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Intro I am going to switch it up and give a TR pearl on a “hidden curriculum” skill – How to deliver effective feedback. This is loosely based on an EMRA Education Committee feedback workshop that we held at ACEP. Feedback is an esse…
Intro Case Introduction: You are the overnight Peds EM resident and at 3 o’clock in the morning you get a notification (~5 minutes away) that a 4 month old boy with a hx of Tetralogy of Fallot who is awaiting elective repair is coming…
By Lara Silverman, MD/MPH Emergency Medicine PGY3 Pressors are used in hypotension. Per Scott Weingart, there are three main reasons we use pressors: Maintain critical perfusion pressors, especially to the brain, heart, and kidneys. B…
Lara Silverman MD/MPH, Emergency Medicine PGY3 Dizziness is vague, subjective, and the differential is literally everything from “you’re drunk go home” to life-threatening. Classically, we’re taught that dizziness is separated into 4 catego…
Conference Summary: October 5th, 2022Psychiatry Day Complied by Lara Silverman MD/MPH, Emergency Medicine PGY3 Alcohol Withdrawal with Dr. Olmedo Intro: The lecture starts with a story about “Jack, who had been drinking for 78 da…
By Lara Silverman MD/MPH, Emergency Medicine PGY3October 2, 2022 Intro: Turns out most things in medicine are about acid-base disorders. A vent, understanding sepsis, kidney failure, respiratory failure, toxicology: so much of diagnosis and…
By Lara Silverman MD/MPH, Emergency Medicine PGY3October 9, 2022 Intro: Let’s talk about the B-side. The B-side can be a hard and scary place to work for many reasons. Not only are patients agitated or altered, but they also have a high li…
Intro For the first pearl during our reign, I wanted to teach about the most dangerous thing I could think of. Hiccups. There are some dangerous etiologies out there so stay tuned. TR Pearls – <5 minutes – Often benign and se…
tl;dr (<5 minutes) Quantitative end tidal: Partial pressure of CO2 in the gas sample at the end of expiration. You get a numeric value and a wave-form. EtCO2 is typically lower than PaCO2 due to anatomical and pathological dead space. No…
Intro: Stroke is the third leading cause of death and number one cause of disability in the United States. Classically, strokes present with sudden onset focal neurological deficits in a vascular distribution and need prompt assessmen…
Intro You are working a BNT shift at Elmhurst and you pick up a patient who is complaining of neck pain after a fall. Do they need to be in a c-collar? Should you order a CT c-spine? What are the unstable c-spine injuries you are looking fo…
Is this monkeypox? But…what is monkeypox and what does it look like? What else should I consider on my differential? Is there a treatment? What do I do to treat it?
CSF shunts – these are the most common pediatric neurosurgery procedure done in the United States. While very common, these also have the highest rate of neurosurgical complications. About 50% fail within the first year, and the median survival of a shunt is usually 8-10 years, so a patient can expect 2-3 shunt revisions over the course of 20 years.
tl;dr – Story Time (<5 minutes) Patient is a 59 year old MTF with a PMH of HIV (undetectable viral load) and HTN (on amlodipine) BIBEMS for evaluation of “pinching” chest pain and right flank pain. EKG in triage revealed sinus brad…
