Inconceivable: The Left Shift

Inconceivable: Medical terms that don’t mean what you think they mean Welcome to the first chapter of an educational series titled, “Inconceivable: medical terms that don’t mean what you think they mean.” This series of blog posts will highlight some of the common terms we use incorrectly in the ED. Many of them are also frequently


High Yield For The Field, Episode 1 (Conference 08/27/15)

Are you bored of receiving your conference summaries in text form? Do you wish there was something more entertaining, and instantly more educational? Well, my friend, you have come to the right place. The education team at UIC EM is proud to present Dr. John Purakal and his first installment of ‘High Yield For The Field’.

Resident Narratives

Do You Know What It Means To Miss New Orleans?

Ten years ago I decided I wanted to become a doctor.  At least that’s where it started. Ten years ago this weekend, Hurricane Katrina destroyed the city that I had grown to love.  I was part of Tulane EMS, assisting student refugees in Jackson, Mississippi on the day the storm made landfall.  The day I

EM/IM Sessions

Journal Club: Lactate Clearance Is Flawed?

Article: Lactate clearance as a target of therapy in sepsis: a flawed paradigm. PE Marik. R Bellomo. OA Critical Care 2013 Mar 01;1(1):3 Why This Article? Though not a conventional journal review article the discussion is interesting and by a credible author (PE Marik; Early goal directed therapy). As for lactate, in both the Emergency


Conference, 7/30/15, Masonic, GI

Crashing GI Bleeder, with Dr. Snow: Always consider Aortoenteric Fistula in the differential – look for the abdominal scar ‘Load The Boat’ with the correct consultants very early on Protect Yourself – always wear face/eye protection Intubate these patients early – they can decompensate quickly Place a Nasogastric Tube prior to intubation, to empty the

Critical Care

Conference, 7/16/15, Mercy, Critical Care

ACLS/Sick vs Not Sick with Dr. Jess Barber: Good, consistent, uninterrupted compressions are essential in any code Compressions, defibrillation, running a systematic code are more important than intubation In tachycardia, stable vs unstable should be your first question Treat every patient you are coding like you would treat a loved one Drug Choices for Sedation

Airway Shorts

Making the Decision to Intubate

What is a more appropriate start to an EM blog than an airway discussion? Let’s start with the basics, and expand as we progress through the year. Most of this discussion comes from the teaching I received from Airway Guru Dr. Steve Carleton (Cincinnati Dept of EM) and Dr. Ron Wall’s Manual of Emergency Airway