This one is not from our annals but it is the best study on the use of Mg in severe asthma exacerbations. Thankfully most asthmatics with sever exacerbations do not die or get intubated but they often get admitted, does…
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…
Here’s the image again: Congrats to Dr. Yohannes! The official read was: “pneumomediastinum and subcutaneous emphysema along the left chest wall and bilateral neck.” Pneumomediastinum Definition: free air within the mediastinum, which originates from the airways or the alveolar…
Welcome to the Kings County/SUNY Downstate toxicology blog series. In our first case, we will discuss the differential diagnosis and management of the poisoned patient who presents with hypotension and bradycardia. Case A 23 year old female is brought in…
The Wilderness medicine mini-fellowship met again this month and had a great conversation about snake bites in the New York region. It was really interesting to see how many venomous snakes live in our region and how many bites occur…