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.

Cxr Adequacy

CXR’s can be misleading, some common points to be aware of:

Erect vs supine (fluid layering):

1erectsupine

AP view can magnify the heart (PA vs AP):

1paap

Rotation – are the spinous processes centered between the medial edges of the clavicles? Note how heart width changes with rotation.

1rotation

Penetration – vertebral bodies should be just visible behind the heart

1penet 1penet2

Inspiration – should be about 9-10 posterior ribs seen

1inspiaration1 1inspiration2

Labeled ribs:

1ribs2

1ribs1

 

Images from:

Nose Refresher

 

Learning

 

A resident of ill-repute was minding his own business on the way to his shift when he was assaulted. He complains of nose pain and that conference is too early in the morning. The attending was anxiously awaiting the arrival of said tardy resident, and then was immediately seen as above. What is is happening?

A. the correct approach to “feedback” for tardiness as per departmental policy

B. an attending of ill-repute minding her own business

C. bilateral carotid massage

D. an impending nasal fracture, which today’s pearl will be about

E. all of the above

Continue reading “Nose Refresher” »

Having Trouble Finding That Gallbladder?

Try Bret’s expert tips to improve RUQ view and finding the GB using the sonographic rib spreader!

http://sinaiem.us/tips-and-tricks/improving-left-upper-quadrant-view

Cooley-rib-retractor

Frostbite Review

Chilly day, time to review frostbite recommendations….

 

Continue reading “Frostbite Review” »

Admit for Esbl Uti?

You have a patient sent by her PMD for a UTI. She had just received her culture results showing ESBL that is susceptible only to carbapenems. The PMD wants her admitted for IV antibiotics. She has no other symptoms. Is there a way to avoid this admission?


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