Thanks to Dr. Regan for putting together this summary of our last EM Critical Care conference! The Case: Man found unresponsive underneath subway train with right hip dislocation, electrocution by third rail, multiple burns and rhabdomyolysis. Electrical Injuries…
For those of you not in conference last Wednesday, there was a brief review of Rhabdo that listed bicarb as a potential treatment. Feeling like the junior that I was (but of course am no longer), I was hesitant to speak and,…
Last week Dr. Paulson discussed this excellent review that went over the manifestations, pathophysiology and treatment of heat related illness. This paper can be found by clicking here. The Evaluation and Management of Heat Injuries in the Emergency Department Dr.…
Recently, I reviewed a pediatric spinal trauma case. The recommendation for steroids was the most controversial part of the case. One service recommended it, another didn’t. One service from another hospital where the patient was to be transferred recommended it,…
24yo F presents with SOB, wheezing and chest tightness. Exam shows tachycardia and wheezes. The above EKG is obtained. What is your DDx? Any other information about the patient you would like to know?
Here is the answer for our last EKG: Rate: 300 Rhythm: Sinus rhythm – although the P waves are difficult to discern in the rhythm strip, they are visible in V1. Mapping the P waves in V1…