Month: August 2021

Conference Summaries

Conference Summary 8/25/21

Dr. Kindschuh news and updates: Dr. Gladstein gave tPA for a stroke in 24 minutes yesterday!Coney goal is <30 minutesPlease clean your equipment (glidescopes, ultrasound, etc) 7a: Chirag / Denise - resident lectures (please send your topics to me soon - 20min max)745a: Dan (rotating intern) - Syncope ED Pearls8a: Dr Misch - Managing Unstable GI bleeds (non-administrative)9a: Dr Viguri - Understanding Opioids10a: Dr Patel - EKGs11a: Dr Seeram - DKA/HHS -- (not today) Pancreatitis - ChiragPancreatitis dx, need ⅔1) Epigastric tenderness2) Lipase >3x nor

by Ivan Ivanov, DO
Conference Summaries

Conference Summary 8/18/21

Residency updates/news: GI CODE reminder from Dr. KindschuhRockall >3 (10% mortality risk) →  activate GI CODEGlasgow-Blachford >6 (50% of intervention) → activate GI CODEOnly for UPPER GI BLEEDCall GI code because you think you need endoscopyGet emergency release blood, should be within 20 minutes!Hgb <7 and tachycardia? Get emergency release blood!Hgb >7 and needs blood? Get crossmatched blood within 60 minutesWhen in doubt, check wall in resuscitation room for GI Code guidelines 7a: Resident Lectures - Raj - Pediatric Respiratory Distress / Mi

by Ivan Ivanov, DO
Case Reports

Internal Hernia – Mini Case Report

Mini Case Report  HPI  68 yo F with PMHx of Polio, HTN and arrhythmias presents to the ED with abdominal pain and nausea X 1 week. Pain is in the periumbilical region,10/10 intensity, squeezing in nature, radiates to the epigastric region and is not responsive to OTC pain meds and omeprazole. She also endorsed chills, shortness of breath, diarrhea that started the day prior. She denies fever, chest pain, palpitations, vomiting, headache, LOC, constipation. Pt still has her appendix, PSHx of Gastric bypass 12 years prior.  PE  Moderate epigas

by Jessica Smeaton, MD
Conference Summaries

Conference Summary 8/4/21

7a: Mike Cyd - CCU/EKG lecture #2 / Mallory - Methadone Lecture8a: Resident lectures: Ivan / Robert (please send me your topics soon)9a: BREAK / Dr Jeong - Coney's Complex Cases Review (Summer 2021)1030a: Dr Kindschuh + Geoff - M+M Case - Posterior Stroke (Admin block lecture)11a: Resident Meeting - Aug 2021 / Faculty Meeting Aug 2021  GENERAL RESIDENCY UPDATES Link from Dr. Jeong: EMRAP Delta variant updates (8min podcast): LINKDr Kindschuh - some housekeeping stuff about the Breezy Point Community Outreach event (next week)Replaces conference on Weds 08/1

by Geoff Luecker, DO