April 22nd, 2013

It has been a long, eventful week in the wake of the tragedies in Boston and to honor those who were affected by the attacks, I would like those who are able, to have a moment of silence at 2:50 PM.  To those further interested, below is th…

Pearl April 22nd, 2013

Good morning! Please see above for a response to last week’s tragedy.   44 yo female presenting with nausea, vomiting and abdominal pain. Patient is a chronic alcoholic with no other drug use admitted. Patient is tachycardic to 1…

Sinai Em Pearl 04/11/2013

Oh bother *sigh* its Thursday April 11, 2013. Cloudy today 56 degrees with 30% chance of rain, going down to 44 degrees tonight with 60% chance of rain.      Let’s try to brighten up our day with another wonderful pearl by y…

Bonus Peds Pearl

Summer!! I love summer!! Its a beautiful, gorgeous day in the big bad city! Beware the T-storms later tonight! Thanks to Dr. Elizabeth Weinstein from Indiana University School of Medicine for a riveting and wonderful lecture on potentially…

Sinai Empearl 4/4/13

Vasopressors and Inotropes in the Critically Ill Patient  RECEPTORS:  Alpha-1 adrenergic receptors are located in vascular walls, induces significant vasoconstriction  Beta-1 adrenergic receptors are most common in the heart and mediate ion…

Quick and Dirty- ESCHARTOMY   Full-thickness skin burns result in the formation of a tough, inelastic mass of burnt tissue/eschar. By virtue of this inelasticity, there may be accumulation of fluid within the confined anatomic spaces u…

April 2013
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