You are setting up for procedural sedation and would like to use propofol. What allergies should you ask of first? (Besides prior propofol allergy) [1]
Dr. Nelson Wong, 2013 grad of the Sinai EM residency, then chief academic resident, came back to his home turf to give a great session on chest pain, with many bonus pearls and concepts about how we learn. What has Dr. Nelson been up to in the last two year? What’s his wisdom for current residents? How […]
[1] Your fellow resident just returned from a long lunch break, raving about how good his meal was. He doesn’t seem to notice, but his breathing is labored and his face and arms are covered in an urticarial rash. What is the most likely condition? mild allergic reaction anaphylaxis scombroid poisoning malingering; he’s avoiding going […]
Case: 32-year-old male brought in by EMS for altered mental status, breathing six breaths per minute. You suspect opioid overdose, what clues you in to the culprit? 1) ECG shows prolonged QTC –> 2) ECG shows widened QRS –> 3) Patient has a seizure while in the department –>
What are some special considerations when placing a central line in a patient with an AICD?
You are evaluating a patient in the trauma bay with a suspected unstable pelvic injury. Without a commercial device, how can you temporarily stabilize it?
Which type of shoulder dislocation is most common- posterior, inferior, anterior? Which x-ray views can you obtain to help you differentiate among these types?
You are asked by the triage nurse to evaluate a pregnant patient whose water broke and is experiencing contractions. Over the course of the next 45 seconds, you find yourself holding a newborn boy. He’s limp, apneic and not making a sound. Besides reaching for the panic button, what else can you do?
You are taking a water break during your resus shift when you hear “clinical upgrade, acute zone 1”. You rush back to see a 60-year-old patient holding a bucket of bright red blood and you find out that he has an extensive PMH including HepC cirrhosis. After handling the initial resuscitation, you consider which additional […]
Your patient arrives by ambulance having a seizure. EMS administered ativan 10 minutes ago. You give a second dose but the seizure continues. What should you do?
