Shoulder Reductions

Posted on by Abia Abia

So today, we’re gonna talk about shoulder dislocations. This should resonate with a lot of you residents considering the weather conditions currently, or if you were worried about what would happen if a certain SuperBowl performer were to have fallen: If a shoulder dislocation is suspected, make sure a thorough neurovascular exam is conducted! Are the […]

Flail Chest

Posted on by Dan McConnell

An uncommon injury caused by three or more rib fractures in two places Injury resulting from blunt trauma such as a motor vehicle accident (75%), falls (15%) or direct percussion to the chest Causes decrease intrathoracic pressure, ineffective ventilation, and pulmonary contusion Pulmonary contusion is causes by small laceration of the alveoli leading to blood […]

Procedural Sedation and Analgesia (PSA)

Posted on by Abia Abia

It’s winter and nobody has shoveled the roads; everyone and their mama is slipping. You have a patient with an obvious ankle dislocation and ortho is requesting that you put the patient to sleep so they can yank on the foot in peace without all that bothersome screaming. Ortho is requesting propofol but you are […]

Activated Charcoal in Brief

Posted on 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 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 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.

SAH and CT
Posted on 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 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 […]

VMR Pearl: Epiglottitis and Stridor
Posted on 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 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 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 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 […]