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.

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?

Continue reading “Status Epilepticus” »

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?

Continue reading “Interscalene Plexus Block” »

Opioid Induced Serotonin Syndrome?

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

Continue reading “Opioid Induced Serotonin Syndrome?” »

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?

Continue reading “Scvo2” »

Procedural Sedation: Propofol or Ketofol?

 

3645088948_b0d8e8b1a4_o

 

0802151420

It’s Caturday night and you have a young, healthy male in your ED who dislocates his shoulder for the first time just 30 minutes prior to arrival. He seems like the purrfect candidate to perform a reduction without sedation, and you are paws-itive you can get the joint back in its place. You give some morphine and go for it right meow. Unfortunately, no luck. He states there is too much pain. Ultrasound guru Phil Andrus is your attending so you inject lidocaine into his shoulder joint via an ultrasound-guided spinal needle. Still no success. You think to yourself: you have got to be kitten me!

Continue reading “Procedural Sedation: Propofol or Ketofol?” »


Archives

Categories