- Written by Ethan Abbott
For this week’s question: A 25 yo male with no PMH presents to the SBH emergency department with abdominal pain after an MVC. He undergoes rapid evaluation by the trauma team which includes a FAST exam. The FAST exam appears to have free fluid in the RUQ, but on closer inspection you note a …
Welcome to another exciting edition of the SBH EM Residency Question of the Week! A 45 yo male with a PMH of DM, HTN, and HLD presents to SBH ED with a swollen first digit. He recalls puncturing his finger with a tool he was using to repair his motorcycle. You suspect that patient has …
- Written by Ethan Abbott
A 72 yo male with a PMH of CAD, s/p stents, HTN, DM, and HLD presents in cardiac arrest. Despite multiple attempts at defibrillation, several rounds of medications, and CPR, the patient remains in refractory ventricular fibrillation. Your attending proposes setting up for “double external simultaneous defibrillation.” What is this? Scroll down for answer …
Dr. Duc Tran, PGY-3, has been awarded the Yale/Stanford Johnson & Johnson Global Health Scholarship to travel to Uganda for six weeks! Congratulations Dr. Tran!
- Written by Ethan Abbott
Toxicology Literature of Note This Canadian study looks at 6455 treatment courses with NAC and the incidence of anaphylactoid reactions. 8.2% experienced a reaction, where 75.4% were cutaneous and treated with antihistamines. Over 50% of courses were stopped before the 21 hour completion. Although not a safety study, this paper does highlight that NAC is …
- Published: 05 Mar 2018
Question: Use of intranasal medications such as midazolam, ketamine, fentanyl, naloxone, dexmedetomidine in the emergency department and by EMS are increasing, especially in patients with difficult or no IV access, actively seizing patients, opioid overdoses, or in pediatric patients. How does the intranasal route work from a pharmacological standpoint? What is the typical dosage of …