“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 spine as you would for any lumbar puncture, and find the approximate area of L3-L4 […]

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. Ketorolac is often used at doses above the analgesic ceiling of 10mg, in an attempt to achieve better pain control. The question […]

  “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. Closed fist bites are typically caused by punching another individual in the mouth. The dorsal aspects of […]

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. BMJ Open. 2013 Jan 16;3(1). PMID: 23325896   What we already know about the topic: Traumatic wounds are a frequent […]

“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 the mushrooms prior to ingestion does not significantly decrease toxicity. Amatoxin is the name given collectively to […]