Penicillin Allergy and Superbugs

  Penicillin allergy is a common finding in many patient charts.  Sometimes it can be difficult to figure out who, when and why this label was added to a medical record.  Sometimes patients themselves perpetuate the label, unwittingly…

Probiotics. Use them. Love them.

We all prescribe antibiotics frequently.  While the debate about who is contributing more to the terrifying antibiotic resistance patterns and the emergence of superbugs rages on, we can sometimes forget or minimize the fact that antibiotic…

Santa is Real. Here’s Proof.

Just kidding.  Happy Holidays, kids.   Follow Santa on his magical trek around the world: https://santatracker.google.com/village.html   Bonus: Want to know more about the Dreidel? https://www.chabad.org/holidays/chanukah/article_…

Concussion Recovery in Children

An otherwise healthy 11 year old boy is brought to the ED by his parent after “hitting his head pretty hard” during hockey practice.  The child was “out of it” for a little while but did not lose consciousness.  He seems foggy, complains of…

Doc, what if my head explodes?

It’s a busy Monday afternoon.  Patients are packed into the department like sardines.  You have bruises on your shins from trying to wade through the stretchers to discharge a few people, but now you’re back at the computer ready to pick up…

Zombie foot in need of repair

Imagine your patient is minding his or her own business when their foot gets crushed by a bus.  This totally hypothetical occurrence is only one of an infinite number of examples of situations that could result in a complex wound(s) needing…

Line ’em up like a boss

Patients in need of need central lines can often have less than ideal IVC diameters, either because of their disease process or because of their baseline anatomy.  Optimizing your chances of success through positioning can make a real diffe…

Does roc rock and suc suck?

A study just published this month in Annals of Emergency Medicine compared the 2 most common paralytics we use in the ED for RSI, rocuronium and succinylcholine. The primary outcome studied was first pass success rate, and the secondary out…

December 2018
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