Image: https://www.patheos.com/blogs/rogerwolsey/2019/10/oh-my-g-od/omg-funny-baby-face-picture/ In this post, I will cover some of the basics regarding breech deliveries. This topic may cause tachycardia in many resident physicians (including myself) so let’s try and increase our preparedness with a review of the topic. Breech Presentation Definition Feet first or bottom first presentation Background 3-4% of term deliveries Most common…
Author: Dr. Ashley Penington Article: “A randomized controlled trial of ceftriaxone and doxycycline, with or without metronidazole, for the treatment of acute pelvic inflammatory disease” Wiesenfeld and colleagues (2019) Background: As with most things in the realm of infectious diseases, the treatment guidelines and recommendations for pelvic inflammatory disease (PID) have been constantly evolving through…
Author: Dr. Shivon Manchanda “Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism.” Background: The diagnosis of PE can be challenging. We do not want to scan everyone, yet even with the creation of decision-making tools, our use of CTPA is going up, while our yield of actual PE is going down. And pregnancy makes…
You stroll into work, coffee in hand, and you’re feeling great today. Your first patient is being escorted to her room. She’s young, maybe in her early 30s, walking without difficulty, chatting with the person showing her the room. You think to yourself, why is she here? You sign into the computer and you see the chief complaint: elevated blood pressure. But she’s so young you say to yourself. You wait for the nurse to load the blood pressure in the computer and take a sip of your coffee. It loads: 162/98. You ask if the patient has any other symptoms. The nurse says no and lets you know that the patient has no past medical history. You smile to yourself thinking easy discharge! You take another sip of coffee (well deserved).
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I hope I never ever have to do this, but these people at the Essentials of EM conference make it look easy. I think this is worth watching. Some points I took away from the video: This is a resuscitative delivery. It is meant to save the mother. The fetus and uterus are diverting a…
