A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
This week we’re covering pulse checks in CPR, a topic covered in prior conference and Journal Clubs but important to emphasize. Detecting a patient’s pulse is critical when assessing for ROSC, but it is fraught with inaccuracy
Week 10: Zengin S et al. Comparison of Manual Pulse Palpation, Cardiac Ultrasonography and Doppler Ultrasonography to Check the Pulse in Cardiopulmonary Arrest Patients. Resus 2018. PMID: 30253230
Read MoreThe case:
40-year-old man presented to the Emergency Department with a laceration after an iron bed frame fell on his knee 1 day prior. On exam, the patient had a horizontal 4-5 cm laceration on the anterior-medial aspect of his right knee with significant swelling and erythema around the joint. The wound appeared dirty, with purulent, foul smelling discharge and the knee was warm to palpation. Range of motion was limited due to pain. Radiographs were negative. Considering the overlying laceration and evidence of septic arthritis, antibiotics were administered, a CT was ordered, and the Orthopedics service was consulted. CT demonstrated no air within the joint, but the patient was taken the operating room for surgical I&D of his knee. Traumatic arthrotomy was confirmed intraoperatively.
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This week we’re covering endoscopy for Upper GI Bleed. Specifically, the optimal timing of endoscopy by our colleagues in GI
A Review of: Lau JYW et al. Timing of Endoscopy for Acute Upper Gastrointestinal Bleeding. NEJM 2020. PMID: 32242355
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