Title: Prospective Validation of the San Francisco Syncope Rule to Predict patients With Serious Outcomes Article Citation: Quinn, J. et al “Prospective Validation of the San Francisco Syncope Rule to Predict patients With Serious Ou…
The 52 in 52 Review: The International Registry of Acute Aortic Dissection (IRAD) New Insights Into an Old Disease. Article Citation: Hagan PG et al. The International Registry of Acute Aortic Dissection (IRAD)New Insights Into an Old Dise…
You are once again working your solo overnight shift and Rural General Stand Alone Hospital. In the door walks a 33 yo G6P5 female with abdominal cramping who is 35 weeks pregnant. The labor and delivery service recently closed down and a…
You are working at Rural General Hospital, solo coverage overnight Patient is a 35yo male with no past medical history presents to the ED from home with the complaint of “something in my eye”, he reports blurry vision and seve…
You have just recently started a lucrative position in a small rural hospital in Northern Vermont. In your first week you are working a single provider overnight shift and a patient presents for a laceration to their left hand. Hist…
This series is designed to discuss topics that we might not routinely encounter during our training or how to manage patients we would normally triage to a sub-specialty service. This pearl comes courtesy of an excellent review on emDoc….
The following scenario is based on a case that was seen in the Sinai ED this past week. A 52 yo M with hx of poorly controlled DM and HTN p/w rapidly progressing ulcer over the past 3 weeks of right lower extremity. He has been afebrile an…
Title: “Trial of Continuous or Interrupted Chest Compressions during CPR” Article Citation: Nichol G, Leroux B, Wang H, Callaway CW, et al; ROC Investigators. Trial of Continuous or Interrupted Chest Compressions during CPR. N Engl J…
Must Know Spanish Phrases: We are going to discharge you – le vamos a dar de alta You can go home today – Hoy se puede ir a casa You need to be hospitalized – Necesita ser hospitalizado You have to stay in the hospital…
A 75 year-old male with a history of systolic heart failure, hypertension, diabetes, hyperlipidemia, and COPD presents with complaints of shortness of breath to the ED. he presents with this ECG. A quick look at this ECG demonstrates bradyc…
Inspired by the mysterious and salacious Jon Mishoe. Trying to explain ultrasound via text just won’t work. Instead I will attempt to describe various ultrasound concepts and possibilities and I encourage you to grab ultrasound facult…
Title: “Combined corticosteroid and antiviral treatment for Bell palsy: a systematic review and meta-analysis.” Article Citation: de Almeida JR, Al Khabori M, Guyatt GH, Witterick IJ, et al. Combined corticosteroid and antiviral treatment f…
Hey Guys, welcome to the Sinai Spanish Series brought to you by your TR Zac. I thought I would start with some basics that might help with communication at Elmhurst. Remember if you don’t speak Spanish all important conversation shou…
For our clinical pearl today I thought I thought I would do some basic ECG teaching. This is a real case that I saw with Carlo at Elmhurst in the cardiac room. As always, we will start with a clinical scenario. A middle-aged male with unkno…
The Interscalene Block So, you want to provide local anesthesia to the patient with a broken clavicle or a dislocated shoulder. Maybe there’s a proximal / mid-humeral fracture or an injury over the deltoid. Whatever your needs may be,…
