Yours in intentional use of screen time, Danny
The Case: A woman in her twenties with no significant medical history presents with one month of progressive frontal headaches radiating to her occiput. Her headaches have been intermittent, however over the past few days she has had a few…
Have you ever wondered why you get so many epic chats reminding you to use the sepsis order set? Or why you are constantly reminded to reassess the status of your patient to see if they still meet sepsis requirements? Well, there is a…
My TR pearl this week is ethics-related and was inspired by the piece that Charles Sanky sent out last week, “Capacity, Informed Consent and Third-Party Decision-Making” written by Jacob Appel, a Mount Sinai Emergency Psychia…
Today we’ll be discussing acute kidney injury (AKI). How often are you looking at the Bun/Cr thinking ‘Patient has an AKI’…and then not much more? I’ve done this. While ascertaining the unde…
There are almost 1,000,000 pulmonary embolisms per year. Do all of them need to be admitted? From a dispo standpoint, it can be easier when you’re at larger academic centers to admit or obs them all but the reality is that s…
Insulins and DKA came up in conference last week, but we didn’t discuss the use of subcutaneous insulin in DKA. SQ insulin is a potential alternative to IV therapy in mild to moderate DKA, and I think there is still a lot of variability in…
Review of definitions – Migrant – a person who moves from one place to another – Refugee – a person fleeing persecution or fear of persecution on one of 5 protected grounds. – Asy…
1. New Zealand – The “Beveridge” Model Other countries: UK, Cuba, Spain How it works: Healthcare is provided and financed by the government. The government owns hospitals and clinics and doctors may either be hir…
Applying the LUCASwith minimal pauses in chest compressions FIRST STEP: LUCAS backboard behind patient’s head SECOND STEP: lift patient forward to slide backboard behind chest THIRD STEP: apply the LUCAS and start GIFs lifted from this vide…
Today is a 2 parter: 1) The Supraorbital (+supratrochlear) block for forehead lacs and 2) Comments on decision-making TNF at Ethyl’s 84th and 2nd again, 8 PM TLDR: The Supraorbital block will save you time and make your…
“Hey let’s get bed 3 over to CT quick” “Any word on bed 3’s scans?” “Why hasn’t bed 3 gone to CT yet?!?” We’ve all been there. Here are some tips and tricks on how to work eff…
We know how important it is to wash out our patients’ wounds, but we also know what a pain and mess it can be, especially on a busy side. This is a quick pearl that was handed to me as an intern (I believe by our very own Dr…
The relationship you have with your nurses will make or break you. You want need to have a strong working relationship with them. Here are some tips on how to do this, featuring amazing advice from ‘a washed up ex-ED nu…