Program Director – “So what are you looking for in a residency program?” Interviewee – “Well let’s begin by discussing the lunch spread during Wednesday conference.” NOTE: do not say this during your actual interview.
Having completed about half my interviews at this point, I still struggle when program directors ask me this question.
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Fingertip amputations are common. Treatment options range from healing by secondary intention to flap coverage or replantation. Selection of the appropriate treatment modality depends on the nature of the injury, the physical demands of the patient, and the patient’s co-morbidities. Prophylactic antibiotic use in patients with fingertip amputations is controversial. The routine use of prophylactic antibiotics is universally recommended on grossly contaminated wounds,
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Vertebral osteomyelitis is a rare disorder characterized by inflammation of the vertebrae. Recognition can be difficult + delayed.
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This review was cross-posted on REBEL EM.
Acetaminophen (paracetamol) is commonly used to lower the temperature of patients with fever suspected to be cause d by an infection in both homes across the world and the hospital. There are, however, opposing theories to the utility of decreasing fever in these situations. One side argues that fever places “additional physiological stress on patients,” who are already ill (Young 2015).
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Adrenal crisis is a life-threatening emergency due to adrenocortical hormone deficiency. Rapid recognition is the key to management.
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Within the Emergency Department (ED), rapid identification and stabilization of critically ill patients with upper gastrointestinal bleeding (UGIB) is essential to patient survival. While there are some clinical prediction scores, ED physicians most often depend on clinical gestalt when risk stratifying and managing these patients. The most commonly used scores are the Glasgow-Blatchford score, AIMS65 and the Rockall score.
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Peri-Mortem C-Section is a rarely performed procedure with the potential to save two lives. The primary goal is maternal resuscitation.
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