Category Name: intern report

FOAMED

Intern Report Collection, Vol. 7

To kick off your weekend reading pleasure, here’s another batch of our monthly excellent write-ups from the EM interns at UT Southwestern (@DallasEMed) courtesy of Alex Koyfman (@EMHighAK) . Our ongoing intern report series is the product of first-year residents exploring clinical questions they h...

intern report

Intern Report Collection, Vol. 2

Our ongoing intern report series is the product of first-year EM residents at UT Southwestern exploring clinical questions they have found to be particularly intriguing. For med students & junior residents - if you haven't encountered these issues yet, you will! We had been posting these individuall...

intern report

Prolactin and Seizures

Case “Doctor, I’m having a seizure!” says the patient shaking with his eyes open looking at you. Ah yes, the illustrious pseudo-seizure. What if the patient is not talking to you during the event? Is there any way to tell the difference between an epileptic seizure (ES) and a non-epileptic sei...

intern report

Ultrasound and Respiratory Distress

Clinical Question: What is the utility of US for differentiating causes of respiratory distress and expediting treatment in the ED? As I am currently on my US rotation and learning how the FAST or focused echo can help us in our initial clinical decision-making, I am curious as to why it is not com...

intern report

ED Observation Units and Their Efficacy

I had concerns for admitting a patient to the observation unit for suspected CHF exacerbation. The specific protocols for CHF exacerbation are available on EPIC and list a very specific set of criteria that allows for admission to the 2SS observation unit. I was initially curious about the develop...

intern report

Post LP Headache

On my first month in the Parkland ED, I saw multiple patients with post-lumbar puncture headaches and even iatrogenically caused one myself.  Often I found myself wondering what proven preventative measures during an LP decrease the incidence of such headaches, what could I have done better, and wh...

intern report

Management and Dispo of Upper GI Bleed

Upper GI bleed (UGIB) is a common cause of presentation in the ED with an incidence of 102 per 100,000 hospitalizations. Mortality can range from 2-15%, with a rebleeding risk of up to 10-30%. It is important to identify high-risk patients that are candidates for early endoscopy or if monitored man...