Welcome to the Mount Sinai Emergency Medicine Residency Website.

Here you will find information regarding rotation schedules, academic resources, wellness and facts about our program and residents. Check out our bios and photos. Please also visit the Emergency Department's official residency website. This site is intended for Mount Sinai EM residency purposes only, and no information on these pages is intended or should be construed as medical advice. Read more.

A Bucket O’ Blood

You are taking a water break during your resus shift when you hear “clinical upgrade, acute zone 1”.

You rush back to see a 60-year-old patient holding a bucket of bright red blood and you find out that he has an extensive PMH including HepC cirrhosis.

After handling the initial resuscitation, you consider which additional tests and meds to order when your colleague reminds you to also give ceftriaxone. Why would this help?

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Status Epilepticus

Your patient arrives by ambulance having a seizure.  EMS administered ativan 10 minutes ago.  You give a second dose but the seizure continues.  What should you do?

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Interscalene Plexus Block

Your patient is a 25 year old male with a shoulder dislocation.  He needs analgesia, but has a date later and does not want to risk dimming his considerable mental acuity with systemic medications.  What to do?

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Opioid Induced Serotonin Syndrome?

What over the counter opiate derivative can induce serotonin syndrome? (and dissociation)

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Scvo2

You are managing an elderly patient with septic shock.  The ICU team is requesting ScvO2 measurement to be used in consideration of inotropic support.  You are not sure how to make decisions about inotropes based on ScvO2 and wonder:  What is ScvO2? what can it tell you?  what are its limitations? are there alternative measurements to use?

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Greg Fernandez, MD


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