Tips

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!

Category (Day): 

Advanced Practice: Airway Mastery Series! DL vs VL for Airway Management in the ED

This is a summary of a portion of Dr. Byrne's talk on airway management presented at the August ResusEM conference at Cooper Medical School of Rowan University. This week we seek to answer the question: is video laryngoscopy superior to direct laryngoscopy for improved first pass success and decreased complication rates? Yes. Yes it is. Read on!

Category (Day): 

Advanced Practice - Airway Mastery Series! Preoxygenation strategies

This post is a a summary of a portion of Dr Byrne's airway talk from last month's ResusEM conference at the Cooper Medical School of Rowan University. New techniques for preoxygenation before intubation can help to prolong time to desaturation and make this potentially dangerous procedure safer than ever!

Category (Day): 

#EMconf: Shore Retreat! Tips for Discussions With Consultants and Patients

Last Thursday was the yearly Cooper EM residency retreat at the shore in Avalon, NJ. In addition to some spectacular teaching tips on summer emergencies, we had some great small group discussion and role-playing regarding one of the toughest (and least discussed) aspects of our jobs: difficult discussions with consultants, admitting physicians, and patients. Read on for some great interpersonal communications tips (and some pics of the Cooper EM residents hard at work).

Topic: 
Category (Day): 

Airway Mastery Series: Got Oxygen? Head of Bed up for Preoxygenation Before Intubation

Intubation has traditionally been performed with patients in the full supine position. Recent data suggests that elevation of the head of the bed may be more effective during preoxygenation before intubation. Check out this summary of a paper from Anesthesia that put this idea to the test!

Category (Day): 

After Lazarus - Post Cardiac Arrest Pearls by Dr. Brian Roberts

Looking for a high yield summary of post-cardiac arrest pearls? Look no further than this incredibly well acted video by the Cooper EM faculty recently presented by Dr. Brian Roberts, our very own NIH grant holding cardiac arrest researcher, at this year's NJ ACEP meeting in May

 

 

 

 

Category (Day): 

Advanced Practice: Bedside Two Point Compression Ultrasound to Rule-In Pulmonary Embolism by Chad Simpkins MD

You evaluate a patient complaining of acute onset of dyspnea with hypotension and hypoxia. You immediately consider the diagnosis of acute massive pulmonary embolism, but despite your best efforts can't get good cardiac windows on bedside ultrasound. Should you administer thrombolytics? Heparin? Send the shocky patient for a CT? Today Dr. Simpkins goes through the steps to perform 2-point compression ultrasound of the lower extremity to evaluate for DVT, an easy and rapid bedside test that may allow for indrect but more rapid diagnosis of acute, massive pulmonary embolism.

Category (Day): 

Pages