Bottom line up front: A recent large, high quality meta-analysis reported a significant mortality effect with the use of liberal, rather than conservative, oxygen supplementation. The number needed harm for 30-day mortality was 1 in 126. A modest but relevant NNH given how common oxygen supplementation is in the ER. Consider titrating all forms ofRead more
Blog
Title: “The 52 in 52 Review: Early goal-directed therapy in the treatment of severe sepsis and septic shock” Article Citation: Rivers E, Nguyen B, Havstad S, Ressler J, et al; Early Goal-Directed Therapy Collaborative Group. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001 Nov 8;345(19):1368-77. PMID:Read more
http://sinaiem.org/wp-content/uploads/2016/09/Video2.mp4 When you come across peripheral intravascular air, take steps to minimize further entrainment of air and migration of air to the heart and lungs.Read more
The Mount Sinai School of Medicine recently welcomed its incoming first-year class in its traditional White Coat Ceremony. In a day filled with inspirational talks by prominent faculty and medical leaders, students don their new white coats and receive a stethoscope at a special ceremony attended by family, friends and faculty members. This year, Sinai’sRead more
Congratulations to Sinai’s own Dr. Jim Tsung, who recently coauthored a major evidence-based consensus guideline on point-of-care lung ultrasound. The manuscript is the result of a multi-national effort by pioneering clinician-sonographers, and was just published in the journal Intensive Care Medicine: International evidence-based recommendations for point-of-care lung ultrasound. Volpicelli G, Elbarbary M, Blaivas M, LichtensteinRead more
On November 17, 2011 Dr. Braden Hexom presented research organized by Mount Sinai and conducted at JFK Hospital in Liberia. The project, Evaluation of Novel Obstetrics Ultrasound Curriculum for Local Healthcare Providers in Liberia Bentley S, Hexom B, Nelson BP described a novel ultrasound curriculum developed in concert with providers in Liberia after a needsRead more
On September 28 Dr. Suzanne Bentley presented the abstract: Ultrasound evaluation for appendicitis in children: Can we safely reduce CT scan utilization? Bentley S, Nelson BP, Zahn L at ACEP in Las Vegas. Data on using ultrasound as a first-line diagnostic modality (instead of CT scan) were discussed, with implications for diagnostic accuracy, radiation exposure,Read more
Bret Nelson and Mt. Sinai’s director of Disaster Preparedness and Prehospital Care, Kevin Chason, collaborated on this pilot study on use of Prehospital FAST and Aorta US which showed that paramedics can obtain and interpret these studies.Read more
Visual Diagnosis Case from JEM. Bret and Ted discuss a case of appendicitis confirmed with ultrasound after CT was not conclusive.Read more