Tactical Medicine News Blog
Patwari Academy videos: Primary and secondary assessment
Posted by Michelle Lin, MD on
Deer in headlights That was me as a medical student, when I first encountered an undifferentiated patient in moderate distress. The trick is to have a standardized primary and secondary survey approach. Sometimes it takes just a little kick-start to get you thinking and doing.
New Years Resolution: More teachable moments please
Posted by Nikita Joshi, MD on
“The worst thing about busy shifts is that I never learn anything.” – anonymous resident A junior resident and I were contemplating the many difficulties of residency, especially when working at a busy urban ED where patients are plenty, but teaching during shifts may be harder to come by. We discussed the importance of coming up with at least one learning point or clinical question during each shift, and making a point of following through and reading up on it after. (That shift we both learned about fat emboli s/p extremity fracture.)
Paucis Verbis: Composition of intravenous fluids
Posted by Michelle Lin, MD on
There has been a lot of discussion on the ideal intravenous fluids (IVF) for resuscitation in the Emergency Department and ICU. This was highlighted by the landmark study in JAMA on ICU patients who received chloride-rich versus chloride-restricted IVFs. This got me to thinking, what exactly comprises the common IVFs that we order? We so often take for granted what’s in 1 liter of normal saline. As it turns out, normal saline is not really “normal”. Dr. Scott Weingart has a great podcast on “chloride poisoning” using IVFs.
P-video: How to remember the GCS scoring
Posted by Jeremy Faust, MD on
https://www.youtube.com/watch?v=5iOXCrctbzA In this inaugural P-video, Dr. Jeremy Faust gives us a quick way to remember how keep the maximum subscores of the Glasgow Coma Scale (GCS) straight. There's verbal, motor, and eyes. Which has a max score of 4, 5, and 6? The post P-video: How to remember the GCS scoring appeared first on ALiEM.
New video series: P-Videos by Dr. Jeremy Faust
Posted by Michelle Lin, MD on
Welcome to the blog Dr. Jeremy Faust, who is currently an emergency medicine resident from Mount Sinai Hospital and Elmhurst Hospital Center. He’s a frequent contributor to ACEP News, a proud proponent of Free Open Access Medical Education (#FOAMed), and a classical musician and producer. We extremely lucky to have Jeremy join our ALiEM blog team. What are P-Videos?