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.

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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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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Adenosine in the Management of Wide Complex Tachycardia

Your patient is stable but has wide complex tachycardia (WCT).  Your attending wants to give adenosine but you are unsure.  Isn’t there a chance this could lead to ventricular fibrillation?  In what circumstances is it safe to diagnose/ treat WCT with adenosine?

Management of Intracerebral Hemorrhage Associated with Thrombolysis

One of your patients arrived with stroke and was treated with tPA.  On reevaluation the patient reports a new severe headache and then becomes lethargic.  What should you do?

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Greg Fernandez, MD