Hypernatremia

Clinical Scenario:  A 66-year-old male with a past medical history of traumatic brain injury and frequent urinary tract infections sent from his nursing home with hypernatremia. On a routine blood draw he was found to have hypernatremia to…

Low Back Pain Exam

Clinical Scenario: A 28-year-old male with no significant past medical history presents with low back pain for 6 days. His pain started after playing soccer. The pain is severe, sharp, and radiates down the left leg. The pain limits his abi…

Imaging in Intussusception

Clinical Scenario: A 2-year-old female with no significant past medical history presents with vomiting and abdominal pain for 1 day. Among other entities in your differential diagnosis you are considering intussusception, however it is lowe…

Trigger Point Injections

Back pain-related complaints account for millions of visits in emergency departments every year, and all of us have had patients that despite our best efforts aren’t satisfied with their pain control. Trigger point injections of local anest…

2016 Critical Ultrasound Course

On December 4th the Department of Emergency Medicine hosted its 11th hands-on ultrasound course at Mount Sinai. Over forty participants practiced critical ultrasound skills on live models and simulators, guided by a dozen of our faculty and…

How low should you go?

  Hyperglycemia is frequently seen in the ED.  Practice variation is common in terms of glucose reduction for safe discharge.  The question is does improving this number benefit our patients?? Study: Driver, B et al. Discharge Glucose…

December 2016
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