Author: Jay Khadpe MD

Editor in Chief of "The Original Kings of County" Assistant Professor of Emergency Medicine Assistant Residency Director SUNY Downstate / Kings County Hospital

Morning Report: 10/16/2014

Thanks to Dr. Gomes for another Morning Report!   Beta-blocker Toxicity   Receptors Beta 1- primarily in heart muscle. Activation –> increases HR, contractility and AV conduction. Decreased AV node refractoriness. Beta 2- primarily in bronchial and peripheral vascular smooth…

Morning Report: 10/14/2014

Here’s Dr. Aluisio with today’s Morning Report!     Medical Therapies for Stable Upper Gastrointestinal Bleeding: Risk, Benefit and Equivocality   Epidemiology • Incidence: 40-150 per 100,000 per annum, with 450,000 hospitalizations in the USA • Causes: peptic ulcer (~45%);…

Morning Report: 10/10/2014

Today’s Morning Report is presented by Dr. Adal!   Shoulder dislocation   The most common joint dislocation (approximately 50% of all joints) Mechanism Presentation Associated injuries Anterior Indirect blow with arm in abduction, extension, and external rotation Arm is held…

Morning Report: 10/9/2014

Thanks to Dr. Brown for presenting today’s Morning Report!   Case presentation: 46 y/o F with no sig PMH presented to ED with chief complaint of vomiting and weakness.  HR 132, RR 20, Temp 99.6, BP 185/75, and O2 100%…

Morning Report: 10/7/2014

Dr. Gomes presents today’s Morning Report!   PROCEDURAL SEDATION   Definition: -technique of administering a sedative or dissociative agent along with analgesia to induce a state that allows patient to tolerate unpleasant procedures while maintaining adequate spontaneous cardiorespiratory function  …

Morning Report: 10/3/2014

Congratulations Dr. Adesina! and thanks for the Morning Report!   Management of Submassive (Intermediate Risk) PE   Massive PE (high risk): acute PE causing hemodynamic instability and hypotension, pulselessness, or profound bradycardia   Submassive PE (intermediate risk): hemodynamically stable PE…

Morning Report: 10/2/2014

Thanks to Dr. Rolston-Cregler for today’s Morning Report!   Supraclavicular CVC Placement First described in 1965 as an alternative method for obtaining central venous access At the insertion site the subclavian vein is closer to the skin than using the…

Morning Report: 9/30/2014

Today’s Morning Report is presented by Dr. Bart!   Valproic Acid Background -Used for seizure disorders, BPD, migraine prophylaxis. -Peak concentrations at 6 hours except for enteric coated capsules. -Complications: -COMMON: Sedation, ataxia, weight gain, nausea, tremor, or hair loss…