So you’re working a busy resuscitation shift when you are alerted by the triage nurse of a possible stroke with onset approx 1 hour ago. You go assess the patient and you find a 75 yr old gentleman with left sided facial droop, slurred speech, and left hemiparesis. The patient is rushed off to CT […]

Per ACLS guidelines, stable ventricular tachycardia can be treated with either IV Amiodarone or IV Procainamide. Clinically it appears that Amiodarone has been the preferred agent, although both drugs have received a class II recommendation. There is one study in particular, the PROCAMIO Trial, that compares the effectiveness of both drugs and their side effects […]

Tranexamic acid (TXA) is a synthetic anti-fibrinolytic agent used to treat many different bleeding complications. It’s implications in trauma as well as its various routes of administration including orally, IV, and topically have been well studied. However there are rather few studies that detail the benefit of nebulized TXA. One case in particular involving massive […]

The quadriceps tendon attaches the quadriceps muscle to the patella. Tears most often occur just above the insertion on the patella. They more commonly occur in men (8:1 ratio) and patients report hearing a popping sensation doing activities that involve a change of direction while jumping or landing from a jump. Diagnosis can often be […]

So you’re working a Saturday overnight B side shift at Elmhurst. Its 3am and you have a patient in the hallway who looks questionably intoxicated and has been assaulted. Grossly he has no facial or head injuries (no lacs or abrasions) but you walk over to the patient and he is grabbing his jaw. You […]