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Graduation Speech 2019 – Lewis Goldfrank, MD

Goldfrank's Corner Lewis Goldfrank, MD One Comment

Graduation Speech

Lewis R. Goldfrank, MD

(June 12, 2019)

Congratulations on your graduation.  This milestone and the commencement of your increased independence are a tribute to your fine work.  Your future accomplishments will be substantial.

Your team

You as a class will have developed immensely profound bonds.  
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Stay Hungry

Resident Thoughts Sanjay Mohan, MD 2 Comments

“Take one more look. Surgery will prep the neck in the meantime.”

Emergency medicine is a cruel field. The more I learn, the more I realize my deficiencies, my weaknesses, my fears. As I uncover the intricacies and nuances of this specialty, questions continue to arise. The scope of practice is ever growing and self-doubt seems to only grow with experience.
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Asymptomatic Hypertension

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A look at how to best field one of the most common referrals to the emergency department.
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Biliary Ultrasound

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A brief overview of biliary ultrasound.
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Journal Review

Effect of Intranasal Ketamine Vs Fentanyl on Pain Reduction for Extremity Injuries in Children: The Prime Randomized Clinical Trial

Filed Under: Tags: , May 17th, 2019 Leave a Comment

Pain is typically under-treated in children. Intranasal administration of analgesics has the benefits of rapid, needleless administration and a more rapid onset compared to oral administration. Ketamine is used frequently by the intravenous or intramuscular route for procedural sedation due to its efficacy and safety.
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Ocular Ultrasound

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A brief article on the use and utility of ocular ultrasound in the ED.
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The Critically Ill Infant

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An overview of how to approach the critically ill infant
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Journal Review

PECARN: Febrile Neonate Decision Rule Derivation and Internal Validation

Filed Under: April 12th, 2019 Leave a Comment

The evaluation and management of febrile neonates remains controversial. Approximately, 10% of these patients will have a serious bacterial infection (SBI). Identification of the febrile neonate at low risk for serious bacterial infection could allow for a reduction in the rates of lumbar puncture, unnecessary antibiotics and hospital admission. The approach to these patients should evolve as the epidemiology changes and new diagnostic tests become available.
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