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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

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