CT scanning of kids has been on the rise, though we recognize the limitations of this test. It's not perfect and has some real costs (money, time, sedation risk, cancer). Who do we need to CT and who can we get away without scanning? The Pediatric Emergency Care Research Network (PECARN) looked at a paltry … Continue reading To CT or not to CT? Low risk head injury in kids
Toxicology 101
Here's a couple of videos on toxicology. This just goes over the basics. There's a lot more to learn on each specific toxin. If you want to follow along, you can download this PDF of what I drew (right click it and save it, print it, or do whatever you see fit). Let me know … Continue reading Toxicology 101
Protected: Student Locker Combinations
There is no excerpt because this is a protected post.
Syncope MDM
This patient had the classic characteristics of syncope (1) transient LOC, (2) loss of postural tone and (3) full & immediate spontaneous recovery. There is nothing in the history or physical to suggest common syncope mimics: ***seizure, ***posterior circulation stroke, ***hypoglycemia, ***hypoxemia, ***heat stroke or ***head trauma. My suspicion for ***AAA, ***PE, ***MI, ***GIB, ***ectopic … Continue reading Syncope MDM
Low Risk Chest Pain in the ED
I had a conversation with a few of the residents about the management of low risk chest pain in the Emergency Department. The issues which always seem to come up are: If the first troponin is normal, can I send them home? I don't think this is cardiac, let's just get one troponin and then … Continue reading Low Risk Chest Pain in the ED
ACLS – Therapeutic Hypothermia
This final video looks at post-resuscitative care. This includes proper management of blood pressure, blood sugar, treatment of coronary artery disease and initiation of therapeutic hypothermia. So I focus mostly on that last one: pay attention mostly to how to induce it and in whom you'd induce it.
ACLS 2010 – Tachycardias
First of three parts, this one just goes over the algorithm. Then we'll look at some of the details. This one looks at some of the tachycardias and why the drugs work (and why to avoid others). More on tachycardic rhythms: namely the wide complex and irregular tachycardias. Pay attention mostly to the general concepts. … Continue reading ACLS 2010 – Tachycardias
Approach to the ED Patient
In this video, you’ll follow a patient (me) who develops chest pain then makes the decision to come to the ER. After calling an ambulance, the patient is triaged (sorted) and then the doctor (you) assesses the primary survey and initial actions. Here’s the second video, on how to perform a focused history and physical … Continue reading Approach to the ED Patient
SBP: Understanding Malpractice
Just a little education on medicine and the law There are two kinds of legal action within the law. Criminal action is when the government sues an individual for going against public interest - such as murder, rape, robbery. Physicians usually are not subject to these sorts of cases, unless they wilfully hurt their patients. … Continue reading SBP: Understanding Malpractice
Teaching in the ER
Effective teaching in the ED. Teaching is one of the legs in our promotion. The core themes: Teaching in the ER The core themes revolve around improving the educator, the learner and the institutional system. Improve the education Announce the teaching moment Turn work into teaching Think out loud Teach beyond the shift Create mini-teaching … Continue reading Teaching in the ER
patwari 
You must be logged in to post a comment.