John Cafaro MD
MedMalMonthly: Documentation
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At a recent resident lecture series, the CUH ED residents learn about medical malpractice from Dr. John Cafaro with the help of some faculty experts and the Director of Risk Management, Ms. Eileen Craig. This post will dive into some documentation pearls.
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Board Review: Cardiology
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A 60-year-old man presents with chest pain. His EKG shows ST elevations in leads II, III and aVF as well as ST depressions in V2 and V3. A right-sided electrocardiogram is also performed and shows elevated ST segments in V4R and V5R. Which of the following medications is contraindicated?
A. Aspirin
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#EMConf: Case Control Study
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Dr. Jared Klein reviews the pros and cons of a case control study.
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Board Review: Valvular Emergencies
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A 40 year old male with history of Marfan's Syndrome comes in with sudden onset shortness of breath preceded by tearing chest pain. He is tachycardic to 120, blood pressure is 80/40, patient is tachypneic with increased work of breathing. CXR is consistent with widened mediastinum and pulmonary edema and stat bedside ECHO is concerning for acute aortic regurgitation secondary to aortic insufficiency. Cardiothoracic surgery is consulted. What two medical modalities are contraindicated in this patient?
A. Beta Blocker and Intra-Aortic Balloon Pump
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Board Review: Spinal Cord Syndromes
A 70-year-old woman presents after falling forward, causing her neck to bend backwards and hyperextend. She complains of burning sensation in both hands and weakness in his arms after a fall. Physical examination reveals 4/5 strength in both arms but otherwise no neurological deficits.
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#EMConf - Lactate for Pregnant Women in Septic Shock?
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Dr. Christopher Smith takes a deep dive into the literature to find out if lactic acid in septic shock can be used the same in pregnant women as non-pregnant women.
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Board Review: Infectious Disease
A 60-year-old male presents with fever, dry cough, headache, nausea, vomiting and diarrhea. He saw his primary care physician who prescribed him Amoxicillin for which he has been taking for 4 days but feeling worse. Labs show a Sodium of 130 and mild transaminitis, other labs are within normal limits. What is the most likely diagnosis?
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