Use lower doses of ketorolac!

Ketorolac is frequently used in the ER parenterally for acute and chronic pain control. Ketorolac works as a nonsteroidal anti-inflammatory drug (NSAID). It has demonstrated analgesic efficacy similar to opiates in postoperative pain. Ketor…

Fight Bites

  “Dogs never bite me. Just humans.” -Marilyn Monroe   Human bites are the third most common bite after dog and cat bites. They occur more frequently in males, typically between the late teens and in the twenties. Clos…

Amanita Mushroom Toxicity

“You must grow like a tree, not like a mushroom.” -Janet Erskine Stuart   Amanita genus mushrooms cause a deadly toxidrome. Mortality is cited as 10-30%. The mushrooms can be identified by dots or scales on the cap. Cooking…

Shoulder Shimmy

33-year-old G1 P0 at 39 weeks with a history gestational diabetes presents in labor. After delivering the head you see it retract slightly (turtle sign). On the next push you are unable to delivery the anterior shoulder with gentle downward…

52 in 52: POCUS in Trauma

Article Citation: Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes asse…

In the zone

The concept of “flow” or “being in the zone” is discussed often in sports but can extend to any activity. Being in the zone is described as an elevated yet effortless sense of concentration.1 Furthermore, it is considered to be intrinsicall…

Bites Bites Bites

Animal Bites (Cat, Dog, Monkey, Lizard, Snake) Quick bullets to prep for in-training, let’s review Management for ALL animal bites X-ray if suspect foreign body Remove teeth Routine wound care/irrigation Update tetanus   Cats Pat…

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