Setting Up The Pediatric High Flow Ventilator

Parts of the Ventilator Setting up the Ventilator Connect the yellow (air) and green (oxygen) gas tubes to the wall (or tanks). Connect oxygen tubing from the top of the humidifier plate to one of the two oxygen flow meters. One has finer control but a smaller range. Aim for 2 L/kg and pick the … Continue reading Setting Up The Pediatric High Flow Ventilator →

Infant T-piece ventilator

https://www.youtube.com/watch?v=sZvI7vu4NLA Dr. Rice showed us how to use the T-piece ventilator for neonates and infants. The video shows how it's done. Set the peak inspiratory pressure at 20-25 using the big blue knob. Set the PEEP (at 5) using the small knob near the dial. Ventilating an infant with the T-pieve ventilator.

Transvenous Pacer

This is another video based on the procedures we reviewed during the OPPE session from May 6, 2024. This one is on the use of the transvenous pacer in the ED. Placement of the CORDIS in the IJ The first step is placing a Cordis line in the internal jugular under ultrasound guidance. https://www.youtube.com/watch?v=54K4pN0pJzo Sonosite … Continue reading Transvenous Pacer →

Paracentesis Safety Needle

The paracentesis safety needle has a blunt tip to help avoid puncture bowel during insertion. When pressure is applied to the tip, the ring turns red, and the blunt end retracts exposing the sharp end. This allows the needle to penetrate through skin and other tissues. When there is no pressure on the tip, the … Continue reading Paracentesis Safety Needle →

Occlusion MI

Bivens, Matt MD. "STEMI Critics Are Right. We're Missing Too Many Heart Attacks." Emergency Medicine News 47(3):p 2,11,15, April 2025. | DOI: 10.1097/01.EEM.0000000000000015 Our goal in diagnosing acute coronary syndromes is not to diagnose ST-elevations but coronary artery occlusions leading to myocardial infarction (OMI). In the past, we diagnosed heart attacks by looking for Q-waves, thus missing all the … Continue reading Occlusion MI →

Ultrasound of Achilles Tendon

This can be visualized in both a short and long view. Pain in the tendon, good story plus ultrasound can be diagnostic. Track the tendon down using the probe. Here's the long view with an intact and ruptured tendon. Intact Achilles tendon in long view. Ruptured Achilles tendon in long view. Here's the short view. … Continue reading Ultrasound of Achilles Tendon →

Navigating the Rush IRB Site

This guide will help you enter the Rush IRB site and submit your research proposal. You’ll need to have completed your IRB and CITI training before you’ll be given access to this site. Step 1: Log into the Rush IRB portal Click onto the link for the site, http://rrp.rush.edu, and the link for logging in is … Continue reading Navigating the Rush IRB Site →

Introduction to Quality Improvement

Quality Improvement is the business of making healthcare better. This is based on the same systems that drove Toyota to become a world leader in making cars. They concentrated on constantly making their processes better. Seems like the same should apply to healthcare. In fact, Paul Batalden said, “In healthcare everyone has two jobs: to … Continue reading Introduction to Quality Improvement →

Understanding “Human Error”

Humans make mistakes. Any system that depends on perfect performance by humans is doomed to failure. In fact, the risk of an accident is more a function of the complexity of the system than it is the people involved. Humans are not the weak link in a process. We are a source resilience. We have … Continue reading Understanding “Human Error” →

Fuzzy Matches in Google Sheets

When trying to build our curriculum inventory I needed to match thousands of strings in Google Sheets. Doing this manually would have been tedious and prone to error. The EQ function would fail if there was one character different, forget about objectives that had words shifted around. Here’s my script that outputs the percentage of … Continue reading Fuzzy Matches in Google Sheets →