Tactical Medicine News Blog

ENT, Tricks of the Trade
Trick of the Trade: Pediatric video laryngoscope for ear foreign bodies
It is near the end of your shift and one of the nurses asks you to see a fellow ED staff member’s nine-year old daughter who has accidentally put a...
Yen Chow, MD CCFP | November 26, 2014
ENT, Tricks of the Trade
Trick of the Trade: Insect removal from the ear
Insect removal from the ear is a foreign body removal procedure with unique considerations. First, insects are friable. Have you ever squashed a house centipede? It’s like their 700 legs...
Mitchell Li, MD | October 2, 2014
Approved Instructional Resources (AIR series), ENT, Ophthalmology, residency
AIR Series: HEENT Module 2014
Welcome to the second ALiEM Approved Instructional Resources (AIR) Module! In an effort to reward our readers for the reading and learning they are already doing online, we have created...
Andrew Grock, MD | September 1, 2014
ENT, Tricks of the Trade
Trick of the Trade: Nasal foreign body removal using foley catheter
A healthy 4 year-old boy is brought in by mom for a plastic bead up his nose. The mom states, “The last time the other doctors had to...
Maria Beylin, MD | March 29, 2014
ENT, Tox & Medications
Safe dosing of nebulized lidocaine
Serum lidocaine levels correlate well with observed clinical effects. As the concentration increases, lightheadedness, tremors, hallucinations, seizures, and cardiac arrest can occur. Levels > 5 mcg/mL are associated with serious...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP | August 6, 2013
ENT, procedure, Tricks of the Trade
Trick of the Trade: Less traumatic nasopharyngoscopy
A fiberoptic nasopharyngoscope is a handy tool to check patients for suspected foreign bodies (e.g. fishbone stuck in throat) or laryngeal edema. Depending on the diameter of your fiberoptic cable,...
Michelle Lin, MD | July 16, 2013
ENT, procedure, Tricks of the Trade
Trick of the Trade: Massaging a mandibular dislocation back in
Continuing the theme of mandibular dislocation tricks (protecting your thumbs, post-reduction stabilization), Dr. Daniel Gromis from Advocate Christ Medical Center describes a novel reduction technique, based on the Cunningham shoulder reduction technique...
Michelle Lin, MD | July 31, 2012
ENT, procedure, Tricks of the Trade
Trick of the Trade: Ear foreign body
Sometimes classic techniques need to be revisited, especially when I get new photos from the collective readership. Let’s review a painless way to remove beads from the ear canal. You...
Michelle Lin, MD | May 22, 2012
ENT, Tricks of the Trade
Trick of the Trade: Stabilizing mandibular relocations
Three weeks ago, I talked about more safely reducing mandibular dislocations. After successful completion of the procedure, how do you make sure that the patient doesn’t re-dislocate the mandible? You...
Michelle Lin, MD | May 15, 2012
ENT, procedure, Tricks of the Trade
Trick of the Trade: Protecting your thumbs in mandible relocations
Does anyone think that this is generally a bad idea when closed-reducing mandible dislocations? Yes, it's easiest to apply downward pressure on the mandible by pushing down on the occlusal...
Michelle Lin, MD | April 24, 2012
ENT, procedure, Tricks of the Trade
Trick of the Trade: Peritonsillar abscess aspiration technique using IV tubing
A few weeks ago, I gave a Tricks of the Trade talk for the Stanford-Kaiser Emergency Medicine residents and faculty. I was overwhelmed by the great, creative ideas that came...
Michelle Lin, MD | April 17, 2012
ENT, Social Media & Tech
Modern EM: Case 1 and 2 – Strep Throat
A sister and brother, aged 7 and 14, respectively present with pharyngitis. The 7F has sore throat, cough, fever, and post-tussive vomiting for 1 day. She has posterior pharyngeal erythema,...
Timothy Peck, MD | March 26, 2012
ENT, procedure, Tricks of the Trade
Trick of the Trade: Pelvic speculum for peritonsillar abscess
Peritonsillar abscess drainage in the ED continues to be one of my favorite procedures to perform. There are several tricks to increase your chances for a successful aspiration. One trick...
Michelle Lin, MD | March 20, 2012

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Tactical Medicine News Blog