  • September 2009
  • August 2009

Categories

  • airway
  • Alumni Follow-Up
  • artifacts
  • best-of-resus
  • Board Review
  • Burns
  • cardiology
  • cases
  • critical care
  • dermatology
  • education
  • EKG
  • endocrine
  • ENT
  • environmental
  • featured
  • geri
  • GI
  • GU
  • hematology
  • Infectious disease
  • informatics
  • Lab medicine
  • neonate
  • neurology
  • news
  • OB/GYN
  • ophthalmology
  • ophthomology
  • ortho
  • Pearl of the Day
  • Pearls
  • pediatrics
  • Pharm
  • procedures
  • PSA
  • Psych
  • Pulm
  • QTip
  • Qtips
  • radiology
  • Renal
  • research
  • Sinai Resus
  • Sinaiem.us
  • Statistics
  • Tips and Tricks
  • Top 3
  • tox
  • Trauma
  • Ultrasound
  • urgent care
  • Wellness
  • Wilderness
  • XRS

Meta

  • Log in
  • Entries RSS
  • Comments RSS
  • WordPress.org
  • Resident Login
  • Schedules
    • Qgenda
    • Schedule Request Form (All Sites)
    • Moonlighting Requests
      • Sinai Moonlighting Request Form
      • Elmhurst Moonlighting Request Form
      • BI Moonlighting Request Form
      • PEM Moonlighting Request Form
      • MSBI Urgent Care Moonlighting Request Form
    • Moonlighting Payment Form
  • PEARL PUSHERS
  • Shift Resources
    • Consent Forms
    • Regional Anesthesia Guide
    • Critical Care Protocols
    • Shout Out Form
    • Checklists
      • Start of Shift Checklists
        • General Start of Shift Checklist (EMUpdates)
        • Cardiac
        • Resus Checklist 5.0
        • Resus
        • Trauma
        • RACC Restocking Checklist
      • Intubation Checklist (EMUpdates)
      • PSA Checklist (EMUpdates)
    • PEM Resources
      • CHOP ED Clinical Pathways
      • StatPearls
      • PEM Database
    • Mental Health Resources
  • Resus
    • Resus Checklist 5.0
  • Ultrasound
  • People
    • Residents
    • Faculty
    • Division of Critical Care
    • PEM Fellows
    • Residency Newsletters
      • Summer 2017
      • Winter 2016
      • Summer 2015
    • Alumni Map
  • Applicants
    • EMIG
      • EMIG EMS Ride-Alongs
    • Residency Applicants
    • MS4 Clerkship Applicants
    • Wellness
      • Resiliency Toolbox
      • Mental Health Resources
      • New York City things-to-do
        • Viewing.NYC
      • Free Write May 2017
      • Other Wellness Information
      • Having Children During Residency – Pregnancy tips for new moms and dads
SinaiEM