Morgan Oskutis, MD

Back to Basics: Postpartum Hermorrhage

As EM physicians, we receive training in obstetrics. While most of us don't walk into a shift *hoping* for a delivery, we are trained to handle these cases if the present. Postpartum hemorrhage can be a complication of even a "normal" delivery. Read on below for some pearles regarding how to manage a postpartum hemorrhage.

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Back to Basics: Dental Blocks

While we aren't dentists, it's very common to encouter ED patients with dental complaints. Dental blocks are a very useful tool in the care of patients with not only dental pain, but can also be used to anesthesize certain areas of the face for laceration repairs. Read on below for a guide on the different types of blocks.

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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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Back to Basics: Dizziness & the HINTS exam

HINTS Testing: series of three physical exam maneuvers to differentiate peripheral and central causes of vertigo

Head Impulse test: tests vestibulo-ocular reflex

• Patient focuses on visual spot directly in front of them

• Rotate patient’s head rapidly from center to 40 degrees to the left and back again to center, repeat on the right

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