A Shocking Idea

Septic Shock and you want me to give Esmolol? Written by Erena Weathers Today’s pearl is a fun one, and one it seems not many have heard about. It is the idea in septic shock you can give esmolol to improve mortality.  “But…

RUSH

It is now the standard of care to perform focused assessment using sonography for trauma (FAST) early in the evaluation of a sick trauma patient. Historically, there has been far less urgency to use ultrasound to evaluate the medical patien…

Hair Apposition

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…

MSH Consent Forms

General Consent to Surgery/Procedure/Treatment/Anesthesia (Spanish) Consent to Transfusion (Spanish) AMA (Spanish) Medical Order for Life-Sustaining Treatment (MOLST) NYC Healthcare Proxy Form (Spanish) MRI Screening Form (Spanish) MICU Tra…

What order of operations?

Cefepime + Vanc > Vanc + Cefepime Written by Erena Weathers So you’re in Resus, your very first one. Leibner is yelling, triage is yelling, and your sphincters are *tight*. Suddenly a nurse comes asking about your elderly septic pa…

EHC Consent Forms

General Consent for Procedure/Surgery (Spanish) Blood Transfusion (Spanish) Blank Transfusion (Spanish) Procedural Sedation (Spanish) Central Line (Spanish) Arterial Line (Spanish) Lumbar Puncture (Spanish) Chest Tube (Spanish) Paracentesis…