Author: wendyrollerblades

EM-CCM Hematology 7/22/2015:Treating DIC

Presented by: Dr. Andrew Nguyen Summarized by: Dr. Wendy Chan Reviewed by: Dr. Ian deSouza The Fictitious Case: 81 y/o F with PMH HTN, DM, CVA, afib, CAD, and recent hospitalization presents with 1 week of generalized weakness, nausea w/o…

Critical Care: Recent Trials in Sepsis

This month’s critical care mini-fellowship discussion was about the article, “Timing of Vasopressors in Septic Shock” as well as a review of the recent PROCESS, ARISE and PROMISE trials. Overall mortality rates in septic shock improved significantly from the 1990s to 2012 which coincides…

TASER Conducted Electrical Weapon Injuries

  The 3 following cases present to your ER. What should you do? -A 35 YOM no PMH with a TASER electrode in the eyelid and another to his chest wall, denies chest pain, normal VS  -A 40 YOM PMH…

Racially Biased Pain Control in the ED

Racial disparities in medical care exist. Did you know that you are more likely to receive a cardiac catheterization when you have chest pain with EKG abnormalities if you are white?[1] Or that if you are a minority, you are…

Cyra Whaa?!: Cautionary Tales About ER Folks Who Didn’t Use Skilled Translators

We know using skilled translators has many benefits such as improving patient outcomes, satisfaction, pain control, and number of medical errors (see sidebar below). In the United States, healthcare providers have increasingly been encountering patients who have limited English proficiency…

That’s What She NSAID

With anywhere from 15-25% of pregnancies naturally terminating prior to the end of the first trimester, spontaneous abortions are common1. We frequently see UCG+ patients with vaginal bleeding and pain present to our ER. During my Gyn Sono rotation, I…