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Hypotension + Abdominal Pain = Ultrasound
You are working an busy overnight shift at your rural community ER when a nurse comes to notify you of a new patient in the lobby - there are no open beds currently, but she thinks he looks ill.
You go out to evaluate the patient quickly - He is complaining of severe generalized abdominal pain that started a few hours ago and is worsening. He looks pale and slightly diaphoretic, has severe abdominal tenderness with peritonitis. Concerned, you wheel him back to your trauma bay...
Grand Rounds Recap 1.31.18
In this week's grand rounds, Dr. Stolz discussed all things DVT and the modified two-point compression study for lower extremity clots. In our recurring EM-neuro combined conference, Dr. Stettler discussed the recent DAWN trial results, and how to incorporate CT perfusion studies into our acute ischemic stroke decision trees. In our Quarterly Sim, we discussed the management of the crashing patient from a house fire, and practiced our escharotomy skills. In our mock oral boards, we went through cases on STEMI, carbon monoxide exposure and limb ischemia. Finally, Dr. Lane discussed the workup of acute diarrhea in the adult population, and Dr. Shah went through a particularly unique toxidrome presentation in his R4 Case Follow Up.
It's Not "Just the Flu"
This past month has seen the appearance and peaking of seasonal influenza in the Northern Hemisphere. This year, a particularly early strain of flu has been causing widespread illness across all 50 of the United States. The start (or height) of any flu season is a good time to refresh our understanding of the influenza virus, prevention strategies, testing methods, and treatment modalities. This year, however, we also sit exactly 100 years removed from the most deadly global pandemic ever seen by humanity. Try your hand at some flu-based trivia and take a listen to the podcast below (or on iTunes).