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.

Rockall Score for Gib

@JoePinero

GI bleeds have been a subject of significant research over the past decade. Let’s review the Rockall risk stratification tool.

RISK STRATISFICATION TOOL

ROCKALL SCORE:

Rockall

Score > 3 = good prognosis (rebleed < 11%, mortality < 3%)
Score > 8   (rebleed < 42%, mortality < 42 %)

Vreeburg E, Terwee C, Snel P, et al. Validation of the Rockall risk scoring system in upper gastrointestinal bleeding. Gut. Mar 1999;44(3): 331-335

You Put in a Femoral Tlc, You Dirty Dog Didn’t You!

@JoePinero

Every critical care physician scoffs at the idea of placing a femoral central line, but are they correct? Do femoral central lines actually cause more infections than other sites?

Continue reading “You Put in a Femoral Tlc, You Dirty Dog Didn’t You!” »

I Can’t Turn Left…

@JoePinero

A 40 yo M hx of HTN, HLD, DM, PVD, who can’t turn left, is not Derek Zoolander, he’s a man having a stroke!  KNOW YOUR STROKE SYNDROMES!!! As we know, this is a favorite topic of the boards, and will time and again be asked on each board/in-service exam. So lets review some basic stroke territories…

Continue reading “I Can’t Turn Left…” »

Dislocated Jaw? Bite Down on This Syringe!

by @JoePinero

The next time you have a patient with a dislocated jaw, hand them a 5cc or 10 cc syringe and tell them to stop, drop, bite and roll!

Continue reading “Dislocated Jaw? Bite Down on This Syringe!” »

I’ve Got the Black Lung Fluke

Post by @JoePinero

25 yo M no phx, from Ecuador, in US for 6 months, CC 1 month of cough w/speckled hemoptysis, +intermittent subjective fevers responsive to tylenol/motrin. +Wt loss of 7-10 lb’s in past month. In Ecuador worked as fisherman in a small village.

Vitals: 99.9 (oral) 113  130/80  98%RA
Gen: Well-appearing, thin male, coughing frequently
Resp: mild crackles LLL, no resp distress
Abd: Soft, non-tender, non-distended
Ext: No periph edema
Skin: No rash

CBC: 10 > 14/40 < 220   seg 80%  eos 8.3

Chest XR Cxr

Continue reading “I’ve Got the Black Lung Fluke” »

Chris Hansen


Archives

Categories