Resus SinaiEM Blog – Page 6

Activated Charcoal in Brief

Posted on February 2, 2022February 2, 2022 by Alex Tran

Activated Charcoal: A Quick Summary of a Summary inspired by Dr. Ahra Cho With all the Tox VMRs going on, we often turn to activated charcoal as a method of decontamination, but we don’t often talk about how exactly activated charcoal works and why sometimes it doesn’t work. The following is adapted from StatPearls. Indications Toxic […]

A Heart-Stopping EKG

Posted on February 2, 2022February 2, 2022 by Alex Tran

You see this EKG for your elderly patient who has just been admitted to the CCU and your eyes open up wide. What is the rhythm(s) below? SPOILERS AHEAD If you thought to yourself “is this complete heart block with a junctional escape at a rate of 6 and an episode of sinus arrest/pause,” pat […]

ED Intubation Checklist

Posted on January 27, 2022April 27, 2022 by Jason Huo

In addition to his love of ketamine and proper PSA technique, Reuben Strayer has written and talked extensively about ED intubations. Here is his checklist so that you can minimize complications and maximize your success: For more information check out his website with great resources/learning at emupdates.

How to set up an A-line

Posted on January 27, 2022April 27, 2022 by Hashem Zikry

Courtesy of our Resus nurse extraordinaire Molly Sullivan! Here are some of the specifics about setting up an A-line at Sinai:

Sono Rounds: Pulsatile Abdominal Mass

Posted on January 25, 2022January 26, 2022 by Joan Chen

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SAH and CT

Posted on January 25, 2022January 25, 2022 by Alex Tran

I wanted to touch on some cool research that was circulated in the SinaiEM Journal Club WhatsApp this morning inspired by the Journal Feed newsletter. If you have trouble staying up to date on EM research, Journal Feed can help! It sends one paper a day and summarizes it pretty well. To sign up, click here. […]

Painless Jaundice

Posted on January 25, 2022January 25, 2022 by Tamana Ghani and Alex Tran

Case Summary: 22 y/o M no pmh p/w painless jaundice x 5 days in the setting of recent febrile illness 1 week prior and taking Tylenol 1g q6h for several days. Physical exam was positive for jaundice, otherwise normal. Notable lab findings include:HepA IgM positiveElevated LFTs with ALT in 1400sCoags normalAPAP level negativeVBG/BMP normalUS RUQ […]

Anterior Shoulder Dislocation: An Alternative Method

Posted on January 18, 2022January 18, 2022 by Alex Tran

He dribbles calmly at the top of the key. Fakes right, crossover, drives forward, spin move. 2 ankles down, 0 to go. He takes a step and finishes with a huge dunk. Boom, right shoulder comes out. …Alright, so this never happened, but I wanted you to open this article about a technique for anterior shoulder […]

VMR Pearl: Epiglottitis and Stridor

Posted on January 18, 2022January 18, 2022 by Alex Tran

Shoutout to Dr. Anthony Torres who presented a great case on Epliglottis! Here are the main takeaways: Epiglottitis is now primarily an adult diagnosis. The vaccine to H. Flu has largely eradicated pediatric epiglottitis, however this immunity fades! Features: three D’s (not specific) – Drooling, Dysphagia, Distress. (Also, usually no cough, but + Stridor) Inspiratory vs expiratory […]

Management of Abdominal Pain in the ED

Posted on January 14, 2022January 14, 2022 by Foam Admin

For more information on ED Pain Management check out the PainFreeED website. Information is taken from a lecture by Dr. Sergey Motov. Follow Dr. Sergey Motov’s @painfreeED Why It Matters Abdominal pain is the most frequent complaint in United States emergency departments (EDs), accounting for approximately 8% of all adult ED visits (1,2). In most […]

Must Know EM Articles

Posted on January 1, 2022January 3, 2022 by Hashem Zikry and Gwen Hooley

This is a compiled resource for medical students of 52 practice-changing, high yield articleswithin Emergency Medicine. The articles were compiled by the website Academic Life inEmergency Medicine (aliem.com) where they polled academic attendings to compile a list ofsome of the most important articles to read during intern year. Here, we provide summaries ofeach article along […]

To “B” or not to “B”

Posted on December 19, 2021January 1, 2022 by Paul Johnston

An Ode to Bougie Written by Paul Johnston So what’s a bougie? If you already know, skip this paragraph. A bougie is a flexible rod used to aid intubations. During a “conventional” intubation an ET tube with a malleable metal stylet inside is pushed past the vocal cords into the airway, then the stylet is removed, the cuff inflated, voila. Since […]

Rabies

Posted on December 19, 2021January 1, 2022 by Erena Weathers

Is Your Cat Rabid or Just a Psychopath? Written by Erena Weathers First and foremost, rabies due to domesticated dogs in the US is pretty much eradicated. From 1960 to 2018, 127 human rabies cases were reported in the US, and a quarter were due to dog bites in returning travelers, and 70% were due to bats. From […]

Pacemaker Problems

Posted on December 9, 2021January 6, 2022 by Foam Admin

More than just what company makes it Written by Erena Weathers Pacemakers have their own code. Position I: which chamber is pacedPosition II: where the pacemaker senses the intrinsic rhythmPosition III: response to sensing T = Sensed activity results in triggering of paced activity I = Sensed activity results in inhibition of pacing activity Position […]

Dopesick

Posted on December 9, 2021December 16, 2021 by Foam Admin

Opioids and why Written by Erena Weathers Case: you have someone who broke their leg doing a ~*~sick~*~ skateboard trick. They stuck the landing, and their tib-fib snapped. They’re ready to be discharged and you feel like the good ‘ol Tylenol/Motrin won’t be enough to get them through the next couple of days. You decided […]