Almost 10% of pregnant women have hypertension:Pre-existing: 1%, Gestational hypertension: 5-6%, Preeclampsia: 2% Chronic hypertension (in pregnancy): systolic BP 140+ or diastolic BP 90+ began before pregnancy – severe: if systolic…
Let’s talk about large bore/central vascular access! We’ll review different kinds, their different names, and when to use them!Of note outside the scope of this review: how to insert each of these – I think this is better learned by watchin…
Today is a 2 parter: 1) The Supraorbital (+supratrochlear) block for forehead lacs and 2) Comments on decision-making TNF at Ethyl’s 84th and 2nd again, 8 PM TLDR: The Supraorbital block will save you time and make your…
“Hey let’s get bed 3 over to CT quick” “Any word on bed 3’s scans?” “Why hasn’t bed 3 gone to CT yet?!?” We’ve all been there. Here are some tips and tricks on how to work eff…
We know how important it is to wash out our patients’ wounds, but we also know what a pain and mess it can be, especially on a busy side. This is a quick pearl that was handed to me as an intern (I believe by our very own Dr…
The relationship you have with your nurses will make or break you. You want need to have a strong working relationship with them. Here are some tips on how to do this, featuring amazing advice from ‘a washed up ex-ED nu…
Causes, prevention, presentation and treatment of LAST: Local Anesthetic Systemic toxicity
The PENG block is an effective, easy and safe way to provide analgesia to acute traumatic hip injuries
Step by step guide to build your own homemade ultrasound gelatin model for IV access. It’s simple, cheap and fast!
Ultrasound probe movements, the quest of the good vein, out-of-plane technique and in-plane technique of the ultrasound-guided intravenous line
TR Pearl: Thyroid Storm Management Diagnosing Thyroid Storm: Management Things to keep in mind For patients in thyroid storm or impending storm If thyroid storm for sure, add glucocorticoids. They reduce T4 to T3 conversion….
Fever in the Asplenic Patient Why we care Patient population Role of the spleen Top Infectious Ddx Management **The single most important thing you can do is obtain blood cultures and administer empiric IV antibiotics without any delay…
This week, I wanted to touch a bit on Meconium Aspirators as apart of our GI Bleed intubation tool kit. At some point during second year, many of my fellow classmates and I started throwing these into airway boxes at Elmhurst. Especially in…
Why is this a pearl? We get G-tube dislodgments quite often at Sinai, and they can be an easy patient encounter with a quick note and quick dispo. But they made me so nervous as an intern and early 2! Now I love ‘em and you can love ‘em too…
“Take a deep breath and hold it. Now without exhaling, try to breathe in again.” We were in the cardiac room, discussing a young man that had died a few hours before we came onto our shift. He had been brought in after he was found in the s…
