Don’t Be Rash

Do you ever have a patient with a rash you just don’t recognize?  If you’re like me, it happens all the time and it can be hard to organize your differential.  Michelle Lin (https://aliemcards.com/cards/rash-unknown) published a…

Buprenorphine Band Wagon

Do you know David Cisewski?  He’s incredible and he’s written an incredible review on buprenorphine (http://www.emdocs.net/buprenorphine-where-do-we-stand/) that I’d like to tell you all about. Buprenorphine marketed as Su…

Ultrasound and Found

Ultrasound for kidney stone has always been confusing.  If we do the ultrasound and find no hydro, don’t we need the CT to rule an alternate diagnosis?  If we do the ultrasound and find hydro, don’t we need a CT to see if the st…

Old Graft? New friend!

ESRD patients are typically “hard sticks.”   The arm with the fistula is typically off limits (unless in emergency settings) and the other arm is either difficult to access or occasionally has an old fistula. This issue came up…

Dislocated knee? Get the CT.

Knee dislocations are a dangerous and easily missed diagnosis.  Morbidity is high as 20% have a serious vascular injury, many of which lead to amputation.  This can occur with even ground levels falls in elderly and obese patients, so a hig…

Badness BRUEing?

For the very few things they actually do, babies can be very complicated. Breathing irregularities especially can pose a challenge to providers. Knowing the difference between a benign and a dangerous cause for apnea/cyanosis/loss of muscle…

Heat Stroke, no joke

Heat stroke is classified as temps >40.6C with neurological dysfunction and is secondary to a failure in ones thermoregulatory system.  It is classically non-exertional and seen in elderly patients during a heat wave or being in a van on…

LOOP, there it is

Abscesses are already painful and can cause scars, so why don’t we try a cool move to minimize this for patients?  Loop drainage has come to the forefront due to lower failure rates, less scaring, continuous draining, and no need for…

June 2022
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