Tue, 07/14/2020 - 9:45pm

Do you feel like you pour your heart, soul, blood, sweat, and tears into your fracture/reductions and still come up short? Does the orthopedics consultant always want to "re-do" your attempt? Here is a repost of a podcast interview between former Cooper EM resident Patrick Sheehan, former Cooper Orthopedics Resident Joseph Legatol on how to get a perfect reduction. Inside the interview are 5 tips on positioning yourself for success. Also included is a video of Dr. Sheehan giving an example of "exaggerating the injury" of a distal radius fracture for a more successful reduction. 

Read more
Mon, 07/13/2020 - 5:06am

Do you avoid the slit lamp at all costs because it intimidates you?  Start getting comfortable with the components of the Weiss SL 120 Slit Lamp in this guide.  

Read more , ,
Sat, 07/11/2020 - 8:00pm

A  55 year old ma

Read more
Fri, 07/10/2020 - 3:00am

A patient is brought in by ambulance in cardiac arrest.  As is your practice, you start CPR and focus on bag valve mask ventilation (BVM) while the code gets started.  The patient is resuscitated and eventually intubated as they were not conscious after return of spontaneous circulation.  You wonder, if use of BVM is associated with an increased risk of pneumonia given that the airway isn’t defended as well compared to a cuffed endotracheal tube.

Read more
Thu, 07/09/2020 - 11:15am

Article: Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm 

Read more
Thu, 07/09/2020 - 11:15am

Article: Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm 

Read more
Wed, 07/08/2020 - 6:00pm

A 55 yo F with a history of untreated hypothyroidism presents to the ED with fatigue, SOB, abdominal distension and lower extremity edema.

Read more
Mon, 07/06/2020 - 5:00am

Today, we're recycling an oldie but goodie: A simple algorithm to determine the cause of a red eye.  

Read more
Fri, 07/03/2020 - 3:00am

Lung protective ventilation limiting tidal volume and plateau pressure improves survival in ARDS. The application of positive end-expiratory pressure (PEEP) further stabilizes the lung by preventing alveolar collapse during expiration, thereby reducing cyclic atelectasis. However, the optimal approach to PEEP titration to minimize ventilator-induced lung injury (VILI) has not been delineated. The EPVent-1 trial demonstrated that esophageal pressure-guided PEEP titration was feasible and safe with a trend toward increased survival and improved oxygenation in mild to moderate ARDS. However, interest in esophageal manometry in ARDS was deflated by the more recent EPVent-2 trial demonstrating no improvement in a composite outcome incorporating mortality and ventilator-free days in patients with moderate to severe ARDS. A new randomized control trial published last week by Wang et al. examined the role of esophageal manometry-guided PEEP titration in a novel subset of severe ARDS patients treated with VV ECMO. 

Read more
Wed, 07/01/2020 - 12:10am

A 5 yo with a hx of sickle cell disease presents with diffuse pain.

Read more

Pages