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…
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…
Ultrasound probe movements, the quest of the good vein, out-of-plane technique and in-plane technique of the ultrasound-guided intravenous line
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…
CSF shunts – these are the most common pediatric neurosurgery procedure done in the United States. While very common, these also have the highest rate of neurosurgical complications. About 50% fail within the first year, and the median survival of a shunt is usually 8-10 years, so a patient can expect 2-3 shunt revisions over the course of 20 years.
You’re at Sinai – and your patient is a renal transplant patient. What do you do? “Don’t you just call renal transplant?” Yes, you should definitely call them. But there’s other things to consider – see below for today’s TR pearls.
Needle, wire, nick, dilate, catheter. Sounds simple right? However, simple doesn’t always mean easy. Placing a central line on a mannequin can be much easier than the 250lb ESRD patient with peripheral vascular disease and a MAP of 50. Belo…
