Clinical Pearls
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Mild Therapeutic Hypothermia in Out-of-Hospital Cardiac Arrest
Originally Published: Modern Resident, Dec/Jan 2010 Submitted by: Saadiyah Bilal, Publications Committee Co-Chair Therapeutic hypothermia (TH) is the only intervention that has been shown to improve outcomes in comatose patients with out-of-hospital cardiac arrest. TH is now recommended by the American Heart Association (AHA) for the treatment of neurological injury when the initial cardiac rhythm […] -
Tox Talks
Originally Published: Modern Resident, Dec/Jan 2010 Submitted by: Saadiyah Bilal, Publications Committee, Co-Chair Iron toxicity remains a common toxidrome in the emergency department and is the leading cause of pediatric overdose death under age 6. Its antidote, defuroxamine, was recently designated by the Antidote Summit Authorship Group (Ann Emerg Med, Sept. 2009) as a medicine […] -
Tox Talks: Toxic Alcohols
Originally Published: Modern Resident, Oct/Nov 2010 Original Author: Neal Shelley, MD Georgetown/Washington Hospital Center Emergency Medicine Submitted by: Saadiyah Bilal, Publications Committee, Co-Chair Just like ethanol, ethylene glycol and methanol cause inebriation and are often ingested by a desperate alcoholic or as a suicide attempt. Whereas ethanol is preferentially metabolized by alcohol dehydrogenase to […] -
Critical Care Pearls: Emergencies Among Mechanically Vented Patients
Originally Published: Modern Resident, October/November 2010Original Article Author: Sundeep Bhat, MDStanford/Kaiser Emergency Medicine Submitted by: Rachel Engle, DO (Communications Committee Chair) After successful intubation, the work of an emergency physician is not over! There are several scenarios and trouble-shooting tips for approaching unstable patients who are already mechanically ventilated. For the intubated patient who becomes […] -
Board Review: Methadone Intoxication
Originally Published: Modern Resident, Jun/Jul 2010 Original Author: Dana Kindermann, MD Georgetown-Washington Hospital Center Dept. of Emergency Medicine Submitted by: Saadiyah Bilal, Publications Committee, Co-Chair Case history: 56 y/o male BIBA, found in apartment by roommate with altered mental status x 24h, found lying in feces. Patient (pt) with multiple substance abuse related admissions and […] -
Board Review: The Pediatric Airway
Originally Published: Modern Resident, Jun/Jul 2010 Original Author: Karen Serrano, MDUniversity of Wisconsin Dept. of Emergency Medicine Submitted by: Saadiyah Bilal, Publications Committee, Co-Chair Managing the pediatric airway poses unique challenges for the emergency physician, requiring a good understanding of pediatric anatomy and familiarity with child-specific tools and approaches for emergency airway.Children are more susceptible […] -
I Was Just Filling up the Tank, Right? When Erythrocyte Transfusion Goes Awry
Originally Published: Modern Resident, February/March 2010 Original Article Author: Robert Katzer, MD Georgetown-Washington Hospital Center Submitted by: Saadiyah Bilal (Publications Committee Co-Chair) Despite a large amount of research on the issue, there is no universally followed set of indications. However, the transfusion of blood and blood products is a hazardous activity, and we all agree […] -
Board Review: Retained Foreign Bodies
Originally Published: Modern Resident, October/November 2010 Original Article Author: Teresa M. Ross, MD Georgetown-Washington Hospital CenterSubmitted by: Rachel Engle, DO (Communications Committee Chair) A case study: A 59 year old diabetic female was sent to the ED from her podiatrist’s office over concern for a retained foreign body (FB) in her toe. Four days prior, […]
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