Quarterly Sim with Dr. Frank Fernandez

82yoF with multiple medical problems including Grave's Disease who accidentally stopped her Synthroid arrives altered, hypothermic, and bradycardic.

Differential diagnosis for profound hypothermia is fairly short: Environmental vs. Hypometabolism (sepsis is typically a mild hypothermia)

• The typical myxedema coma precipitants are infection, medication changes, or cold weather
• Sepsis + bradycardia, should make you think about hypothyroidism
• Consider evaluating hypothyroid patients for other metabolic issues as they are often co-morbid, especially SIADH

As a continuation of our radiology lecture series, take a look at the excellent instructional modules created by Dr. Anita Goel, PGY-1 resident at the University of Cincinnati Department of Emergency Medicine residency training program.  Dr. Goel takes us through the basic anatomy, the particular features of the many different views that can be obtained in hip and pelvis plain film radiography, and a systematic approach to reading these often complicated radiographs.

You may have heard of a little get-together happening in Chicago June 23-26th, 2015.  And by little get-together I, of course, mean the biggest baddest Social Media and Critical Care Conference in existence coming to the U.S of A for the very first time.  If you haven't heard of the SMACC conference, take a look at their conference webpage  - http://www.smacc.net.au

Neonatal Resuscitation with Dr. Kamath-Rayne

http://helpingbabiesbreathe.org/

90-95% of newborns will require no intervention prior to their first breath. 5-10% of newborns will require drying, stimulation, or suctioning to get them to breath. 3-6% will require assisted ventilation with BMV. <1% will require advanced care with intubation, meds, or chest compressions

Golden Minute: within the first minute you want to ensure the baby is breathing spontaneously or have initiated BVM ventilation.