Welcome to our new educational website! Please sign up in the side bar on the right to receive updates and new posts by email.
Kids poop. Most of the time it is benign (aside from the blowouts, the wiping, cleaning and changing of clothes). Occassionaly, pediatric diarrhea has a more serious etiology. In this interview with pediatrician Dr. Jay Larmon we go over the spectrum of pediatric diarrhea, from the '“A-okay” to the “not-so-right” . . . and everything in between.
Read More
In medicine we often draw a solid line between community and academic medicine, but this is likely a fallacy. In fact there is a huge amount of academia that can be found and thrive in a community hospital. In this interview we talk with Dr. Salim Rezaie of the REBEL EM blog and podcast, a man who has walked both sides of this imaginary line between community and academics. In our chat we discuss ways to get involved in academics in the community and the vast array of rewards that come with that, including improved patient care, increased fervor for your work, decreased burnout, and increased career longevity.
Read More
Ludwig’s Angina is an uncommon but dangerous floor of the mouth infection. It is important to recognize and manage it appropriately. For this reason we present images and video of a case of Ludwig’s Angina… and sprinkle in nuggets of wisdom regarding source, presentation, complications, and management.
Read More
In this post and podcast we review mRNA vaccines and the Pfizer phase 3 study to help frontline providers answer some important questions- What is an mRNA vaccine? How does this differ from the traditional vaccines? Is it safe? Efficacious? We take a closer look at the recent NEJM article to help us come to a final answer on the most important question- Should I feel comfortable getting this vaccine?
Read More
The management of diabetic ketoacidosis (DKA) in children is full of difficult questions- how much insulin should I give? Who is at risk for cerebral edema? What treatments, if any, increase the risk for this dreaded complication? Which fluid is ideal? How much of this fluid should I give? We sat down with ED physician and endocrine aficionado Dr. George Willis to answer these questions.
Read More
They have something DOWN THERE... No surprises, it's herpes. But making the diagnosis is the just first of many issues and questions- how do you treat it? Will it come back? How do I stop from spreading it to other partners? Is there something I can do to decrease my number of outbreaks? All great questions we should be ready to answer. In this vodcast Dr. Leger reviews this disease and these important questions.
Read More
The diagnosis of Wernicke's encephalopathy is an elusive beast. The classic triad of altered mental status, ataxia, and ophthalmoplegia is, of course, anything but classic in terms of presentation. To make matters worse, the most at-risk population, the chronic alcohol misuser, often have these signs and symptoms for alternative reasons. In this podcast we discuss diagnosing Wernicke's in the alcoholic.
Read More
Boarding is a problem across most Emergency Departments in the United States, and likely the world. This adversely affects patients and staff. In this post we review the data on the detriments of boarding in the ED, how it impacts patients, and some ideas on how to fix it.
Read More
Uterine bleeding is a common presentation to the Emergency Department and rarely these patients are SICK. When they come in sick, it's not the time to be googling the ACOG recs on managing uterine bleeding. Here we review the proper management of the pregnant, post-partum, and non-pregnant patient with uterine bleeding.
Read More
The personal protective equipment (PPE) for COVID-19 has been the center of attention in the medical world and laypress, in part because of the short supply and in part because of the importance of healthcare personnel safety. In this vodcast we review the different levels of PPE and what you need to know to safely protect yourself.
Read More
This work by www.downeastem.org is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Powered by Squarespace.
Use of this blog and its associated media does not constitute the establishment of a physician-patient relationship. Content posted on this site is NOT medical advice and should not be used to treat patients or yourself. The website authors shall not be held responsible for any damages sustained from the use of this website. The information on this website should not be used to establish standard care or standards of practice for the purposes of legal procedures. The opinions expressed on the website are the opinions of the website and content authors alone and do not represent the policies or opinions of Maine Medical Center, Maine Medical Partners, MaineHealth, or Tufts University School of Medicine.
