A young woman presents to the Emergency Department with chest pain of sudden onset while blowing up a balloon at her kid’s birthday party. Vitals are normal but due to slightly decreased breath sounds on the left, you are concerned fo…
Nurse: Doctor, this patient is a tough stick. I tried 3 times and I got nothing. Can you help? Doctor: Sure! I’ll grab the linear ultrasound vessel finder and get that line in for you, thereby potentially saving this non-critically ill pati…
Your 14 year old male patient fails the Ottawa Knee or Pittburgh Knee clinical decision tool after gettting whacked in the knee with some object of some kind or another. He’s tender near the tibial tuberosity and he refuses to extend…
A 75-year old man comes to your Emergency Department with an acute onset of left sided weakness and a facial droop. His NIH Stroke scale is 15. A stroke alert is called and the stroke fellow and her team race-walks to the Emergency Departme…
A 60 year-old male patient with a history of hypertension is BIBEMS with his spouse two hours of sudden onset memory loss. She noticed he began asking her if she wanted coffee every 3 or 4 minutes, apparently not remembering he had already…
by @benazan I have been surprised by the lack of pain in some patient with hip fracture. Most I have seen seem to be fine as long as the remain perfectly still. However, how often does that happen? After x-rays, multiple attending and resid…
by @BenAzan Over the last several months, the Mount Sinai Emergency Department has been implementing TeamSTEPPS to improve the workflow, communication and operations in the Emergency Department. What is TeamSTEPPS? It’s essenti…
By @BenAzan What pearl could I possibly find worthy of continuing tweets and dissemination? The last two posts, one of which was retweeted by both @M_Lin and @precordialthump (thanks!), are a tough act to follow. So first I thought about ma…
By @BenAzan Today’s post on Resus.me by @cliffreid was yet another reminder of how challenging (if not impossible) it is to predict a difficult airway. The study he quotes (1) looked at ~188000 intubations by anesthetists in Denmark….
As the year is coming to an end, a great place to look for inspiration for 2015 is Academic Life in Emergency Medicine’s series “How I work Smarter“. I’ve been reading these and wanted to share some highlights. The f…
A nurse hands you this EKG with a concerned look… She say it’s a 35 y/o man who is coming in for shortness of breath and palpitations since last night. The next question you ask is vitals? Yes! BP 96/57, HR 201 ,RR25, pO2 99 on…
Despite the fact that some at Sinai believe that social media is not essential for your education, others think it’s critically important. The concept is called FOAM for Free Open Access Medical education. You can read a full history…
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 a…
Question: -In acute stroke, does the addition of intra-arterial management improve outcomes compared to usual care? Methodes: -Multicenter, randomized, open-label (but blinded end points) in the Netherlands. 502 patients in 16 centers. -Co…
Your 60 year old patient says he feels horrible. Fever, chills, body aches. His grandson has similar symptoms last week. His exam is significant for fever of 102, P105, 140/76, SpO2 97%, upper respiratory congestion, with clear lungs, norm…
