Quick Pimps: GI Bleeding

This is a common topic to be pimped on in Emergency Medicine.  This pathology is not uncommon, can manifest with varying signs and symptoms and is associated with a high mortality.  This topic is extremely important to understand, not only because of its occurrence rate and related mortality, but because the actions taken immediately in the Emergency Department can have a significant impact on patient course and outcome.

This topic is full of clinical pearls, interesting pharmacology, practical decision tools and my favorite…pseudoaxioms!

Quick Pimps: Acute GI Bleeding PDF Preview

Disclaimer: this cartoon is meant to say NG tubes are safe. Their efficacy is up for debate.

NG tubes bad

Monitoring Critically Ill Patients

Vital basics on vital signs and other signs that are vital.

Our goal in medicine is to gather and organize data, interpret that data and ultimately make decisions in the prevention, diagnosis, and management of disease.  The initial part of this system is to ensure that adequate and correct data is collected and interpreted with knowledge of the process and shortcomings that the data was collected with.

Discussion includes vital signs, pulse oximetry, blood gases, capnography/end-tidal C02 (ETC02) and more.  It is important to recognize where vital signs can trick you, how to deal with pulse oximetry latency and how blood gases and ETC02 can be interpreted in the setting of shock.

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Monitoring Critically Ill Patients PDF


Meyers CM, Weingart SD. Critical Care Monitoring In The Emergency Department. Emergency Medicine Practice. 2007;(9)7:1-23.

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Acute respiratory distress syndrome (ARDS)

Rob Kawa discusses Acute respiratory distress syndrome.


ARDS Podcast

Mutiple Endocrine Neoplasias (MEN syndromes)

“Oh, this is definitely MEN syndrome….but which one?

No matter how many times I have memorized these syndromes I feel like the information is gone after a week.  I looked around for helpful study tips but since most use a combination of “this many Ps and that many Ms”…yet everything is a P or M, I was lost.

I made this diagram because I am a visual learner and it only seemed right to point out that there are only a few differences.  I hope this helps for boards.  This seems to show up on every USMLE and COMLEX.

Multiple Endocrine NeoplasiasMultiple Endocrine Neoplasias

Osteopathic Approach for Palliative and Hospice Care

Rob Kawa talks palliative care in this podcast.  This is a great talk going over lots of Osteopathic principles as well as techniques.  This should also help those out there with a COMLEX exam coming up.  Enjoy!

OMT In Hospice and Palliative Care PDF

Quick Pimps: Approach to Rheumatic Patient

Here is a quick overview of many rheumatologic pathologies.  My goal was to create a quick visual aid to assist in differential diagnosis and managing the dreaded rheumatology board question.  I plan on editing and adding to the form so I welcome any comments.

Approach to Rheumatic Patient

approach to rheumatic patient pic

Quick Pimps: Criteria and Rules Quick Reference Sheet

I am working on a few podcasts but in the meantime I thought I’d share a new sheet that is helping me during my Internal Medicine rotation.  It is a work in progress so let me know about any corrections or additions you can think of.

Criteria and Rules Sheet

criteria and rules