Pericardiocentesis is a rarely performed, but potentially life-saving procedure. Commerical models are prohibitively expensive, but students and residents (and critical care fellows) still need to learn the mechanics, ideally with an ultrasound compatibile model. This week's post gives a step by step guide towards making a cheap, easy to fabricate phantom based on this fantastic paper published in the Journal of Emergency Medicne 2012: https://www.ncbi.nlm.nih.gov/pubmed/21925818Read more
Submitted by Richard Byrne, MD
EM physicians see patients with headaches every day in the ED. The vast majority have a simple primary headache, but a tiny fraction of patients will have a much more serious etiology that might result in death, blindeness, or crippling neurologic complications if not promptly diagnosed. The trick, of course, is picking up on the serious causes of headaches...Read more
Submitted by Sandhya Ashokkumar, MD
Admittedly not so much a “basic” concept, but this does bring me back to textbooks and medical school. Having seen this recently in a real patient, thought it was useful to review. Highlights the importance of a good medication reconciliation!
MAOI + tyramine tyramine reaction hypertensive urgency/emergencyRead more
Submitted by Alison Jaworski, MD