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Ebola Update.

Filed in Infectious Disease by on August 20, 2014 0 Comments
Ebola Update.

Ebola hemorrhagic fever is one of many viral hemorrhagic fevers.  Symptoms include:  fever, unexplained bleeding or bruising, vomiting, diarrhea, headache, abdominal pain and generalized myalgias. Though symptoms often appear within 10 days of exposure, they make take anywhere from 2 to 21 days to manifest.   The virus is only spread through direct contact with the blood or body […]

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the HINTS exam

Filed in Neurology by on August 13, 2014 0 Comments
the HINTS exam

The HINTS exam is a three-part, rapid beside oculomotor test used to help differentiate central from peripheral vertigo.  HINTS stands for Head Impulse, Nystagmus and Test of Skew. The test consists of three parts: 1 – Patients with peripheral vertigo will have abnormal (positive) head impulse testing, while patients with central vertigo typically have a […]

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New Kids on the Block: Dangerous Designer Drugs

Filed in Toxicology by on August 12, 2014 0 Comments
New Kids on the Block: Dangerous Designer Drugs

A new designer drug has emerged on the teen scene.  2C-I-NBOMe,  also known as “N-bomb”.  This new drug is an extremely potent hallucinogenic stimulant and has been associated with multiple deaths.  NBOMe is often sold under the pretense that it is LSD,  however, unlike LSD, NBOMe also has very potent sympathomimetic effects.             […]

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App of the Week

Filed in Medical App of the Week by on July 3, 2014 0 Comments
App of the Week

The App of the Week is Figure 1 – Medical Images Description from iTunes: Photo sharing for healthcare professionals as featured by CBS, The Atlantic, Medgadget and Mashable. View a growing library of high quality clinical images and safely share your own. Join tens of thousands of healthcare professionals in conversation on Figure 1.   […]

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Heat Related Illness

Filed in FOAM by on July 1, 2014 0 Comments
Heat Related Illness

With the summer in full swing, here is a great ppt review of Heat Related Illnesses.                                       by

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Emergency Airway Management

Filed in Airway by on June 25, 2014 0 Comments
Emergency Airway Management

Time for a quick review on emergency airway management as well as post-intubation and ventilator management.                                                         by

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Breaking Dab

Filed in Toxicology by on June 9, 2014 0 Comments
Breaking Dab

Working in the emergency department it can be difficult to keep up with all the new street drugs. Here is yet another one….coming soon to an ER near you. Dab, Dabs, Dabbing, wax, earwax, honey, honey oil, shatter and BHO are all street names for a new form of Butane Hash Oil, a highly concentrated […]

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Cricoid Pressure May Be Ineffective and Possibly Harmful

Filed in Airway by on May 31, 2014 0 Comments
Cricoid Pressure May Be Ineffective and Possibly Harmful

Cricoid Pressure, also known as Sellick’s maneuver, is a well known technique applied during endotracheal intubation.  It refers to the application digital pressure on the cricoid cartilage of the larynx, pushing it backwards resulting esophageal compression against the vertebrae with the intent of preventing passive regurgitation of gastric contents. Historically the use of cricoid pressure during RSI in the emergency department […]

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100 Trauma Care Sites To Bookmark

Filed in EM Blogs by on May 14, 2014 0 Comments
100 Trauma Care Sites To Bookmark

 “Traumatic injury is something that most paramedics, nurses, and other medical professionals will have to treat, or at least peripherally work with during their careers. The potential for traumatic injuries to cause lifelong damage if not cared for properly means that staying up-to-date on trauma best practices is important. Maintaining a sharp overall knowledge of […]

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Psychology of the Difficult Airway

Filed in Airway by on May 13, 2014 0 Comments
Psychology of the Difficult Airway

Rich Levitan, pioneer in airway management, talks about the psychology of the difficult airway and operator stress response.  From the ERCAST podcast with Rob Orman, MD. This month’s audio podcast from the master of airway management, provides us with an almost transcendental approach to the difficult airway.  A must listen for all providers managing airways in the […]

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PRO/CON: Is #FOAMed Essential to EM Education ?

Filed in FOAM, News, Social Media by on April 15, 2014
PRO/CON: Is #FOAMed Essential to EM Education ?

Here is a timely PRO/CON article I wrote the introduction for in this month’s EPMonthly.  This is an excellent discussion regarding FOAMed (Free Open Access Medical Education) in emergency medicine education by Joe Lex, MD and Nicholas Genes, MD, PhD.                 by

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SMACC : Social Media and Critical Care

Filed in FOAM, Social Media by on April 15, 2014
SMACC : Social Media and Critical Care

“SMACC is the most exciting innovation in the critical care education calendar, bringing together all the Critical Care Specialties (Emergency Medicine, Anaesthesia, Rural GP’s, Retrieval medicine and Intensive Care) on a modern stage. Delegates interact face-to-face and online with the biggest names in web-based education. The enormous success of on-line learning platforms (‘lifeinthefastlane.com’, ‘theintensivecarenetwork.com, and […]

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Tricks of the Trade

Filed in Tricks of the Trade by on April 6, 2014
Tricks of the Trade

 As many prehospital providers in the United States know – you won’t always have a handy calculator or smartphone when trying to convert a patient’s weight from pounds to kilograms.  Until the United States gets with the times and starts using the metric system like the rest of the world, you and your nursing staff […]

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Post-Intubation and Ventilator Management

Filed in Airway by on February 24, 2014 26 Comments
Post-Intubation and Ventilator Management

Congratulations !  You got the tube in!  Let’s celebrate!      Wait. Not so fast – you still have work to do.  What are some of the things most commonly overlooked in post-intubation management?  Do you always provide both anesthesia AND analgesia to your intubated patients?  What should your initial ventilator settings be?   Check out […]

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Podcast of the Week

Filed in Podcast of the Week by on February 22, 2014 56 Comments
Podcast of the Week

 This past weeks I discovered the Resuscitationist’s Awesome Guide to Everything, aka the RAGE Podcast.  This new podcast from the lads and lasses from down under in Australia also brought us such gems as Life in the Fast Lane and Resus.ME. RAGE is an audio podcast created by a team of emergency physicians, intensivists and retrievalists […]

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