About Demian Szyld, MD EdM

ALiEM Guest Contributor
Associate Medical Director
New York Simulation Center for the Health Sciences
New York University Langone Medical Center and City University of New York

Diagnoses that sound alike

Emergency Medicine is as much about taking care of undifferentiated patients as it is about naming specific signs, symptoms and diagnoses. After 10 years of medical training I’ve noticed that there are a few diseases that require us to stop and think a bit. In particular I’m thinking about conditions that share these features:

  1. They sound-alike, look-alike, or share words or roots of words
  2. They affect a specific organ or part of the body
  3. They have very different etiologies, implications, prognosis and treatment

The two sets of diagnoses that I encounter most frequently with this problem are Mesenteric Ischemia (or Ischemic Bowel) and Ischemic Colitis and Aortic Dissection and Aortic Aneurysm (often manifested in the unlikely “dissecting aneurysm”).
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2017-11-06T18:51:53-07:00

New 2010 ACLS guidelines from the AHA, ERC, and ILCOR

cpr

Last month the AHA, ERC, and ILCOR released the 2010 Resuscitation Guidelines. They build on the 2005 and previous guidelines and continue the trend towards more, higher quality, uninterrupted CPR. The complete summary and recommendations are published in Circulation and are available for free.

Here is my summary for you!

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2019-09-05T20:31:26-07:00

What’s on my mind: EBM Resource

junkscienceKeeping up with the EM literature is difficult, particularly when we’re also trying to stay ahead of the curve in our own subspecialties (Healthcare Simulation and Medical Education in my case). Last week I was listening to Scott Weingart’s EMCRIT Podcast and at the very end of the show he mentioned a new EBM resource: TheNNT.

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2017-03-05T14:18:35-07:00

Incorporating debriefing into clinical practice

plus-delta-pic2

I’m in the middle of an intense weeklong course on debriefing for medical simulation here in Cambridge, MA. One of the goals many of the participants share is our desire to improve our skills in the art of debriefing after clinical simulations. Although the course focuses on “Debriefing with Good Judgement” 1 today the faculty also offered a simple tool to structure a brief debrief when time is very limited.

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2016-11-11T19:02:23-07:00

Paucis Verbis card: Procedural sedation and analgesia

picture-shark-fin-capnogramFrom time to time, our patients need moderated and deep sedation in order to tolerate painful procedures such as joint reductions or incision and drainage procedures. There are many medications available to us including some newer ones such as Ketofol and Dexmedetomidine.

This week’s Paucis Verbis is a reference card to remind us of the importance of Airway Assessment and help us calculate the medication doses.

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2017-08-03T00:37:56-07:00