Catherine Ginty, MD

Back to Basics: Ultrasound Guided Peripheral IVs 101

Ultrasound guidance has undeniably revolutionized IV access and is an incredibly useful skill for the ED physician.  The following are by no means a comprehensive guide to the procedure but rather 10 tips for small changes that are often overlooked and can make a huge difference. If you have trained with ultrasound guided IV’s and feel comfortable already with your own style, this may not be as helpful for you. For the medical students, interns, and perhaps "less young attendings" that did not have a vascular probe attached to their hip during residency, read on!

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Back to Basics: Pediatric Respiratory Distress

Tis the season for respiratory infections in children. This week's post reviews a few of the important phyical exam findings in a child presenting with respiratory distress. Videos are included! Stay tuned for next week's post that will include some great pearls about bronchiolitis which you are sure to see if you care for pediatric patients!   

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Back to Basics: Trench Foot

Trench foot

· Temperatures above freezing + wet conditions = immersion injury

· Commonly from continuously wearing wet socks and shoes

History

· Repeated exposure to wet and cold

o Homeless, military, outdoor workers

· Occurs over several days to weeks

· Tingling or numbness most common symptom

Exam

· Damp, pale or mottled in color

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