“And in the naked light I saw
Ten thousand people, maybe more
People talking without speaking
People hearing without listening.”
Sound of Silence by Simon & Garfunkel
There’s a small park on the other side of First Avenue across from Bellevue. To those that work here,
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Although many patients visit Emergency Departments (EDs) for hyperglycemia, there is no consensus on optimal care prior to discharge. Most of these patients present with moderate elevations of serum glucose without severe manifestations (i.e. diabetic ketoacidosis, hyperosmolar hyperglycemic state). The risk of discharging patients with an elevated glucose level is unknown.
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This post reviews the glenohumeral (shoulder) dislocation in detail with a focus on multiple reduction techniques.
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It has been recognized since the 1940s that the presence of a Left Bundle Branch Block (LBBB) obscures the EKG diagnosis of myocardial infarction (MI). The publication of the Sgarbossa criteria in 1996 aided in clarifying this issue.
Sgarbossa Criteria (Sgarbossa 1996)
However, these criteria are not perfect. The original,
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The current ACLS guidelines give both procainamide and amiodarone a class II recommendation as chemical therapy for the treatment of patients with stable ventricular tachycardia. Despite the fact that one drug does not appear to have an advantage over the other based on available literature, amiodarone appears to be agent preferred by intensivists, cardiologists and Emergency Physicians alike.
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This post reviews the presentation and management of patients with acute methamphetamine intoxication.
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Total body CT scanning is increasingly being utilized as part of the initial survey of trauma patients in trauma centers. The belief is that initial total body scan provides a comprehensive evaluation of life threatening traumatic injuries, requires fewer trips to the CT scanner, and mitigates the necessity for other imaging modalities such as x-ray and ultrasound.
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