Brown Emergency Medicine Blog — BROWN EMERGENCY MEDICINE BLOG

Hypothermic Cardiac Arrest

An unknown age male, estimated 30 years old, is brought into the emergency department by emergency medical services in cardiac arrest. He was found unresponsive on a park bench outside on a cold night. When EMS arrived he was noted to be very cold with no palpable pulse, spontaneous respirations, or response to sternal rub. A supraglottic airway was placed but they were unable to establish IV access. They performed 30 minutes of chest compressions and brought him to the emergency department on a LUCAS device…

Critical Care, ResuscitationFrederick VaroneJuly 30, 2021Hypothermia, Cardiac ArrestComment

Scalpel…Finger…Glock: Medical Support of Law Enforcement Tactical Teams

Over the last three decades, the spectrum of crime in the United States has posed a dynamic challenge to law enforcement, with an increasing prevalence of violent incidents involving assault weapons, domestic terrorism, and often mass casualties. To meet the demand of these emerging situations, law enforcement agencies have formed groups of officers with specialized equipment and training, capable of handling these unique threats affecting both law enforcement and the general public…

EMS, Law Enforcement, Conference RecapsMatthew LoConteJuly 23, 2021Law Enforcement, Tactical TeamsComment

Basics of Knee Aspiration

…complained of sudden-onset right knee pain with inability to bear weight during a hospital admission for syncope. Her knee joint had never before been affected by gout. Plain films and Commuted Tomography of her knee did not show any fracture or dislocation but revealed a moderate joint effusion…

Orthopedics, ProceduresRachel Smith ShainJuly 16, 2021ortho, procedures, Infectious Disease, arthropathyComment

To Treat or Not to Treat: Below the Knee DVT

“A 42 year old male with a past medical history of paroxysmal atrial fibrillation and L4 radiculopathy due to a remote back injury presents to the ED with chief complaint of right foot and calf pain. The pain is described as cramping and burning that gradually worsened over the 3 days prior to presentation. He is not on anticoagulation. He denies…”

The Anemic Patient

…The patient’s history of fatigue, dyspnea on exertion, palpitations, and pale coloring can be vague when taken separately but when put together with her pale coloring and tachycardia…

Pediatrics, Infectious DiseaseGiovanna DelucaJuly 5, 2021hematology, pediatrics, anemia, hemolytic anemia, warm AIHA, Cold AIHAComment

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