Zika: What We Know & What We Don’t

The WHO declared a Public Health Emergency of International Concern on February 1st, 2016 due to the outbreak of microcephaly and Guillain-Barre Syndrome cases associated with the Zika virus. Here’s a quick review of what we do and do…

Narcan for the road?

     I could bullet point plenty of statistics, but I don’t think I have to convince you: there is an opioid epidemic and it is getting worse.       We all have treated patients for opioid overdose in the ED. We also frequently identi…

Digital Intubations

Among the least commonly utilized intubation techniques stands the humble digital intubation. The name says it all: the intubator uses their index and middle finger like a miller blade to locate (by palpation) and lift the epiglottis before…

Suturing the Thin-Skinned

The thin, friable skin of elderly patients can present a special difficulty for laceration repair. If you find yourself pulling through the skin as you try tighten knots, applying steri-strips along the edge of the skin can serve as a forti…

Single Injection Digital Nerve Block

Although not a difficult procedure, the traditional approach to a digital nerve block involves two painful injections to the the digital nerves on either side of a finger, and may yield inconsistent results. An alternative, the flexor tendo…

Isopropyl Alcohol Vapor Inhalation

Sometimes the right tool for the job is right in front of your nose. Turns out that 3 nasal inhalations of an isopropol alcohol packets (you know, those swabs you us to prep for a peripheral IV) yields a significant decrease in patient naus…

January 2022