Cardiology Pearl: Wellens' Syndrome

Photo: Wikimedia Commons
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Originally Published: Modern Resident, Aug/Sep 2011

Original Author: Alan Sielaff, MS IV Loyola University Chicago, Stritch School of Medicine

Submitted by: Rachel Engle, DO Communications Committee Co-Chair
 
A 63 year old female with a history of hepatitis C and diabetes mellitus presents to the emergency department after experiencing acute substernal chest pain, SOB and emesis during a routine visit to her PCP earlier this afternoon. All symptoms spontaneously resolved shortly prior to her arrival in the ED. She has no other complaints and a normal physical exam. Her EKG is shown above.

The EM Resident as Teacher

Originally Published: Common Sense, Spring 2011
Original Author: Leana Wen, MD MSc

It’s the start of your shift, and every bay is full. There are 37 patients in the waiting area. A bright-eyed third year medical student runs up to you and tells you that he has a new patient. “He’s a 40-year old with lung cancer with a chief complaint of fever and chills. He says he has a cough and hasn’t been eating well at

Board Review: The Use of CT in Children with Head Trauma

Photo: Wikimedia Commons

Originally Published: Modern Resident, Feb/Mar 2011

Original Author: Michael Holman, MSIII
Georgetown University School of Medicine

Submitted by: Rachel Engle, DO, Communications Committee Chair  

Every year, more than 650,000 children are seen in emergency departments across North America for mild head injuries, about half of which will receive CT scans. In fact, in the last decade, the pediatric population saw the largest increase in use of diagnostic CT. It has been estimated that the attributable lifetime risk of death from cancer ranges from 0.065% per head CT in neonates to 0.005% per scan in teens.

Clinical Pearl: Managing Hypoglycemia in Acute Renal Failure

Originally Published: Modern Resident, Dec/Jan 2011

Original Author: Cameron McLaughlin, OMS IV Arizona College of Osteopathic Medicine

Submitted by: Rachel Engle, DO, COmmunication Committee Chair

Recently, I saw a patient in the ED who was hyperkalemic and hypoglycemic. The patient was in acute renal failure secondary

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