It's been a busy night in the SRU. You've already sent two traumas to the OR, given tPA to an acute stroke, and sent a post-arrest patient up to the MICU. As you walk back to your computer to finally take a sip of now cold coffee, you notice there's a new patient in A2. The chief complaint, conjunctivitis. You sigh as you try to recall the differential for the red eye. You think to yourself, I wish they actually covered eyes in medical school. Read on to learn how to care majorly about a “minor” complaint. And no, all is not solved by some antibiotic drops.Read More
This week's grand rounds started off with our EMS team represented by Dr. McMullan updating us on new EMS stroke protocols, an upcoming trial for pre-hospital ketamine use, as well as a refresher on notification calls. This was followed by Dr. Shaw, who made his grand rounds lecture debut discussing the diagnostic and clinical utility of lactate. Drs. Harty and Toth then went mano-a-mano in another installment of the CPC lecture series, during which they discuss the presentation, workup and management of carotid cavernous fistula. Dr. Gorder then presented her clinical soap box, using the example of NG tube placement for SBO as a platform for addressing the impact of dogma within medicine. Our peds EM colleagues then steered the ship for the final 2 hours, discussing 2 oral boards cases (fussiness in a newborn and HSP) as well as putting on a pediatric trauma simulation.Read More
Ocular Emergencies with Dr. Titone
Blood supply to the eye is from the Internal Carotid and drainage is through cavernous sinus. Bony eye septum is an improtant structure that separates the superficial structures from the deeper structures that have direct communications with the brain.
Key historical factors: recent eye procedures, eye drop use, contact lens use, occupational history, UV ligh exposureRead More