Causes, prevention, presentation and treatment of LAST: Local Anesthetic Systemic toxicity
Procedures
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
Trauma is the leading cause of non-obstetric death in pregnant women. MVAs and intimate partner violence account for most cases. Let’s first discuss the physiological changes to consider when managing a pregnant patient in a trauma. M…
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.
2 weeks ago, I had a patient presenting with an upper GI bleed. Despite aggressive treatment, the patient was still hypotensive and actively bleeding. Unfortunately, the GI fellow was on home call and further than expected from the hospital…
Case: 37-year-old M presenting with obtundation and possible seizure-like activity after a large overdose of sustained-release bupropion (Wellbutrin XL), gabapentin, and other unknown medications. Given the severity of this patient’s…
So today, we’re gonna talk about shoulder dislocations. This should resonate with a lot of you residents considering the weather conditions currently, or if you were worried about what would happen if a certain SuperBowl performer wer…
It’s winter and nobody has shoveled the roads; everyone and their mama is slipping. You have a patient with an obvious ankle dislocation and ortho is requesting that you put the patient to sleep so they can yank on the foot in peace w…
He dribbles calmly at the top of the key. Fakes right, crossover, drives forward, spin move. 2 ankles down, 0 to go. He takes a step and finishes with a huge dunk. Boom, right shoulder comes out. …Alright, so this never happened, but…
An Ode to Bougie Written by Paul Johnston So what’s a bougie? If you already know, skip this paragraph. A bougie is a flexible rod used to aid intubations. During a “conventional” intubation an ET tube w…
A HAT (Hair Apposition Technique) Trick Written by Mike Barsky Lacerations are one of the most common reasons patients present to the ED. Most lacerations require primary closure to avoid infection and achieve a functional and aesthetically…
Life hacks to ring removal Written by Erena Weathers You have a nice middle-aged lady, she’s been out and about, and sees a cute ring. She puts it on and goes about her day. She hits up some stores, gets some great finds and picks up some a…
Shoutout to this rare but satisfying procedure! Here is a great review of the causes and procedure and a great review from EM:RAP!
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…
