Eric Deutsch
Author's posts
Feb 23
FOAM of the Week – Conversion Disorder, Agitated Patients, Eating Disorders
Some helpful stuff related to lectures this week – enjoy! Conversion disorder-related stuff: Optokinetic drum for patients complaining of blindness: Hoover’s Sign to assess patient effort vs true weakness: http://cdn.lifeinthefastlane.com/wp-content/uploads/2014/08/Pract-Neurol-2001-Stone-50-3.pdf Agitated patients: Chemical and Physical restraint of agitated patients from EmCrit: http://emcrit.org/podcasts/human-bondage-chemical-takedown Ketamine for chemical retraint from ALIEM: http://www.aliem.com/2015/ketamine-for-excited-delirium-syndrome/ Eating Disorder overview from Peds EM Morsels: …
Feb 15
FOAM of the Week – US guided IVs, In Flight Emergencies
Sorry for the delay this week – a couple good pod/videocasts related to this weeks topics: Having trouble with those ultrasound guided IVs? Review the basics on Ultrasound Podcasts: http://www.ultrasoundpodcast.com/2013/10/ultrasound-guided-peripheral-iv-podcast-give-nurses-teach-providers-foamed/ Is there a doctor on board? How should you respond to an in flight emergency from EMRAP: https://www.emrap.org/episode/may2015/linsessionin
Feb 08
Image of the Week – Ruptured Ectopic
Courtesy of Dr Beck: The image of the week comes to us from Drs Shamie Das and Philip Shayne who used ultrasound to evaluate a patient with hypotension and bradycardia. Can you identify the pathology present?
Feb 06
FOAM of the Week – Blunt Cerebrovascular Injury, Peritonsillar Abscess
Since this week was a class day, I’ve included some topics that have come up on my shifts recently. Enjoy! Blunt Cerebrovascular Injury – does every cervical seatbelt sign need a CTA? EAST Guidelines: https://www.east.org/education/practice-management-guidelines/blunt-cerebrovascular-injury PV Summary card from ALIEM: http://www.aliem.com/2011/paucis-verbis-imaging-for-blunt/ Discussion from EMRAP on pediatric population: https://www.emrap.org/episode/nov/traumasurgeons Some tricks of the trade …
Feb 03
Image of the Week – Retroperitoneal Hematoma
Courtesy of Dr Beck The image of the week comes to us from MS4s Clifton Scott and Alex Dandre, and critcal care fellow Esther Lee who used ultrasound to evaluate a patient with a delayed presentation following a stab wound to the left flank. Can you identify the pathology present?
Feb 01
FOAM of the Week – Intracranial Hemorrhage, Benzo Equivalents, Calcium Channel and Beta Blocker Toxicity
Some great FOAM stuff related to this week’s topics: Evidence behind BP reduction after ICH: http://pulmccm.org/main/2013/randomized-controlled-trials/in-intracerebral-hemorrhage-rapid-blood-pressure-reductions-were-safe-interact2/ Benzo Equivalent dosing calculator: http://www.globalrph.com/benzodiazepine_calc.htm Calcium Channel and Beta Blocker Toxicity review podcast (peds focused, but generalizable): http://www.pemed.org/blog/2013/4/15/calcium-channel-blockers-beta-blockers-and-undifferentiated.html
Jan 23
FOAM of the Week – EtOH Withdrawal, Cannabinoid Hyperemesis Syndrome, Depakote Toxicity
More tox FOAM stuff from this week: A couple podcasts from EMRAP covering both treatment of severe EtOH withdrawal as well out outpatient treatment of mild EtOH withdrawal: https://www.emrap.org/episode/nov/alcohol https://www.emrap.org/episode/thepsychiatryof/alcohol Phenobarb monotherapy for EtOH withdrawal: http://emcrit.org/pulmcrit/phenobarbital-monotherapy-for-alcohol-withdrawal-simplicity-and-power/ Overview of cannabinoid hyperemesis syndrome from LITFL: http://lifeinthefastlane.com/therapeutic-showering/ Finally, overview of valproic acid toxicity: http://www.aliem.com/valproic-acid-induced-hyperammonemic-encephalopathy/
Jan 18
Weekly Report – Thyroid Storm
Presentation: 50 yo F with PMH of hypertension presents for shortness of breath and altered mental status. The patient is lethargic in obvious respiratory distress. Her BP is 230/130, HR is 170, RR is 35, O2 is 90% on NRB, and Temp is 38.1. She has crackles throughout all lung fields. She is intubated for respiratory …
Jan 12
Image of the Week – Upper Extremity DVT
The image of the week comes to us from Drs Almebash, Liska, Sizemore, and Allen who used ultrasound to assess a patient with a history of malignancy who was found on exam to have isolated LUE Swelling. Thanks for all of your great images this week! Happy Scanning! Sierra Beck MD
Jan 12
FOAM of the Week – Chemical Terrorism, NOAC Reversal, Necrotizing Soft Tissue Infections
Continuing our tox topics this week, as well anticoagulation reversal and Nec Fasc: A timely overview on chemical, biological, radioactive and nuclear threats from St Emlyns, including info on irritant gases, nerve agents, and vessicants: http://stemlynsblog.org/cbrn-an-introduction/ Learn about the literature behind Praxbind: http://rebelem.com/noreversaban/ Look out for Andexanet Alfa on the horizon: http://www.emlitofnote.com/2015/11/the-great-reveal-of-andexanet-alfa.html Overview of Nec Fasc including the …