Mount Sinai EM
APRIL 20, 2024
Review of definitions – Migrant – a person who moves from one place to another – Refugee – a person fleeing persecution or fear of persecution on one of 5 protected grounds. – Asylum seeker – a refugee seeking protection from within the United States – 5 protected grounds: race, nationality, religion, political opinion, social group not protected: climate disasters, civil wars, poverty The history of asylum – 1951: there was a UN Convention in Gene
Mount Sinai EM
APRIL 12, 2024
1. New Zealand – The “Beveridge” Model Other countries: UK, Cuba, Spain How it works: Healthcare is provided and financed by the government. The government owns hospitals and clinics and doctors may either be hired by the government or privately but are paid by the government. Benefits: Universal coverage, lower cost of healthcare, fewer disparities Drawbacks: Long wait times, limited available treatments/therapies, and lower $$ for doctors Physician compensation: Paid by gover
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Mount Sinai EM
OCTOBER 26, 2023
Applying the LUCAS with minimal pauses in chest compressions FIRST STEP : LUCAS backboard behind patient’s head SECOND STEP : lift patient forward to slide backboard behind chest THIRD STEP : apply the LUCAS and start GIFs lifted from this video: [link] Whenever my team applies the backboard during a roll, it ends up getting tangled in sheets and clothing and needs additional adjustment to be centered once the patient is rolled back.
Mount Sinai EM
OCTOBER 5, 2023
Let’s talk about mandible dislocations & how we can reduce them. First, we need to take a look at the mandible anatomy – can refer back to this as we discuss mandible dislocation: So how does the mandible dislocate (also called temporomandibular joint dislocation)? Causes: Lateral dislocation Anterior dislocation Often due to trauma – direct blow Can break condylar neck w/ dislocation Lateral dislocations often w/ fracture Check for loose or missing teeth!
Mount Sinai EM
OCTOBER 4, 2023
Headaches are the most common complication of doing a lumbar puncture (LP). Let’s dive into what causes them, how to prevent them, and what to do when patients come back suffering from a post-LP headache. Some major theories on why post-LP headaches develop: Cause of the post-LP headaches is still highly debated! Theories: Continued loss (leakage) of CSF through the puncture site > pressure changes Loss of CSF “cushion” on the brain > traction on meninges, cranial nerves, bridging veins,
Mount Sinai EM
OCTOBER 2, 2023
Let’s talk about large bore/central vascular access! We’ll review different kinds, their different names, and when to use them! Of note outside the scope of this review: how to insert each of these – I think this is better learned by watching videos, watching others, & doing with guidance. This is also by no means a comprehensive vascular access guide – this is a framework to highlight three commonly used types of central lines in the ED.
Mount Sinai EM
AUGUST 23, 2023
Today is a 2 parter: 1) The Supraorbital (+supratrochlear) block for forehead lacs and 2) Comments on decision-making TNF at Ethyl’s 84th and 2nd again, 8 PM TLDR: The Supraorbital block will save you time and make your life easier/patient happier – WATCH THE 3 MIN VID ; We are DECISION MAKERS – make decisions, learn from them, READ THE ATTACHMENT, get amped THE SUPRAORBITAL/TROCHLEAR FOREHEAD BLOCK A must-have in your Elmhurst tool belt.
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