Modern Resident

• Relevance of New CDC Opiate Guidelines for Emergency Physicians

  Author: Samuel Bergin, MSIV, Uniformed Services University of the Health SciencesChad Roberts, MSII and Scott Pew, MPH Candidate University of Utah Originally Published: Modern Resident April/May 2016 EpidemiologyWhile the CDC was compiling data from 1999 to 2014, more than 165,000 people in the US died from overdoses linked to prescription opioids.[1] The opioids most commonly […]
• Which Patients Should Have Blood Cultures Collected?

  Bigstock Author: Linda Sanders, MD PGY3 Temple University Hospital Originally Published: Modern Resident April/May 2016 Patients with bacteremia have a mortality between 30 and 50%, thus obtaining culture data on these sick patients is critical.[1] On the other hand, in the immunocompetent, non-septic patient, blood culture data rarely changes management, has a low yield, with […]
• Wilderness Medicine: Special Considerations for Submersion Injuries

  Image Credit: Flickr Author: Mike Wilk, MS4Loyola University Chicago Stritch School of Medicine Originally Published: Modern Resident February/March 2016 Drowning still remains a leading cause of accidental death in the United States, particularly for young children.[1] In the past, many terms were developed in reference to subtypes of drowning such as near drowning, dry and […]
• Physician Advocacy: Disability Coverage for the EP

  Photo Credit: Flickr – Zeevveez Author: Linda Sanders, MDTemple University Hospital Originally Published: Modern Resident February-March 2016 As a new generation of residents prepares to enter private and academic practice as attending emergency physicians, most intend to practice emergency medicine for the next 30 years, maybe more. But in an environment that demands that we […]
• Tox Talks: Lithium Toxicity

  Author: Kaitlin Fries, DO PGY1Doctors Hospital Originally Published: Modern Resident, December 2015/ January 2016 Lithium is often a first line treatment for bipolar disorder and major depressive disorder, and is commonly present on many emergency department patients’ medication lists. Studies have shown that as many as 75-90% of patients taking lithium long-term develop toxicity at […]
• Journal Club: Steroids for Everything?

  Author: Linda Sanders, MD PGY3Temple University Hospital Originally Published: Modern Resident, December 2015/ January 2016 Back PainA randomized controlled trial (RCT) in which 269 patients with lumbar radiculopathy on MRI and low back pain were given a 15-day course of prednisone versus placebo demonstrated an improved disability score at three weeks after receiving steroids.[3] By […]
• TXA Literature Review

  Author: Alexandra Murray, DO PGY1Mercy St. Vincent Medical Center Emergency Medicine Originally Published: Modern Resident – December-January 2016 What is tranexamic acid (TXA)? When the body experiences vascular injury, the hemostatic system tries to maintain circulation by balancing the formation and degradation of blood clots. In response to severe blood loss, this balance is challenged […]
• Expanding the Differential: What Else Can an Elevated Troponin Signify?

  Author: Shyam Sivasankar, MDStanford-Kaiser Emergency Medicine Originally Published: Modern Resident, December-January 2015 We often underestimate the utility of modern laboratory technology—we become shortsighted and we forget that a lab value can tell us more than what we are naturally used to it representing. One such lab value is cardiac troponin. Instinctively, we assume that an […]
• Acute Aortic Syndrome

  Photo Credit: Charlotte Astrid Author: Nathan Haas, MD PGY-1University of Michigan Originally Published: Modern Resident, February/March 2015 The acute onset of severe, ripping chest pain radiating to the back quickly brings to mind the diagnosis of aortic dissection. However, dissection is just one potential etiology of Acute Aortic Syndrome (AAS) which includes the acute presentation […]
• The Proper Start to Your Financial Journey

  Photo: Flickr – Alan Cleaver Author: James M. Dahle, MDAuthor of The White Coat Investor: A Doctor’s Guide to Personal Finance and Investing Originally Published: Modern Resident, August/September 2015  I’m occasionally asked to give very young physicians, i.e., students and residents, some financial advice. Typically these doctors have a low income, a dramatically negative net […]

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