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Trick of Trade: Alternative to a Pressure Bag for IV Fluids
July 22, 2023
You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. However, the crystalloid fluids are not flowing freely. Multiple attempts...
Michael Cataldo, DO
Trick of Trade: Dual Foley catheter to control massive epistaxis
May 29, 2023
Massive epistaxis is considered a medical emergency that requires immediate attention. Symptoms of massive epistaxis include sudden and heavy bleeding from the nose, difficulty breathing,...
Mohamed Elhadi Abdelhameed, MD
Trick of Trade: Removal of Entrapped Metal Zipper
May 24, 2023
A young boy is brought to the pediatric emergency screaming at the top of his lungs by his parents. His penile skin is trapped in...
Meraj Fatima, MBBS
Trick of Trade: Inflating the Esophageal Balloon of a Blakemore/Minnesota Tube without a Manometer
May 19, 2023
A heavy alcohol drinker, who is well known to your Emergency Department, presents with altered mental status, except that he looks different this time. He...
Ivan Ivanov, DO
Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique
April 12, 2023
Ever finally step away from a busy resuscitation and someone stops you for peripheral IV access? You set up everything, have the patient positioned, and...
Trick of the Trade: Chest tube rewarming with Foley tubing connector
March 31, 2023
You have a pulseless hypothermic patient requiring aggressive internal rewarming. ECMO is not available, and you’ve made the decision to initiate thoracic lavage. After placing...
Landon McNeely, DO
Trick of the Trade: Antibiotic ointment for removal of artificial nail glue from eyelids
February 8, 2023
A bottle of nail glue and timolol eye drops (reproduced with permission from BMJ Publishing Group Ltd [1]) You are working a busy shift in...
Paige Ruiz, MD
Trick of the Trade: Managing Epistaxis with Merocel Nasal Packing and an Angiocatheter
November 11, 2022
There are many ways to manage epistaxis. Once nasal clamping and cauterization fail, the next step is to consider using tranexamic acid (TXA) and performing...
Christopher Joseph
Trick of the Trade: Winging It with External Jugular Cannulation
September 9, 2022
Sankoff J, et al. WJEM (2008) Imagine yourself caring for a patient that needs urgent vascular access, but several attempts at peripheral intravenous (IV) cannulation...
Trick of the Trade: Getting the last bit of ultrasound gel from the bottle
July 27, 2022
It’s a busy shift and you need to perform a bedside ultrasound on a patient’s belly to rule out cholecystitis, when you realize that the...
Andrew J. Park, MD
Trick of the Trade: A “Fiberbougie” through a supraglottic airway device (King tube)
July 6, 2022
Resuscitation before intubation is a critical construct in modern emergency medicine. The prevention of peri-intubation arrest by correcting pre-intubation hypoxia, hypotension, and acidosis is often...
Graham E. Snyder, MD, FACEP
Trick of the Trade: Don’t fight the ultrasound cord for peripheral IV access
June 3, 2022
Ultrasound-guided IVs require hand-eye coordination and fine movements of probe in Goldilocks fashion. Apply too much pressure, and the vein in question is compressed. Slide...