A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Source: Photo by Marcelo Leal on Unsplash
Picture this: it’s 11:02pm on a Friday Night. Red Team is bed-locked and you’re doing your best hospitalist impression while managing all of the boarding patients. The nurse comes up to you and says, “Hey, this patient in bed 26 is endorsing heroin withdrawal, can we give them something for it?” What’s your next move? Here we discuss the treatment of opioid withdrawal in the emergency department.
Vladimir Bernstein, MD
Read More
Source: Image by storyset on Freepik
Thiamine repletion for patient’s with alcohol use disorder is a low-cost, high-reward intervention. Studies have found if an ED physician does not start thiamine, patient’s admitted for a complication of alcohol use are less likely to receive thiamine on their admission. Here, our emergency department clinical pharmacist and a student pharmacist review dosing of thiamine for those with alcohol use disorder
Aonyea Spinks-Boykins, P4 Pharmacy Student, MWU Doctor Pharmacy Candidate and Joanne Routsolias, PharmD
Read More
Figure 1. Index ECG notable for sinus tachycardia with S1 Q3 T3 pattern.
The Case:
A 58-year-old M with no reported PMHx presenting with shortness of breath and the following ECG. The patient endorses 1 week of exertional dyspnea that evolved to include pleuritic chest pain one hour prior to arrival. He had severe shortness of breath on awaking. He denied hemoptysis, lower extremity edema, calf pain, history of VTE, hormone use, recent surgery, or prolonged immobility.
Jose Reyes, MD
Read More