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December 2, 2018

November Tox Pearls from SBH toxicology

Toxicology Update November 2018 The following study looks to see if targeted temperature management (therapeutic hypothermia) improved hospital survival from presumed overdose related cardiac arrest. Their secondary endpoint was neurological recovery. Although the study of 121 patients found improvement in survival, there was no statistical significant improvement in neurological recovery. ...

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October 14, 2018

September Tox Pearls from SBH Toxicology

Toxicology Literature of Note Here is a fascinating case of a 17 year old male who intentionally ingested 800 tabs of diphenhydramine and developed cardiovascular collapse. ECMO was initiated and he ultimately survived without neurologic deficits. Also interesting is that he had a biphasic clinical course, with an initial improvement ...

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September 18, 2018

SBH EM Question of the Week for September 16, 2018

A 75 yo male with a PMH of HTN, HLD, DM, and PVD presents to the SBH emergency department with slurred speech and right sided weakness x 2 hours.  He is awake and alert on arrival with a glucose of 122. The patient undergoes a non-contrast CT of the brain ...

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September 15, 2018

August Tox Pearls from SBH Toxicology

Toxicology Literature of Note Ketamine for everyone, when used with Ativan Severe alcohol withdrawal can be complex and difficult to treat, especially when the patient is resistant to BZD. The follow study looks at the use of ketamine as an adjunct to lorazepam for patients admitted to the ICU for ...

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September 10, 2018

SBH August Ultrasound of the Month

EMS calls ahead for a 35 year old male found altered and hypoxic in his apartment. Upon arrival, you note he is febrile, hypotensive, hypoxic on 100% oxygen to a spO2 of 70%. You decide to intubate after initiating fluid resuscitation, pressor support, and broad spectrum antibiotics. Your differential is broad and ...

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July 31, 2018

July Tox Pearls from SBH Toxicology

Toxicology Literature of Note The study of toxicology includes occupational and environmental health issues. Although possibly not as relevant to emergency medicine, the health effects from microplastics are something that every physician should be aware of. This short editorial defines microplastics and their effect of our marine life, with some ...

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July 30, 2018

SBH July Ultrasound of the Month

A 30 year old female presents to the emergency department with right lower abdominal pain. No vaginal bleeding. Her vitals are: HR 101 BP 115/70 RR20 O2 100%. Upreg: positive As she seems to be quite uncomfortable, you decide to perform a bedside ultrasound. Having learned that free fluid in ...

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July 28, 2018

Cadaver Lab Day 2018

The EM residents participated in another amazing cadaver lab day at NYIT/NYCOM on 7/25/18.  Stations this year inclueded: 1) Cricothyrotomy (needle, formal, bougie) 2) Chest tubes 3) Transvenous pacing 4) lateral Canthotomy 5) IO’s Many thanks to Dr. Attaalla for organizing and NYCOM for hosting!      

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July 17, 2018

SBH EM Question of the Week for July 16, 2018

An 45 yo male patient presents to the SBH Emergency Department 3 days after undergoing chemotherapy for treatment of lymphoma.  The patient complains of fatigue, muscle cramping, generalized weakness, and palpitations. You suspect tumor lysis syndrome. You immediately order an EKG and start IV fluids.  What are the four most ...

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July 3, 2018

SBH June Ultrasound of the Month

A 35yo Male presents to the emergency with 1 day severe right flank pain that has since started becoming worse in the right lower quadrant. It came on suddenly and is much more intense at times. On exam, he is nontoxic in appearance, afebrile, and mildly tender in the right lower ...

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