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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

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The Heart of the Matter - An Inferior Myocardial Infarction

March 31, 2024

The Case:

A 72yo M presents via EMS for chest pain that started while chopping wood. Initially, an ECG was sent by EMS en route with concern for ST-segment elevation. 324 mg PO aspirin and 400 mcg of sublingual nitroglycerin were administered prior to arrival. Vitals per EMS were notable for bradycardia and hypotension.

Stewart Pine, MD

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In Cardiology Tags Cardiology
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Source: Photo by Robina Weermejier on Unsplash

The Cheese - Systemic Lidocaine for Renal Colic

March 24, 2024

Renal colic can be insufferable for patients and physicians alike. Although NSAIDs are typically sufficient, you will with some frequency encounter individuals where NSAIDs and possibly even opioids aren’t enough. Here, we review alternatives to managing pain related to renal colic.

Vladimir Bernstein, MD

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In Pharmacology Tags Pharmocology
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Senior Journal Club - Seizure Management

March 16, 2024

The Cook County EM Residency strives to teach both fundamentals with practice-changing research. Our journal club is split between senior and junior residents, and here you will see the articles discussed at our December journal club for senior residents, which focused on managing seizures in the ED.

Jose Reyes, MD

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In Neurology Tags Neurology
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