Stony Brook
EMergency Medicine

(631) 444-3880


101 Nicolls Road,

Stony Brook, NY 11794

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Copyright 2019 Designed by Michael Beck MD

The Morning Report

The Best in FOAM Education

September 27, 2019

This is an 81-year-old male on rivaroxaban for atrial fibrillation who suffered a witnessed fall down several steps. On EMS arrival, he was asymptomatic. During transport and his initial ED assessment, he deteriorated, developing worsening encephalopathy and the Cushing reflex.  He required anticoag...

September 25, 2019

A 31 year old male presents unresponsive with agonal respirations. He is hypoxic to the 60s. His history and physical are very suggestive of an opioid toxidrome/overdose.

The patient receives the appropriate antidote therapy with naloxone and there is an expected increase in respiratory rate and and...

September 11, 2019

A 75 year old female presents to the emergency department via EMS for evaluation following an overdose with reported suicidal ideation and unknown time of ingestion. Per EMS, the patient was last seen well last evening. Just prior to arrival, she was found in her bed by her neighbors with minimal re...

August 15, 2019

A 27 year old woman G3P2 presents with active vaginal bleeding. She has saturated multiple pads and is bleeding through her pants in triage.

Triage vital signs are HR:115, BP: 100/64, RR: 20, Temp: 37 C.

She is swiftly placed on the monitor, IV access is obtained, and labs are drawn. A pelvic exam re...

A 70 year old M with a past medical history of ILD presents to PCP after one week of fever (TMax: 106 F), malaise, dizziness, epigastric pain, dyspnea, myalgias, diaphoresis, chills, poor appetite. According to daughter, he found a tick on himself just before the symptoms started. He was started emp...

August 9, 2019

A 56 y/o male is found in cardiac arrest by his wife. She calls 911. CPR is initiated. Pulseless electrical activity (PEA) is the only rhythm throughout the resuscitation. Finally, ROSC is achieved and the patient is placed on norepinephrine at 30mcg/min, epinephrine at 30 mcg/min and vasopressin at...

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