The Ten Commandments

Verbal de-escalation is a powerful and effective skill to help calm agitated and aggressive patients. This method is proven safe, effective and decreases the likelihood for restraints. Among properly trained physicians this process takes le…

Sugar the Rim

“Want to hear the funniest therapy that actually works?” – Dr. Ben Schnapp, former Chief Resident extraordinaire [spacer height=”20px”] It was my first month of intern year, and I had just presented a patient w…

I hate Mondays!

Garfield had it right. Mondays are the worst.  [spacer height=”20px”] Want proof? Well, in 2004 the CDC published a survey measuring health care utilization among US Emergency Departments over a 10 year period. The results? ED v…

ROID RAGE Pt 2

If yesterday’s post on Roids didn’t get you jack’d then maybe today’s will! Here’s part deuce – Topical Steroids Spoiler alert – if you are using 1% hydrocortisone for every rash everywhere then you…

ROID RAGE

Summer’s here! Time to hit the gym and review your steroid-knowledge. What’s the difference between prednisone/prednisolone/methyprednisolone again?  Well, I’ll give you a hint… its not a pre/post work out fix! [spac…

Lumbar Puncture Pearls

Lumbar punctures (LPs) can be tricky even for an experienced provider. Here are some pro tips to help you look like an all-star! Set up: The LP tray contains only a small amount of  lidocaine (~3mls). If you need to make a second attempt in…

Kids eat the darndest things!

Did you know you can use a regular old metal detector to rule-in a metallic swallowed foreign body in children? It’s true! Several studies have been published in The Journal of Accident and Emergency Medicine out of  The Royal Hospita…

January 2022
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