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How to Excel in Your 4th Year Clerkship

Med Student Blog Tags: , Hilary Fairbrother, MD Leave a Comment

The data is out. Just published June 30th, 2015, in Academic Medicine (the Journal for the AAMC)(Benson, Stickle et al. 9000) is that 4th year students going into EM are much more likely to do away rotations during their 4th year than students going into other specialties. Also, the majority of 4th year medical students believe that one of the primary uses of the last year of med school is to successfully match in the residency of their choice.
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Journal Review

Utlity of Non-Invasive Cardiac Testing

Filed Under: Tags: , July 9th, 2015 Leave a Comment

In patients who present to the Emergency Department (ED) with chest pain whose initial evaluation does not reveal acute myocardial infarction, the American Heart Association (AHA) recommends non-invasive testing to provoke ischemia or to detect coronary artery disease (CAD) before or within 72 hours of their discharge. Such testing is believed to identify patients who might benefit from more invasive therapy,
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Core

Ebola Hemorrhagic Fever

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Though rarely encountered outside endemic areas of West Africa, it is critical for Emergency Physicians to recognize Ebola.
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SAEM SonoGames

Resident Updates Tags: Marsia Vermeulen, DO, RDMS, RDCS Leave a Comment

AMAZING job by our SonoGames team members- Keegan, Andrew and Carlo.   From the initial question round, placing in the top 10 of 54 teams- they dominated many of the hands-on stations during the second round, making it to the final 2 against Yale.    It was a strong fight to the finish, neck and neck until the end,
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Cases

July 2015

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96 yo woman with h/o Afib, HTN and CKD presents with altered mental status
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Journal Review

Prehospital Beta-Blockers in Anterior STEMI

Filed Under: Tags: , , July 2nd, 2015 Leave a Comment

Long-term oral beta-blocker use decreases mortality after myocardial infarction (MI). Our guidelines recommend initiation of this within 24 hours of acute MI. The benefit of IV beta-blockade is less clear. It is also unknown whether earlier beta blocker administration is better than delayed administration (within 24 hours).

-COMMIT Trial (2005): Early use of IV metoprolol in AMI decreases incidence of ventricular arryhthmias and reinfarctions,
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Core

Traumatic Ocular Injuries

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Serious traumatic eye injuries are relatively uncommon but it is vital to recognize them and rapidly initiate management.
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Chairman’s Corner – Thoughts to EM Graduates 2015

Goldfrank's Corner Tags: Lewis Goldfrank, MD Leave a Comment

Good evening graduates, friends, family, faculty and staff

This is a critical time for healthcare in public hospitals and universities.
We live by the creed of Emma Lazarus (1849—1887)

Give me your tired, your poor, your huddled masses yearning to breathe free, the wretched refuse of your teeming shore.
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