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radER Winners: David Mishkin Allison Loynd Answer to Case 1.5 A 56-year-old man was brought to your ED after bring involved in a MVC. He was a restrained driver in a car that was traveling at 40 MPH and slammed into a tree. The patient denies loss of consciousness. 1. When examining anyone with a [...]
Filed under: radER | Tagged: lower extremity fracture | Leave a Comment »
Case 1.5 A 38-year-old man was playing basketball when he came down from a rebound and twisted his right ankle. He complains of pain to his right lower extremity and is unable to bear weight on his ankle. You provide him an ice pack, pain medication, and obtain the following radiographs. 1. Name 5 areas [...]
Filed under: radER | 6 Comments »
Case 1.5 A 53-year-old woman presents to your ED after tripping down a flight of steps. On exam, you note marked swelling of her right orbit with proptosis of the right eye. You ask the patient to look to the side but she cannot move her eye. Questions: 1. What is the procedure being performed? [...]
Filed under: VizD | 9 Comments »
Dr. David Newman is the Director of Clinical Research and Assistant Professor in the Department of Emergency Medicine at St. Luke’s-Roosevelt Hospital Center/Columbia University in New York City. In 2005, as a major in the army reserve, he was deployed to Iraq, where he received an Army Commendation Medal. Dr. Newman recently published the book, [...]
Filed under: The Meeting Room | 1 Comment »
By Dainius A. Drukteinis, M.D., J.D. “The only real mistake is the one from which we learn nothing.” – John Powell Timing in the Emergency Department From a patient care standpoint, as well as a liability standpoint, the timing of interventions in the Emergency Department is often crucial. In medical malpractice cases, plaintiff’s attorneys highlight [...]
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Case ECG Interpretation The ECG shows tachycardia (rate just >100 bpm) with a wide QRS complex. A right bundle branch block pattern is present. There is a large upright QRS in AVR suggesting right axis deviation but examination of the other limb leads suggests axis is deviated to the left at near -90 degrees. There [...]
Filed under: Tracings | Tagged: chest pain, dyspnea, hypotension, shortness of breath, tachycardia, venous thromboembolism | Leave a Comment »
There are many albums of the nineties that had a profound impact on the way I listen to music. Sadly, I could only choose one to review this month. So, the more I listened to them the past couple of months, one album stood out more and more. Not alone for the content, but also [...]
Filed under: Klever's Music Review | 2 Comments »