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Oh no baby WHAT IS U DOIN’?

Neonatal Resuscitation. (Some descriptors for reference: Terrifying. Scary. Fear-inducing. Horrific. Chilling.) But fear not! Your TR pearl today is brought to you by the NICU rotation + Jillian Nickerson/T.Webb doing some excellent preparatory work for/with you. So there’s this thing called the NRP — Neonatal Resuscitation Program. It different from PALS mainly that it pertainsRead more

Amanita Muscaria

For those of you who remember Super Mario Bros… how awesome was it to gobble up that red and white mushroom gliding along the ground and get huge for a few seconds? The result of consuming this mushroom was a bigger and badder Super Mario who was ready to break bricks and take names. However, the color andRead more

ED Postpartum Hemorrhage

So you’re in the ED and a G9P8 patient at 40w2d rolls in with contractions every 3 minutes. Before sending the patient upstairs you do a brief examination and you see this…   You deliver the baby flawlessly and even protect the perineum like a pro; however, the baby is quickly followed by the placentaRead more

Lewis Leads & Invisible P’s

You ever have a tough time visualizing P waves on EKGs? Have no fear, a Lewis Lead EKG might just be the thing you need! The Lewis Lead (aka S5) is a modified EKG obtained in a manner that basically triangulates atrial activity to help make the p-waves of your EKG more prominent. Lead placement includes the RARead more

Head Scratcher of a Head CT?

Hey there guys and gals and welcome back to my channel! If you’re like me and TERRIBLE at reading your own imaging studies, settle in for a quick 20 minute run down for all those CT heads everybody be ordering without a second though. But before we get into it, don’t forget to like andRead more

Central Line Troubleshooting. Beyond the Basics.

Needle, wire, nick, dilate, catheter. Sounds simple right? However, simple doesn’t always mean easy. Placing a central line on a mannequin can be much easier than the 250lb ESRD patient with peripheral vascular disease and a MAP of 50. Below are ten tips to help assist with successful line placement:   1) Manipulate the syringeRead more

Narcan Overdose. Too Much of a Good Thing?

What do smack, dragon, horse, salt, brown sugar, china white, and black pearl have in common? That’s right… they are all nicknames for heroin. We all know that Naloxone (Narcan) is a useful antidote in overdose, however appropriate dosing and timing can be more of an art than a science.   The most important conceptRead more

Health Information Exchange: Quest for the Omni-Chart.

Have you ever opened a chart of a very sick or obtunded patient, only to find it completely blank? Of course you have…probably at some point today. The minor panic that having to find vital collateral information in a timely fashion induces can be hard to shake. Is it unavoidable? Traditionally when health records wereRead more