But what is the pH? Written by Erena Weathers Per direct request: “Some people can just look at a VBG and know what’s going on. I want to be able to do that!” First, big ups to Dr. Hashem Zikry of “Runs Really Fast” Fame (2:32:51 2018 NYC Marathon time) for his TR pearl of how you can […]

Nebulized Ketamine for Pain Written by Erena Weathers Dear ketamine enthusiastsEver wonder why there aren’t more ways to give your patient this wonderful drug? Well here’s one more route of administration that is easy and clinically relevant. You know about IV and IM, but did you know you can nebulize ketamine for therapeutic benefit?  Drapkin […]

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 Erena, we need pressors in shock and now you’re telling me we are going […]

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 patient with hypotension or signs of shock. One reason for this discrepancy is the lack of […]

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 pleasing scar. Patients want a repair that is quick, painless, cheap, w/ a low infection rate and minimal […]