Category Name: intern report

intern report

Tranexamic Acid in the ED

A quick case: A 57 y/o F with a PMH of DM, HTN, and Afib on warfarin presents to the emergency department (ED) complaining of spitting out a blood clot when she woke up in the morning. Upon waking she felt something in her mouth, spit out a small blood clot, and continued to have slow oral bleeding ...

intern report

How to Crush ABGs

Stepwise Approach w/ interpretations found below. You won’t need to look anywhere else unless you want to do the Stewart Acid Base Approach. [...]

intern report

tPA

While working on the Neurocritical care service, I have enjoyed seeing the teamwork between neurologists and emergency medicine physicians. Neurologists rely on the EM physician to inform them of potential stroke patients in the ED, while EM physicians use the neurologist as a guide in treatment man...

intern report

Echocardiograms in Typical vs Incomplete Kawasaki’s

On my first shift in the Children’s ED, I saw a child with what appeared to be Kawasaki’s Disease. She was a referral patient who had been seeing her PCP throughout her current illness. The child’s PCP had done appropriate lab work on her, and the results combined with the child’s clinical...

intern report

Rib Fractures in the Elderly

Why is it important to aggressively and appropriately manage rib fractures in elderly trauma patients? Recently, an 82 year-old male suffered a fall from standing, striking his left posterior flank against a cinder block, sustaining fractures of the left 7th-11th ribs with displacement of the 8th...

intern report

D-List Superbugs: Ebola Virus

In light of its recent media attention and the first suspected case of Ebola in my home country of Nigeria on July 20th this year, I thought why not write about it. I noted that outside of the Hot Zone and the term “hemorrhagic fevers” my knowledge of what the Ebola virus was and its clinical pr...