Dr. Mike Sevilla

JANUARY 14, 2022

Yes, our weather friends are giving us the heads-up that we may be getting some snow going into early Monday morning. You know what that means? Yes, people just go nuts and crazy for the coming snowstorm or the cute name that they will call this on social media, whether it be “snowpocalypse” or “snowmageddon” or whatever. I don’t want to be all snarky (but I know that’s why you love me) but let me be the first to say (again), “Hey people, it’s January and we live in Ohio.

Wellness 52

Wellness 52

Northwestern EM Blog

JANUARY 10, 2022

Written by: Jim O’Brien, MD (NUEM ‘23) Edited by: David Kaltman, MD (NUEM ‘20) Expert Commentary by : Sarah Dhake, MD (NUEM ‘19) & Josh Waitzman, MD, PhD Expert Commentary Thanks for a great review on hyponatremia by Drs. O’Brien & Kaltman. I’ve recruited the expert insight from one of my favorite colleagues and fellow Northwestern University Feinberg School of Medicine graduate Joshua Waitzman, MD PhD, Instructor of Nephrology at Beth Israel Deaconess Medical Center in Boston, MA.

Administration 52

Administration Seizures Emergency Department Wellness 52

Stop and Think

JANUARY 9, 2022

Let’s start with the easy decisions: sick patients who are asking for our help. When someone falls and breaks a hip, the decision is easy. You fix it. When someone presents in shock because of AV block and a low heart rate, you place a pacemaker. When someone presents with bacterial infection, you use antibiotics. It gets trickier when we consider preventive interventions.

Stroke 52

Stroke Outcomes Shock 52

JournalFeed

JANUARY 8, 2022

It’s the JournalFeed Podcast for the week of January 3-7, 2022. We cover POCUS for pyloric stenosis, deaths from OTC cough medicine in children, ED sepsis teams reduce mortality, dispo times early vs late in your shift, and new ASA 2022 difficult airway guidelines.

Sepsis 52

Sepsis 52

Dr. Mike Sevilla

JANUARY 13, 2022

I’m going to do something I’ve never done before. I’m going to ask you, the reader, to give me a review on Google. I have to tell you, this is a big risk, because I have no idea what is going to happen here. Why now? Well, let me ask you, how many time have you read the reviews on Amazon before you make a purchase? How about this? How many times have you read the reviews of a doctor before you made a decision whether to pick a new doctor.

Wellness 52

Wellness 52

The Skeptics' Guide to EM

JANUARY 8, 2022

Date: December 28th, 2021 Reference: Kulvatunyou et al. The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial. J Trauma and Acute Care Surgery. November 2021. Guest Skeptic: Dr. Chris Root is a second-year resident physician in the Department of Emergency Medicine at the University […] The post SGEM#355: Bigger Isn’t Better When It Comes to Chest Tubes first appeared on The Skeptics Guide to Emerg

Fractures 52

Fractures Emergency Department Wellness 52

EMergucate

JANUARY 10, 2022

The left wrist x-ray shows an intra-articular two part fracture of the base of the 5th metacarpal & scaphoid waist … Continue reading →

Fractures 52

Fractures EMS 52

Dr. Mike Sevilla

JANUARY 12, 2022

Just another day for a health care worker in America. I was driving to work this morning, and my mind was wandering all over the place thinking about work and life. And, then I turn the corner, and I see the sunrise, and I had to stop. And, sometimes life does that to you. We’re knee deep every day in our usual day-to-day things, and then something happens to just stop you in your tracks.

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EM Literature of Note

JANUARY 9, 2022

A few items to collate from the last several months’ efforts. The Annals of Emergency Medicine Podcast continues apace, with free monthly updates from the original research published in the journal: iTunes Link SoundCloud Link Likewise, the Annals of Emergency Medicine Journal Club has published several monthly installments: Predicting Outcomes in Pediatric Pneumonia: Are We Omnipotent or Incompetent?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Stroke Emergency Department Outcomes 40

EMergucate

JANUARY 10, 2022

A 45 year old male presents to ED complaining of central pleuritic chest pain for the last 9 days. The patient has a past history of AML.

EKG/ECG 52

EKG/ECG EMS 52

MEDEST118

JANUARY 10, 2022

An original post by Mario Rugna Peer reviewed by Minh Le Cong

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Dr. Mike Sevilla

JANUARY 11, 2022

“My cup runneth over with kindness” -- Dr. Mike Sevilla I have to tell all of you that I have been overwhelmed (in a good way) with all the feedback that I have received about my essay last week about my hospital and my community. When I go into the hospital, I always have someone stop me, or give me a thumbs up as I’m looking down the hall. When I’m in the store (with my mask on), I have people turn their grocery cart all the way around to make sure that it’s me, and then they say so many kind

Hospitals 52

Hospitals 52

Dr. Mike Sevilla

JANUARY 10, 2022

Today is January 10, 2022, and how are those New Years changes going for you. Full disclosure, not really going well for me. The New Year’s “R”-word is triggering for me, so I don’t mention it (resolutions) - Hehe. Ever since my surgery 2 years ago (see this blog post for further explanation of what happened there), I’ve really been trying to make some small changes in my life when it comes to my own health.

Wellness 52

Wellness 52

EMergucate

JANUARY 11, 2022

36 year old male presents to ED with swelling and discolouration of his foot after stepping on a piece of coral 1 week ago. The patient reports fever and vomiting.

EMS 40

EMS 40

EMergucate

JANUARY 12, 2022

36 year old male presents to ED with swelling and discolouration of his foot after stepping on a piece of coral 1 week ago. The patient reports fever and vomiting.

EMS 40

EMS 40

EMergucate

JANUARY 10, 2022

This chest x-ray is from a 28 year old with cough. What can be observed?

EMS 52

EMS 52

EMergucate

JANUARY 9, 2022

Answer for lab case 346 PH = 7.25, that is moderate acidaemia.

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