Advanced Practice: Catheter Flow Rates
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Curious just how fast that fluid is flowing? Click to learn more about catheter flow rates.
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Tuesday
Direct Measurement of Compartment Pressure Using a Stryker Device
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Acute compartment syndrome is a surgical emergency. Measurements of compartment pressures are an important adjunct to making the diagnosis. Check out this post for a video demonstration on how to operate the Stryker Device
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Advanced Practice: Duration of Prednisone Therapy for Severe Poison Ivy!
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Oral steroids are a mainstay of treatment for severe posion ivy induced contact dermatitis. The doses, duration of therapy, and taper/nontaper debate has raged for decades: read on a for quick summary of a paper comparing a short steroid burst to a 15 day taper!
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Advanced Practice: High Flow Nasal Canula in Pediatrics!
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You are caring for a 2 yo with multifocal pneumonia who is hypoxic on standard nasal canula. You decide to institute high flow nasal canula (HFNC) in an effort to stave off orotracheal intubation. Your repspiratory therapist requests parameters including flow rate (typically 0-40 LPM). What is the optimal flow rate to decrease work of breathing in this pediatric patient?
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Advanced Practice - Hyperleukocytosis syndrome!
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A 58 yo patient with a hx of CLL presents with a chief complaint of dyspnea, wheezing, and cough for 3 days. He is noted to be tachypneic with o2 sats of 91% on RA. There is diffuse expiratory wheezing. Peripheral WBC count is 199,000, increased from a baseline of ~80,000. A CT scan shows scattered interstital infiltrates. What is going on with this patient and what is the indicated therapy?
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Advanced Practice: Ganglion Cysts
A 31 y.o. female presents to your ED with a wrist lesion. You believe it is a ganglion cyst but are unsure of management. Here are some pearls to properly advise your patient.
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Advanced Practice: Controlling Pain in the Cirrhotic Patient
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Confused about appropriate analgesia in cirrhotic patients? Here are some pearls for pain control!
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Advanced Practice: Necrotizing Fasciitis Pearls
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A 38 y.o male presents with complaint of extremity pain. During your examination and differential, you become concerned for necrotizing fasciitis. Here are some clinical pearls!
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Advanced Practice: Fever and Hemolytic Anemia....in New Jersey...
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- A 50 yo male presents with severe fatigue, tactile temps, chills, fatigue, and dizziness for one week. The family also notes yellowing of his skin. T is 102.3 oral. His labs demonstrate a Hgb of 8.8, platelets of 141, and TBili of 1.6 with a normal direct bili. Cr is noted to be elevated at 1.42 with a normal baseline. What is going on with this patient and whom should we call?
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Advanced Topics - Extra Epinephrine for Anaphylaxis in the Wildnerness
This three-minute video could help you one day save a life while hiking! It demonstrates how you can obtain and use additional doses of epinephrine from a single use epinephrine auto-injector in an emergency situation in which there would be a delay to definitive medical care.
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