Tactical Medicine News Blog

Orthopedic, procedure, Tricks of the Trade
Trick of the Trade: Captain Morgan technique for hip dislocation
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 | December 13, 2011
procedure, Tricks of the Trade
Trick of the Trade: Bandaging the scalp laceration
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 | December 5, 2011
Ob/Gyn, procedure, Tricks of the Trade
Trick of the trade: Foley catheter for DUB
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 | November 15, 2011
Orthopedic, procedure, Tricks of the Trade, Ultrasound
Trick of the Trade: Ultrasound-guided injection for shoulder dislocation
Who loves relocating shoulder dislocations as much as I do? I know you do. Often patients undergo procedural sedation in order to achieve adequate pain control and muscle relaxation. Alternatively or...
Michelle Lin, MD | November 8, 2011
procedure, Tricks of the Trade
Trick of the Trade: Nasal cannula oxygenation during endotracheal intubation
You are managing a 300-pound patient with a long history of severe COPD, who now requires intubation because of a pneumonia and COPD exacerbation. You anticipate that the patient may...
Michelle Lin, MD | October 25, 2011
procedure, Tricks of the Trade
Trick of the Trade: Using a funnel for NG tubes
One of the indications for nasogastric (NG) tube placement is to instill fluids or medications. This may be saline or water for NG lavages or charcoal. You can manually...
Michelle Lin, MD | August 16, 2011
procedure, Tricks of the Trade
Trick of the Trade: Ring removal from a finger
A patient presents with a swollen finger after falling and fracturing it. The patient is more distraught by the fact that she can’t get the ring off her finger....
Michelle Lin, MD | May 25, 2011
ENT, procedure, Tricks of the Trade
Trick of the Trade: Temperomandibular (TMJ) dislocation
Mandible, or TMJ, dislocations occur when the patient excessively opens the mouth, such as in a yawn. They are typically bilateral and are difficult to relocate because of masseter and...
Michelle Lin, MD | May 4, 2011
Geriatrics, procedure, Trauma, Tricks of the Trade
Trick of the Trade: Steristrip-suture combo for thin skin lacerations
Lacerations of elderly patients or chronic corticosteroid users can be a challenge because they often have very thin skin. Sutures can tear through the fragile skin. Tissue adhesives may not...
Michelle Lin, MD | March 30, 2011
Ophthalmology, procedure, Tricks of the Trade
Trick of the Trade: Benzoin for opening traumatic, swollen eyelids
Patients who sustain facial trauma often have swollen eyelids. They may be so swollen that it is impossible to pull back the eyelids for an ocular exam. You use one of...
Michelle Lin, MD | March 23, 2011
procedure, Tricks of the Trade
Trick of the Trade: Heat it up!
What is it about heat that makes everything feel better? Fireplace, hot tub, heat packs, electric blankets, and hot chocolate have got to be the best inventions EVER. How can...
Michelle Lin, MD | March 9, 2011
Orthopedic, Pediatrics, procedure, Tricks of the Trade
Tricks of the Trade: Nursemaid elbow reduction
We’ve all seen it before while working in the ED. A parent brings in their child because they pulled on their arm, and now the child is not using it....
Fred Wu, MHS, PA-C | January 19, 2011
Neurology, procedure, Tricks of the Trade
Trick of the Trade: Reducing post-LP headache risk
We often do lumbar puncture in the ED. Patients get warned about the potential of a post LP headache. What is the prevalence of a post-LP headache? The literature reports...
Stella Yiu, MD | January 12, 2011

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Tactical Medicine News Blog