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 in appearing severely cyanotic, crying loudly, and hypoxic to ~40%. After […]

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. Below a MAP of ~50, a person will begin to have altered mental status and below ~40, the brain starts to […]

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 categories: vertigo (“room-spinning”), presyncope (“lightheadedness”), disequilibrium (“I feel unbalanced”), and non-specific / other. However, placing a patient in one of these categories relies on a patient’s subjective description […]

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 days” and then suddenly stopped drinking. Within 12 hours of his last drink, he became weak, sweaty, nauseous, tremulous, and started having […]

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 management alike comes down to acid-base. And while we’re not going to talk too much about equations, most of that stuff […]