When the pressure is high: elevated blood pressure in pregnancy & postpartum

Posted on by Kyle Remy

Almost 10% of pregnant women have hypertension:Pre-existing: 1%, Gestational hypertension: 5-6%, Preeclampsia: 2% Chronic hypertension (in pregnancy): systolic BP 140+ or diastolic BP 90+ began before pregnancy – severe: if systolic >160 or diastolic >110-diagnosed before pregnancy week 20 (or if persists >12 weeks after delivery)-increased risk of pregnancy complications: placental abruption, preeclampsia, low birth […]

Which Line is Sublime?

Posted on by Kyle Remy

Let’s talk about large bore/central vascular access! We’ll review different kinds, their different names, and when to use them!Of note outside the scope of this review: how to insert each of these – I think this is better learned by watching videos, watching others, & doing with guidance.This is also by no means a comprehensive […]

Supraorbital block, Avir’s Decision-Making Gospel

Posted on by Jacob Ziff

Today is a 2 parter: 1) The Supraorbital (+supratrochlear) block for forehead lacs and 2) Comments on decision-making TNF at Ethyl’s 84th and 2nd again, 8 PM TLDR: The Supraorbital block will save you time and make your life easier/patient happier – WATCH THE 3 MIN VID; We are DECISION MAKERS – make decisions, learn from them, READ THE ATTACHMENT, get […]

Elmhurst Radiology Tips

Posted on by Jacob Ziff

“Hey let’s get bed 3 over to CT quick” “Any word on bed 3’s scans?” “Why hasn’t bed 3 gone to CT yet?!?” We’ve all been there. Here are some tips and tricks on how to work effectively with our radiology colleagues. TLDR: Be polite, check the GFR>30, make sure the line works, get charge involved, use the […]

Lac washouts done the right way

Posted on by Jacob Ziff

We know how important it is to wash out our patients’ wounds, but we also know what a pain and mess it can be, especially on a busy side. This is a quick pearl that was handed to me as an intern (I believe by our very own Dr. Erena Weathers) that has been an everyday GAME […]

How to win friends and influence people: NURSING EDITION
Posted on by Jacob Ziff

The relationship you have with your nurses will make or break you. You want need to have a strong working relationship with them. Here are some tips on how to do this, featuring amazing advice from ‘a washed up ex-ED nurse’ – our favorite and still family Molly Sullivan (now in the CCU). Also featuring advice from a handful of […]

Thyroid Storm Management
Posted on by Teaching Resident

TR Pearl: Thyroid Storm Management Diagnosing Thyroid Storm:  Management Things to keep in mind For patients in thyroid storm or impending storm If thyroid storm for sure, add glucocorticoids. They reduce T4 to T3 conversion. Other treatment considerations: 

Fever in the Asplenic Patient
Posted on by Teaching Resident

Fever in the Asplenic Patient Why we care Patient population Role of the spleen Top Infectious Ddx Management **The single most important thing you can do is obtain blood cultures and administer empiric IV antibiotics without any delay** Antibiotic Choice  Other treatment considerations Diagnostics Disposition: Admission for a minimum of 72 hours

Meconium Aspirator in GI Bleed
Posted on by Teaching Resident

This week, I wanted to touch a bit on Meconium Aspirators as apart of our GI Bleed intubation tool kit. At some point during second year, many of my fellow classmates and I started throwing these into airway boxes at Elmhurst. Especially in cardiac/resus, I think knowing to reach for one when you need one […]

PEG Tube Dislogement
Posted on by Malisha Shah

Why is this a pearl? We get G-tube dislodgments quite often at Sinai, and they can be an easy patient encounter with a quick note and quick dispo. But they made me so nervous as an intern and early 2! Now I love ‘em and you can love ‘em too!  ** GJ-tubes or J-tubes do not get […]

Asthma and Redlining
Posted on by Julissa De La Cruz, MD

“Take a deep breath and hold it. Now without exhaling, try to breathe in again.” We were in the cardiac room, discussing a young man that had died a few hours before we came onto our shift. He had been brought in after he was found in the subway with albuterol inhalers all around him. […]