End Tidal CO2 Monitors

We have some new toys in the ER, end-tidal CO2 monitors. The 2010 ACLS Guidelines incorporates these so we better learn how to use them. In this video, Tess shows us how to hook them up (and just how tachypneic she is). In the second half of the video, we look at the waveforms. Namely, … Continue reading End Tidal CO2 Monitors →

Prolonged QT Syndrome and Torsades de Pointes

Dr. Dan Seitz and I were working one day when he showed me this awesome EKG. Loved it. So I made a whole video on about it.

What Makes Yanina So Fast

We have a lot of people with great skills in our department with whom we can share our best practices. One thing Yanina excels at is efficiency. No one can deny she's a machine when it comes to seeing patients. Here she describes how she's able to keep her patients and the entire department moving. … Continue reading What Makes Yanina So Fast →

Child Abuse Fracture Patterns

What do you look for on a skeletal survey? What fractures are pathognomic for child abuse? Hmm? Do you know? Well, watch this and then let me know.

How to write good discharge instructions

Discharge instructions are often provided as an after-thought. You've gone through a complex diagnostic process, interpreted various tests and imaging and initiated life saving treatment. After several high-fives, now it's time for the patient to go home. Your job is done. Throw some pre-printed instructions at the patient, they're on their way, and you're on … Continue reading How to write good discharge instructions →

Humor: Heroin + Tylenol PM = Cheese

Take a break from studying and enjoy yourself with this toxicology-related comedy bit from Kumail Nanjiani. I believe he does use some foul language intermittently, so you may want to listen when delicate ears are not nearby.

M2 Applied Physical Diagnosis Orientation

Thanks to those of you who volunteered to help mentor the new M2's learn history and physical taking skills. There is an orientation that goes along with being a faculty member in this course, and here is most of that material. If you prefer written instructions in Word documents, go for it. Download these. APD … Continue reading M2 Applied Physical Diagnosis Orientation →

Salter Harris Fractures

This is the first in a series of videos on musculoskeletal injuries in children by Dr. Casey and me. Enjoy! And then here are the answers.

How to rock your ER rotation

Hello M4's, at this point in the year, most of you are taking away "audition" rotations. The goal here is to make a good impression, such that when your application comes across the residency selection committee's desk, they remember you fondly. You want to do well here. So how can you do that? Be professional: … Continue reading How to rock your ER rotation →

Early Goal Directed Therapy in Sepsis

This short video explains how to recognize and take care of the septic patient in the Emergency Room. The important things to remember are that: Start therapy early - preventing death in the ICU depends on early and aggressive therapy in the Emergency Room. Trend your lactate! That's a good marker for hypoperfusion Antibiotics within … Continue reading Early Goal Directed Therapy in Sepsis →