HCMC is a certified stroke center, and as part of out public outreach and education, the team has developed a very useful wallet care based on the Act FAST campaign from the National Stroke Association.
Radiation exposure is an unusual occurrence in the ED, and because of this emergency physicians are unfamiliar with management. Below are some quick questions to help you review.
Hand hygiene foam falsely elevates the measurement of patient’s breath alcohol concentration (BAC), which could mislead the early assessment of patient's with altered mental status. Wearing gloves reduces this false positive effect almost completely.
At the end of every year, the Internal Medicine residency at Hennepin County Medical Center holds a poster session for the graduating senior residents. Each resident is encouraged to display work from their time during residency. Most residents prepare a poster on research they worked on or quality improvement projects. Others have shown off education innovations they came up with, or simulation cases they developed.
Alteplase (tPA) is used infrequently and often only in emergent situations. Nurses and physicians unfamiliar with preparing the medication may need to high pressure situations. This tutorial includes step-by-step instructions for preparing and mixing tPA.
29-year-old man with history of type 1 diabetes mellitus and currently living in a hotel, presented to the emergency department with 2-weeks of feeling ill with had accelerated and was much worse over the last 2 days. This included a productive cough, subject fevers, and frequent vomiting. He was brought in by his brother, and the patient was appeared ill, was somnolent, confused, and only oriented to self. his blood pressure was 78/43 mmHg, pulse 146 bpm, respiratory rate 26, 37.2deg C, SpO2
Toxicology can devour a disproportionate amount of studying time in preparation for the boards. Unlike many other subjects however, it lends itself to some word associations and other high value studying. This list has been compiled to facilitate some rapid review.
Heat illness or heat-related illness is a spectrum of disorders due to environmental heat exposure. There are two major categories: minor heat illness [heat edema, prickly heat, heat syncope, heat cramps, and heat exhaustion] and major syndromes [heat stroke]. Heat Cramps Involuntary, spasmodic contractions of skeletal muscles, usually of the calves, occasionally the thighs and shoulders. Self-limited, no significant morbidity, patient’s chief complaint will be pain. Due to relative defici
Case of a cardiac arrest patient who was intubated in the field with a King Supraglottic Airway. He arrived in the ED with on going BVM ventilation. A cervical spine x-ray showed the distal tip of the King Airway had accidentally folded in the pharynx.
Take a look at this really remarkable ultrasound image, not so much for it immediate clinical utility, but for its rarity. A patient presented with numerous self-inflicted cuts all over the body including bilateral extremities, torso, and neck. Arrived profusely bleeding, and clearly needs to go to the operating theater.
26-year-old woman cigarette smoker otherwise healthy. Presented with one week of neck swelling. Little pain. History of frequent pharyngitis with last episode about 1 week ago. Treated with course of azithromycin.
There is very little known about the difference between the various types of headaches. In the ED the primary concern is to separate primary from secondary causes of headache. Primary headaches are those that are not caused by a secondary medical condition, and are usually divided into migraine, tension, and cluster headaches.