Let’s talk about mandible dislocations & how we can reduce them. First, we need to take a look at the mandible anatomy – can refer back to this as we discuss mandible dislocation: So how does the mandible dislocate (also called te…
Headaches are the most common complication of doing a lumbar puncture (LP). Let’s dive into what causes them, how to prevent them, and what to do when patients come back suffering from a post-LP headache. Some major theories on why post-LP…
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…
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…
Central Line Week TR Pearl Series (all three pearls combined for this post) by Ryan LeBuhn, PGY-3 Informed Consent I once described the risks of a procedure so thoroughly that the patient no longer wanted the procedure, though avoiding the…
SEE THIS PDF: https://drive.google.com/file/d/1XZIvB2Xggm7gm-uTcD_nuhfaYR7DCDEK/view?usp=drivesdk
Intro: Stroke is the third leading cause of death and number one cause of disability in the United States. Classically, strokes present with sudden onset focal neurological deficits in a vascular distribution and need prompt assessmen…
Intro You are working a BNT shift at Elmhurst and you pick up a patient who is complaining of neck pain after a fall. Do they need to be in a c-collar? Should you order a CT c-spine? What are the unstable c-spine injuries you are looking fo…
This deep dive came from a question posed during a morning report by Jackson. Jackson presented the case of a patient presenting with a swollen penis at MSBI, found to have low albumin and diagnosed with nephrotic syndrome. These patients a…
We’ve all seen that movie where some old person coughs into a handkerchief and as the camera slowly pans away, there’s some blood stain. You know that guy isn’t making it to the end of the movie… Today, let’s t…
As it may become very apparent, I take a lot of photos of interesting eye pathology. So what do you think is going on here? What if I told you that this had been going on for the past few days and they had been using steroid drops…
Before placementof your Sengstaken-Blakemore tube, your patient should be intubated to prevent aspiration. As this is only a temporizing measure, other services (GI, ICU, Maybe IR) should be notified and start mobilizing for definitive mana…
Agents that Can Precipitate Serotonin Syndrome Cocaine MDMA Tramadol Cyclobenzaprine Dextromethorphan St. John’s Wort MAOI Fentanyl Treatment for serotonin syndrome involves supportive care, discontinuing the offending agent, and prov…
