Point-of-Care Ultrasound (POCUS) in Detecting Aortic Aneurysms By: Dr. Shani Tal & Dr. Doris Ilic Faculty Reviewer: Dr. Nicole Yuzuk Case Presentation: A 68-year-old female with past medical history significant for hypertension, hypothyroidism, congestive heart failure, hyperlipidemia, and chronic kidney disease presented to the Emergency Department (ED) complaining of worsening left sided flank pain radiating … Read more "“Somebody AORTA Do Something About That ..read more

Join us at the ALL NYC EM Conference on March 29, 2023 ..read more

Written by Jessica DiPeri, MD This post first appeared on REBEL EM Background: Pneumothorax management is a common clinical condition in the emergency department (ED) occurring in patients of varying ages and caused by multiple etiologies, including spontaneous, traumatic, and iatrogenic pneumothorax. Regardless of the cause, a thoracostomy is often required for treatment (Currie 2007). Traditionally, all pneumothoraces were treated with large bore chest tubes (LBCT) defined as any tube > 14 F. The benefits of a small bore catheter (ie a pigtail catheter (PC) include less tra ..read more

Written by Amanda Hall, DO This post first appeared on REBEL EM Background: Epistaxis is a common ailment experienced by millions worldwide. While most of these cases can be managed by patients at home, some will require medical attention. Initial interventions include local pressure, ice, and forward head positioning for persistent bleeds. When simple maneuvers fail, we proceed to topical agents such as lidocaine with epinephrine, oxymetazoline, anterior nasal packing, and electrical or chemical cauterization.  Tranexamic acid (TXA) is an antifibrinolytic drug that inhibits the enzy ..read more

Written by Sarah Aly, DO This post first appeared on REBEL EM Background: Rob Elementary. Columbine. Sandy Hook. Pulse Night Club. Tops Grocery Store. Irvine Taiwanese Presbyterian Church. Virginia Beach. The Tree of Life Synagogue. Santa Fe High School. The New York City Subway. The Las Vegas Harvest Music Festival. Aurora Movie Theater. The El Paso Walmart. Tulsa. The list goes on. The United States has a unique epidemic: mass shootings. There is no universal definition of a mass shooting but it is often referred to as an event where greater than four individuals are killed by a single perpe ..read more

Written by EJ Wright, MD This post first appeared on REBEL Cast Welcome to the EMRA Basics of Emergency Medicine Podcast. I am your host EJ Wright, and the following series is an all encompassing approach to the most common chief complaints in the ED based on the well known EMRA Basics of Emergency Medicine, A Chief Complaint-Based Guide. Each cast will highlight myself and a guest attending physician as we take new learners through the differentials, red flags, physical exam findings, and a sample presentation that you need to know to treat patients in the ED ..read more

Written by Christopher Hart, DO This post first appeared on REBEL EM Introduction: Acetaminophen, N-acetyl-p-aminophenol, or APAP, is one of the most commonly used medications worldwide. While it is generally safely used, overdose can result in the development of liver failure due to APAP’s hepatotoxic metabolites. Hepatic necrosis is preventable in overdose with timely administration of N-acetyl-cysteine (NAC) which restores glutathione reserves, allowing for safe excretion of these hepatotoxic metabolites. NAC use is based on plotting APAP levels, on the Rumack-Matthew nomogram. Intravenous ..read more

Written by Amanda Russo, DO This post first appeared on REBEL EM Background: Race is a sociological construct that affects how clinicians deliver health care to various racial/ethnic groups.  This in turn affects clinical outcomes.  Thus, African Americans with chronic kidney disease have worse outcomes with respect to hypertension control, timely nephrology referral, dialysis fistula/graft placement, adequate dialysis treatment, and access to transplantation. The precise reason for this difference is unclear but one proposed cause is the race multiplier term in estima ..read more

Written by Jessica DiPeri, MD This post first appeared on REBEL EM Background: COVID-19 infection increases the risk of thrombosis due to multiple factors. (Rico-Mesa, 2020). Over the last 2 years, researchers have published 12 RCTs investigating various anticoagulation strategies among patients diagnosed with COVID-19 in multiple clinical settings. To date, only a multiplatform trial in noncritically ill patients, the HEP-COVID trial, and the MICHELLE trial have shown a benefit. Severely ill patients with COVID-19 in the intensive care setting have an increased risk of thromboembolism, with a ..read more

Our Program Director Dr. Steinberg will be hosting this year's ALL NYC EM Medical Student Symposium. This is a great forum for students interested in Emergency Medicine to learn and ask questions about the application process. Simply scan the QR code or click the zoom link on June 2, 2022 at 5pm to log in. Join us as we guide you to a successful EM match ..read more