A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index ECG.
It’s 3:00 AM and the ER theme song wakes you from your Trauma swivel chair nap. “County, this is CFD. We’re bringing you an 11-year-old male who was a restrained passenger involved in a head-on motor vehicle collision going 45 miles per hour. Airbags deployed, and the patient was able to self-extricate. We’ll be there in 2-3 minutes.”
Michael Hohl, MD; Taylor Wahrenbrock, MD; Ari Edelheit, MD
Read More
Figure 1. The four order set pathways for opioid and xylazine withdrawal. Based on severity of withdrawal, ability to gain IV access, and known or concern for prolonged QTc.
EMS brings in a patient who is reporting heroin withdrawal, so you reflexively give the patient an IV fluid bolus and Zofran, but he is now feeling worse. You try sublingual buprenorphine 8mg, and while the patient initially feels better, he is feeling even sicker a few hours later. What else may be going on? What other options are at your disposal to improve your patient’s symptoms?
Taylor Wahrenbrock, MD; Kathryn McGregor, MD; Eric Leser, MD; Michael Nelson, MD; Antonia Nemanich, MD
Read More
Figure 1. Index ECG.
A 48-year-old male with a past medical history of SVT, atrial flutter/fibrillation, hypertension, and hyperlipidemia presents to the ED with chest pain, shortness of breath, and palpitations that started 3 hours prior to arrival. His symptoms started suddenly. He has been compliant with all of his home medications. An index ECG above was obtained in triage.
Megan Buranosky, MD
Read More