Which Line is Sublime?

Let’s talk about large bore/central vascular access! We’ll review different kinds, their different names, and when to use them!Of note outside the scope of this review: how to insert each of these – I think this is better learned by watchin…

Trauma in Pregnancy

Trauma is the leading cause of non-obstetric death in pregnant women. MVAs and intimate partner violence account for most cases.  Let’s first discuss the physiological changes to consider when managing a pregnant patient in a trauma. M…

Central Line Week

Central Line Week TR Pearl Series (all three pearls combined for this post) by Ryan LeBuhn, PGY-3 Informed Consent I once described the risks of a procedure so thoroughly that the patient no longer wanted the procedure, though avoiding the…

Tap that? VP Shunts & their complications

CSF shunts – these are the most common pediatric neurosurgery procedure done in the United States. While very common, these also have the highest rate of neurosurgical complications. About 50% fail within the first year, and the median survival of a shunt is usually 8-10 years, so a patient can expect 2-3 shunt revisions over the course of 20 years. 

GI Decontamination

Case: 37-year-old M presenting with obtundation and possible seizure-like activity after a large overdose of sustained-release bupropion (Wellbutrin XL), gabapentin, and other unknown medications. Given the severity of this patient’s…

Shoulder Reductions

So today, we’re gonna talk about shoulder dislocations. This should resonate with a lot of you residents considering the weather conditions currently, or if you were worried about what would happen if a certain SuperBowl performer wer…

Procedural Sedation and Analgesia (PSA)

It’s winter and nobody has shoveled the roads; everyone and their mama is slipping. You have a patient with an obvious ankle dislocation and ortho is requesting that you put the patient to sleep so they can yank on the foot in peace w…

To “B” or not to “B”

An Ode to Bougie Written by Paul Johnston So what’s a bougie?  If you already know, skip this paragraph.  A bougie is a flexible rod used to aid intubations. During a “conventional” intubation an ET tube w…

February 2024