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High pressure irrigation of wounds is critical in reducing the rate of wound infection. There are a variety of commercial irrigation kits which include splash guards. If you are irrigating...
Michelle Lin, MD |
Last week, I talked about the use of Rare Earth Magnets for removing metallic foreign bodies. Sometimes a straight magnet though isn’t quite strong enough to grab a metallic foreign...
Michelle Lin, MD |
A child presents to your Emergency Department with a small button battery up her nose. Your usual tricks fail: Occluding the other nostril and having the mother blow in the...
Michelle Lin, MD |
In many cases of massive GI bleeding, airway control is essential. During endotracheal intubation, suction sometimes just isn’t adequate enough to allow to get a good view of the...
Michelle Lin, MD |
“Ow, that burnnnnssss… ow! ow! ow! … zzzzzz… As many as 60% of patients report significant pain with the injection of IV propofol. Once a patient experiences pain, it’s too...
Michelle Lin, MD |
It’s a Friday evening shift in the “minor area” of your ED and a young woman who had imbibed a little too much alcohol comes in with an avulsion of...
Hans Rosenberg, MD |
An essential skill of any innovative troubleshooter in the Emergency Department is the ability to recognize when one piece of equipment may be used elsewhere. For instance, what’s your go-to...
Michelle Lin, MD |
As a followup to the blog on the Captain Morgan technique for hip dislocations, I’d like to throw out another similar technique that also does NOT involve climbing up on...
Fred Wu, MHS, PA-C |
Scalp lacerations are apparently a hot topic these days. This is the third post now on how to apply a bandage to a scalp laceration. Beanie hat using tubular gauze...
Michelle Lin, MD |
Relocation of a hip joint is often quite a sight to see in the ED. A commonly taught technique is the Allis maneuver (watch the first 45 seconds of the...
Michelle Lin, MD |
Scalp lacerations are one of the most common injuries which present to the Emergency Department. Applying a dry bandage over the staples or sutures can be a challenge because the...
Michelle Lin, MD |
Patients can become extremely diaphoretic with high fevers or if under the influence of PCP or a stimulant. Slippery, sweaty skin can pose a problem when securing peripheral IV’s. Adhesive...
Michelle Lin, MD |
Your next patient has heavy dysfunctional uterine bleeding (DUB). She is tachycardic and pre-syncopal. While you establish an IV, resuscitate her, and wait for the gynaecology team to arrive, is there...
Stella Yiu, MD |
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