Air Care Series: Long QT Syndrome

Air Care Series: Long QT Syndrome

Not every bradycardic patient is the same, however sometimes their past history gives away their pathology and you need to manage a complex disease in the ED or in transit to the ICU. Remind yourself of the details of the cardiac action potential as Dr. Roblee walks us through a unique case of Long QT Syndrome.

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Annals of B-Pod: Neurosyphilis

Annals of B-Pod: Neurosyphilis

One of the fundamental axioms of medicine, passed down from generation of physicians to generation of physicians, “it could be syphilis” Perhaps no spirochete has garnered such infamy nor acrimony as Treponema pallidum. In this impeccably researched piece, Dr. Hall delves into a presentation of neurosyphilis, a devastating manifestation of the infection stemming from transmission of the bacterium into the central nervous system. Dr. Hall details the presenting symptoms, diagnostic approach, and emergent management of syphilis before delving into the various other forms this “great imitator” might take.

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Annals of B-Pod: Spontaneous Pneumomediastinum

Annals of B-Pod: Spontaneous Pneumomediastinum

Air. It’s generally considered a pretty good idea. A fundamental aspect of aerobic metabolism and an essential need for most organisms on earth, it’s safe to say that life without air for a human isn’t much of a life at all. But what happens when air starts making mischief? What happens when air shirks the restrictive confines of the alveoli and elects instead to explore the muscle and subcutaneous tissue, seeks to admire the heart and great vessels, opts to race unencumbered along fascial planes and aponeuroses - what do you have then?

Well, a pneumomediastinum for one. In his article, Dr. Skrobut does a breathtaking job of detailing the presentation of a young patient with spontaneous pneumomediastinum, delving into the diagnostic modalities of choice, its emergent management, and the longterm prognosis. His article also seeks to clear the air about more controversial topics, including the role of empiric antibiotics and the need for surgical intervention.

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Annals of B-Pod - The Spring Issue is Sprung!

Annals of B-Pod - The Spring Issue is Sprung!

And lo, as the gellid depths of winter give way to the fairer climes of spring, another issue of the Annals must too follow. The spring issue focuses primarily on perplexing neurological maladies that plague our patients, including a case series on meningitis as well as Dr. Makinen's phenomenal write-up of a fascinating presentation of Creutzfeldt-Jakob disease. Also be on the look-out for an excellent review of anticoagulant reversal agents and my own piece on a caustic laundry pod ingestion. So take a moment to stop and smell the roses as we welcome another edition of #AoBP!

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Annals of B-Pod - Winter Issue Release!

Annals of B-Pod - Winter Issue Release!

In the chilling Winter edition of Annals of B-Pod, we're getting visceral. Delve into the nuances of hematologic emergencies  with Dr. Shaw's phenomenal discussion of disseminated intravascular coagulopathy or Dr. Baez's fascinating case of thrombotic thrombocytopenic purpura. Keep your hand on the pulse as Dr. Klaszky discusses ulnar artery pseudoaneurysm. Keep an eye out for these excellent articles and more as we delve into the gritty inner-workings of the human machine in the latest edition of #AoBP!

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Annals of B Pod - Fall 2017 Issue Release!

Annals of B Pod - Fall 2017 Issue Release!

In the Fall 2017 edition of Annals of B Pod, our focus is on ocular emergencies. Dr. Murphy-Crews starts off with a case of acute angle closure glaucoma. This is followed by a detailed discussion of infectious keratitis and a procedure piece focusing on ocular ultrasound. Dr. Jarrell details a case of a traumatic
lens dislocation
. In addition to these ophthalmologic-focused articles, Dr. Habib expertly discusses placenta previa and important management techniques of patients with abnormal placentation. The recurring pharmacology article details medication safety in pregnancy. Finally, Dr. Scanlon's EKG Focus discusses the evaluation and management of wide complex tachycardias.

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Placenta Previa

Placenta Previa

Delivering neonates in the emergency department can be a stressful process, in part due to the potential for serious maternal or infant morbidity. In this article, Dr. Habib will discuss a case of placenta previa and walk us through how to recognize placental pathology, its pathophysiology, and appropriate emergent management.

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Annals of B-Pod: Summer Issue Is Here!

Annals of B-Pod: Summer Issue Is Here!

From minor care to major injuries, this Summer 2017 edition of Annals of B Pod goes beyond B Pod. Dr. Murphy starts off with a discussion of the learning points from his prehospital cricothyrotomy in this month's Air Care column. From B pod, Dr. Harty discusses the management of abdominal compartment syndrome. Dr. Golden tells of a case of acute HIV presenting as thrombocytopenia. Dr. Baez's procedure piece describes how to measure bladder pressure for patients at risk of elevated intra-abdominal pressures. From I pod, Dr. Banning describes the diagnosis and treatment of Lisfranc injuries. In the monthly pharmacy article, we discuss reversal of neuromuscular blockade with sugammadex. Finally, Dr. Scanlon describes de Winter's morphology in the EKG corner. 

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Annals of B-Pod: To Cric or Not to Cric?

Annals of B-Pod: To Cric or Not to Cric?

In this AirCare case, Dr. Murphy eloquently details his experience in managing something every emergency physician fears - the need for a crash airway in a patient with severe airway injuries. Dr. Murphy discusses both the technical evaluation of a patient for a potential cricothyrotomy as well as his personal thoughts and reflections following the procedure.

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Annals of B-Pod: Abdominal Compartment Syndrome

Annals of B-Pod: Abdominal Compartment Syndrome

While compartment syndrome of the extremities is a much feared complication - what happens when you get compartment syndrome of the abdomen? Does this mean you really shouldn't trust your gut? In this article, Dr. Harty discusses through the evaluation and management of abdominal compartment syndrome in this week's issue of Annals of B-Pod.

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Annals of B-Pod: Spring Issue Release!

Annals of B-Pod: Spring Issue Release!

The topics covered in this Spring’s installment of Annals of B Pod highlight the variety of medical knowledge and procedural skills used daily in the Emergency Department. In B Pod, there may be a patient with an intentional ingestion brought in by EMS next door to a patient with a cough who is discovered to have pneumonia, while on the other side of the pod there is a patient complaining of eye pain. All of these patients represent common chief complaints with broad differentials that interns learn how to work up, manage, and treat. Spring also marks a transitional time, when interns start stepping up to into the junior resident role. With this transition, interns broaden their procedural skill set by learning how to place central lines, perform intubations, and insert chest tubes. As the year progresses, interns see more pathology, learn about new disease processes, and acquire procedural skills.

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Annals of B Pod: December Issue!

Annals of B Pod: December Issue!

In this Winter 2016 edition of Annals of B Pod, we focus on cardiovascular emergencies and their management in the Emergency Department and beyond. In our new Air Care column, we write about the prehospital management of patients with profound cardiogenic shock requiring intra-aortic balloon pumps. In our recurring pharmacology column, we discuss the ED management of hypertensive emergency. Back in B Pod, Dr. Scanlon writes about a rare complication of renal failure in a patient with a large uremic pericardial effusion, and in our new procedure piece, we walk through the technical steps required to perform an emergent pericardiocentesis. On the back page, our EKG corner goes over the modified Sgarbossa criteria. This issue of Annals of B Pod gets back to the heart of it all, highlighting what makes residency so rewarding: interesting pathology, challenging procedures and clinical excellence.

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