TPA for MI when PCI is not available – recommended so thoroughly it’s in textbooks. TPA for clotted AV fistulas – surgeons do it. TPA in stroke…not going anywhere near it. TPA for PE…Interested? After a lit search…
The Non-Stroke TPA Debate
Author: andygrock
- Resident Editor In Chief of blog.clinicalmonster.com.
- Co-Founder and Co-Director of the ALiEM AIR Executive Board - Check it out here: http://www.aliem.com/aliem-approved-instructional-resources-air-series/
- Resident at Kings County Hospital
Journal Club for 2/11
On February 11th, we will be presenting a thorough analysis of the following New England Journal of Medicine paper: Ultrasonography versus Computed Tomography for Suspected Nephrolithiasis by R. Smith-Bindman, et al. Click here for the article Possible questions to…
US vs the RUQ
By Dr. Michelle DiMare Welcome back and Happy New Year! While the gallbladder itself and the majority of its pathology are usually considered easily identifiable on basic bedside ultrasound, finding the common bile duct often earns top…
Case #7, Answer
Case Recap: Old lady with hypotension, tachycardia and JVD… I think we all agree that this person is sick. Prior to pondering the wide differential do the Basics: 2 Large Bore IVs, O2 NC vs NRB, Monitor, assess airway…
A Thrilling Bored Review
Jonny Utah () presents to your ED clutching his knee, grimacing, and firing his weapon unnecessarily into the ceiling. After he puts his weapon down, you assess the leg. He has a deformity to the knee, cannot bear weight, and…
Case of the Month #7, Presentation
One of the golden girls (don’t worry, not Blanche) presents to your ER after a near syncopal episode. She reports generalized weakness, but denies all other complaints. VS (scary): HR 136, RR 25, BP 70/30. The pulse ox…
Too Stimulating to be Bored Review
A 14 year old named Fred Weasely presents to your ER complaining of finger pain while playing some game called “Quidditch”. He reports he grabbed an opposing players cape as they were “flying…er…running” away. Since, he has had trouble making a…
Critical Lung Care…
To read the articles prior to the summary, check out Here and Here We kicked of the new cycle of King County’s Critical Care Mini-Fellowship with the Pulmonary Module! To start: The ARDS Task Force paper from 2012 that revised the definition of…