Category Archives: Uncategorized

Adult Seizures

Posted on August 22, 2013 by Stephanie Taft, MD

Seizure in Adults by Dr. Jason Van Valkenburg Emergency Medicine/Internal Medicine Combined Conference August 22, 2013 2-5% of people have at least 1 non-febrile seizure during their lifetime 1% of US population with epilepsy — 28% require treatment in ED’s … Continue reading →

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Pediatric Ovarian Torsion

Posted on June 6, 2013 by Stephanie Taft, MD

Critical Case Conference Discussion by Annalisa Rudser MD Ovarian torsion Affects females of all ages 80% of cases < 50 y/o 1% of pediatric and adolescent girls — can be pre-menarchal but rare Cysts and neoplasms account for 94% of … Continue reading →

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Reversible Posterior Leukoencephalopathy Syndrome

Posted on May 9, 2013 by Stephanie Taft, MD

Critical Case Conference by Dr. Darcy Rumberger Reversible Posterior Leukoencephalopathy Syndrome (RPLS) — Formerly known as Posterior Reversible Encephalopathy Syndrome (PRES) Can occur in any age group (children to adults) Slightly more common in women Use of cytotoxic and immunosuppressant … Continue reading →

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Pediatric Wheezing

Posted on April 4, 2013 by Stephanie Taft, MD

Discussion by Dr. Elizabeth Placzek Large differential for wheezing — from reactive airway disease to RSV to pneumonia to CHF or other underlying heart or lung problems Can try standard treatment with bronchodilators (e.g. albuterol) Don’t forget hypertonic nebulized saline … Continue reading →

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ED Thoracotomy

Posted on February 14, 2013 by Stephanie Taft, MD

ED Thoracotomy –Discussion by Dr. Rebecca Gardner at Regions Hospital Critical Case Conference One suggested approach to blunt traumatic arrest (Dr. Scott Weingart): Secure airway Bilateral thoracostomies (finger or needle) US — if no pericardial tamponade, should just call the code … Continue reading →

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Delirium in the ICU

Posted on February 7, 2013 by Stephanie Taft, MD

Delirium in the ICU by Gary Mayeux, MD — Regions Hospital Multidisciplinary Trauma Conference Delirium leads to Increased mortality Longer hospital course Longer cognitive recovery Criteria for Diagnosis: Occurs over a short time period — hours to days Disturbance of … Continue reading →

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Beta Blocker Overdose

Posted on January 31, 2013 by Stephanie Taft, MD

Dr. Darcy Rumberger Regions Hospital Emergency Medicine Critical Case Conference Contribution to discussion by Dr. Sam Stellpflug and Dr. Carson Harris In overdose, beta-blockers lose selectivity Clinical manifestations: Hypotension, bradycardia, hypoglycemia, hypokalemia Management — brief version: IV Fluids Calcium High dose … Continue reading →

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Hypertensive Emergency

Posted on January 24, 2013 by Stephanie Taft, MD

Regions Emergency Medicine Critical Case Conference — Discussion by Dr. Joe Walter Hypertensive Emergency — usually BP > 180/110 with signs of end organ damage Stroke is the most common presentation (24% of cases) followed by pulmonary edema (2nd most … Continue reading →

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Posted on January 10, 2013 by Stephanie Taft, MD

Burn Pearls — Regions Emergency Medicine Critical Case conference, Discussion led by Dr. Cullen Hegarty with Dr. Frederick Endorf and Dr. William Mohr from Regions Hospital Burn Unit When deciding to intubate “early” an alert, talking patient: subjective dyspnea is key … Continue reading →

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Respiratory Distress in Infants and Toddlers

Posted on January 3, 2013 by Stephanie Taft, MD

Respiratory Distress in Infants and Toddlers — Pearls By Dr. Kara Seaton High Risk for respiratory failure with acute respiratory insult: Younger age (the younger they are, the higher the risk) H/o prematurity Neuromuscular compromise/hypotonia Pulmonary disease Cardiac disease Head/airway … Continue reading →

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