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!
Alexis Pelletier-Bui, MD
Wounds sustained from animal bites are a common ED complaint. Read on below for an approach to bites that reviews when/how to close, use of antibiotics, when to give tetanus and indications for rabies prophylaxis.
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!
In the emergency department, we are often asked by consultants to provide procedural sedation for reductions, suturing and repairs. Here is a cheat sheet to serve as your quick reference guide.
Epistaxis is a common ED complaint. There is a wide spectrum of presentation ranging from mild to severe and potentially life threateniing. Read on to learn some of the basics regarding risk factors, types and how to approach!
A patient presents with HIV and a fever...what's in the differential? Below is simple review of the differentials to consider for patients with HIV who present to the ED with a fever based on CD4 counts.
· Temperatures above freezing + wet conditions = immersion injury
· Commonly from continuously wearing wet socks and shoes
· Repeated exposure to wet and cold
o Homeless, military, outdoor workers
· Occurs over several days to weeks
· Tingling or numbness most common symptom
· Damp, pale or mottled in color