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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 Cheese - Low-Cost, High-Value Obstetrical Care

May 24, 2024

Here at County, we are lucky enough to have an open labor and delivery unit and on-site OB/GYN consultants. Unfortunately, 217 obstetric units have closed from 2011 to 2023 according to the health care consulting firm Chartis. With decreasing access to obstetrical care, you, in your future practice, may be in a position where patients depend on you for high-quality care related to reproductive health. Here, we discuss some recent randomized trials investigating low-cost, high-value interventions related to gynecologic and obstetrical processes.

Jose Reyes MD

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In OB/GYN Tags Reproductive Health, Pharmocology
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MS4 Infographic - Orbital Compartment Syndrome

May 21, 2024

Ocular emergencies are commonly evaluated for and rarely found. Most are managed medically, but there is one which requires procedural management of the emergency physician. Here we discuss diagnosis and management of ocular compartment syndrome provided by one of our rotating medical students.

Lilian Zapata, MS4

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In HEENT, Trauma Tags HEENT
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Figure 1. Index ECG.

The Heart of the Matter - A Case of Recurrent Syncope

May 10, 2024

The Case:

A 62-year-old F with a PMHx of osteoarthritis presented for two months of intermittent, unprovoked syncope, worse over thepast 24 hours. She was admitted one month prior and had TTE and 24 hours of observation without a noted event. She notes the day prior syncopizing without prodrome, chest pain, or SOB, and additionally experienced this 1-2 hours prior to presenting. She was brought to resus after syncopizing in the waiting room and being bradycardic. Figure 1 was obtained when the patient initially presented to the resus bay.

Jose Reyes, MD

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In Cardiology Tags Cardiology
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