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 →

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.

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 →

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 →

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 →

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 →

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 →

I am not advocating for socialized medicine or even single payer, but it is important to distinguish between the two. The Economist this month had a great article on the different setups we see today. Private Insurance, Private Doctors In this system, private insurance pays private doctors. There is no interference from the government but … Continue reading Single payer is not socialized medicine →

The latest Republican health care bill meant to replace the Affordable Care act comes from Senators Bill Cassidy (LA) and Lindsey Graham (SC). This one presents a more substantial change to the way things are run. Most of this comes from an article in the 9/23/2017 issue of the Economist. The Federal government would play … Continue reading Graham-Cassidy Bill Doesn’t Add Up →