“Trust, but verify” -Ronald Reagan Why would you need ultrasound for tube confirmation? You can confirm placement with direct visualization (sometimes video laryngoscopy), use end tidal CO2, look for color change on color…
“I quit school in the sixth grade because of pneumonia. Not because I had it, but because I couldn’t spell it.” – Rocky Graziano Article Citation: Bauer TT, Ewig S, Marre R, Suttorp N, Welte T; CAPNETZ Study Group. CRB-65 predi…
“If there’s a pill, then pharmaceutical companies will find a disease for it.” – Jeremy Laurance A recent study conducted at an urban health care center (Friedman et al. 2017) compared outcomes for diazepam in conjunction…
“The role of a clown and a physician are the same – it’s to elevate the possible and to relieve suffering.” -Patch Adams Do you regularly raise the head of the bed when you intubate? Well, maybe you should! A recen…
Don’t forget to consider Fitz-Hugh-Curtis Syndrome in your right upper quadrant pain differential! Fits-Hugh-Curtis Syndrome is a rare disease process characterized by perihepatitis as a complication of pelvic inflammatory dise…
“There is nothing like the cure of fresh air for cases of bladder infection, paranoia, and Cartesian thinking.” -Rawi Hage Title: “The 52 in 52 Review: Noninvasive ventilation in acute cardiogenic pulmonary edema” Article Cita…
“Childhood means simplicity. Look at the world with the child’s eye – it is very beautiful.” -Kailash Satyarthi Nursemaid’s elbow is a radial head subluxation, typically caused by a “pulling” mechanism. It occ…
Clinicians often consider alternate imaging modalities over contrast studies due to concern of acute kidney injury. In many situations, intravenous contrast can significantly improve the utility of a study. So, is contrast-induced nephropat…
The short answer is that it might. While it may not be surprising to you that ED crowding is detrimental to overall patient care, it may surprise you that it could be linked to inpatient mortality. At least a few studies have been looking i…
“Ventilation is the profound secret of existence” – Peter Sloterdijk Article Citation: Brochard L, Mancebo J, Wysocki M, Lofaso F, et al. Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N En…
“Nobody travels on the road to success without a puncture or two.” -Navjot Singh Sidhu Ultrasound can assist in determining the best site for lumbar puncture. Here is how to do it! 1. Palpate for the superior iliac…
Ketorolac is frequently used in the ER parenterally for acute and chronic pain control. Ketorolac works as a nonsteroidal anti-inflammatory drug (NSAID). It has demonstrated analgesic efficacy similar to opiates in postoperative pain. Ketor…
“Dogs never bite me. Just humans.” -Marilyn Monroe Human bites are the third most common bite after dog and cat bites. They occur more frequently in males, typically between the late teens and in the twenties. Clos…
Article Citation: Weiss EA, Oldham G, Lin M, Foster T, Quinn JV. Water is a safe and effective alternative to sterile normal saline for wound irrigation prior to suturing: a prospective, double-blind, randomised, controlled clinical trial….
“You must grow like a tree, not like a mushroom.” -Janet Erskine Stuart Amanita genus mushrooms cause a deadly toxidrome. Mortality is cited as 10-30%. The mushrooms can be identified by dots or scales on the cap. Cooking…
