Visual Diagnosis

What do you think is going on here? So if you were the resident who signed up for this patient what would you do? As may be obvious, this is herpes zoster ophthalmicus, which is a reactivation of the VZV in cranial nerve V ophthalmic divisi…

GI Decontamination

Case: 37-year-old M presenting with obtundation and possible seizure-like activity after a large overdose of sustained-release bupropion (Wellbutrin XL), gabapentin, and other unknown medications. Given the severity of this patient’s…

Shoulder Reductions

So today, we’re gonna talk about shoulder dislocations. This should resonate with a lot of you residents considering the weather conditions currently, or if you were worried about what would happen if a certain SuperBowl performer wer…

Flail Chest

An uncommon injury caused by three or more rib fractures in two places Injury resulting from blunt trauma such as a motor vehicle accident (75%), falls (15%) or direct percussion to the chest Causes decrease intrathoracic pressure, ineffect…

Procedural Sedation and Analgesia (PSA)

It’s winter and nobody has shoveled the roads; everyone and their mama is slipping. You have a patient with an obvious ankle dislocation and ortho is requesting that you put the patient to sleep so they can yank on the foot in peace w…

Activated Charcoal in Brief

Activated Charcoal: A Quick Summary of a Summary inspired by Dr. Ahra Cho With all the Tox VMRs going on, we often turn to activated charcoal as a method of decontamination, but we don’t often talk about how exactly activated charcoal…

A Heart-Stopping EKG

You see this EKG for your elderly patient who has just been admitted to the CCU and your eyes open up wide. What is the rhythm(s) below? SPOILERS AHEAD If you thought to yourself “is this complete heart block with a junctional escape…

ED Intubation Checklist

In addition to his love of ketamine and proper PSA technique, Reuben Strayer has written and talked extensively about ED intubations. Here is his checklist so that you can minimize complications and maximize your success: For more informati…

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