Blood on the Dance Floor

We’ve all seen that movie where some old person coughs into a handkerchief and as the camera slowly pans away, there’s some blood stain. You know that guy isn’t making it to the end of the movie… Today, let’s t…

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…

work of breathing

All of this discussion hinges on understanding the origins of air FLOW. A pressure differential or gradient is the key requirement. Tachypnea is the expected response to lung inflammation that produces stimulation of irritant, stretch, and…

Lidocaine for cough?

Whether it’s asthma, a U.R.I., or post nasal drip as the cause, cough is a common enough complaint encountered by emergency physicians everywhere. Of course you must always rule out the dangerous causes of cough (PNA, Measles, PE, Heart fai…