So, of the 83 museums in New York City, here are a handful that are worth spending a day off getting lost inside. Be sure to get a NYC ID if you don’t already have one for discounted tickets. Also, free museum days and times are game changers. Also, also, also, art is everywhere you […]
General Survival Guides Survival Guide Landing PageOfficial Residency Policies & RequirementsWorking in the EDOff-Service & Special Rotations MSH Resources MSH Remote AccessMSH PIT Resident GuideMSH Stroke Resident GuideMSH QPATH (requires MSH internet or VPN)MSH Hospital Care Team DirectoryMSH ED FAQ (Being phased out and not always UTD)MSH Documents (must be on MSH internet or VPN)MSH […]
1. Power on the machine 2. Press the Start & End key to enter the patient data screen 3. Enter exam data: Patient Last: YOUR IBEX initials Patient ID: Patient’s MR# Press Done 4. Select the desired transducer: Cardiac/Abdo: Cardiac, general torso scanning (including FAST, gallbladder, aorta, etc.) Abdo: general torso scanning Small parts: venous access, procedure guidance, DVT, soft tissue ICT: Intracavitary […]
1. Power On the Machine 2. Scan – High-frequency linear probe is optimized for vessels, nerves, and other superficial structures 3. Clean the Probe! 4. Power off the Machine, Plug it in.
Hello! Welcome to Elmhurst! We have linked some frequently used links below. For Off-Service/Out-of-Hospital Residents EHC ED Orientation Critical Reminders Rotator’s Guide Common Resources: EHCED.org – helpful for ED updates, guidelines and forms. Commonly used numbers in the ED EHC Updates and FAQ CONSENT FORMS – all languages (needs to be open on Elmhurst network) […]
Shoutout to this rare but satisfying procedure! Here is a great review of the causes and procedure and a great review from EM:RAP!
Before placementof your Sengstaken-Blakemore tube, your patient should be intubated to prevent aspiration. As this is only a temporizing measure, other services (GI, ICU, Maybe IR) should be notified and start mobilizing for definitive management. Equipement Sengstaken-Blakemore Tube 60 cc syringe Salem Sump Kelly Clamp 2 Three-way stopcocks with caps Lubricant Manometer Water Sharpie Suction […]
Agents that Can Precipitate Serotonin Syndrome Cocaine MDMA Tramadol Cyclobenzaprine Dextromethorphan St. John’s Wort MAOI Fentanyl Treatment for serotonin syndrome involves supportive care, discontinuing the offending agent, and providing the antidote. Sedation with benzodiazepines is important for controlling agitation as well as correcting mild increases in blood pressure and heart rate. Haloperidol and Droperidol should […]
All of this discussion hinges on understanding the origins of air FLOW. A pressure differential or gradient is the key requirement. Tachypnea is the expected response to lung inflammation that produces stimulation of irritant, stretch, and J receptors. Respiratory rates of 25 to 35 breaths per minute should not be viewed as ipso facto justification […]
If you were on a tea & toast diet, how much water would you need to drink before you develop hyponatremia? I haven’t seen anyone work out the numbers before so here are my calculations. And the key to understanding hyponatremia is the renal handling of water. Take-home points #1: water follows solutes ⟶ need solutes […]
As alluded to in the first post, don’t be fooled by a “normal” potassium in the setting of DKA because osmotic diuresis and H+/K+ exchange means that total body potassium is actually LOW. You all know this, but don’t forget to check the potassium before starting insulin. But what about the acidemia? How does that affect physiology? (reminder: […]
