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Thanks to my new-found Emergency Medicine friend in Turkey, Dr. John Fowler has some useful tips about scalp lacerations. Often patients with scalp lacerations have clotted blood in their hair....
Michelle Lin, MD |
I got a nice email from Dr. John Fowler from Turkey who recently published a modified version of the Hair Apposition Technique (HAT) trick in the American Journal of Emergency...
Michelle Lin, MD |
Over the years, I have been frustrated by how inelegant finger nailbed closure is. Nailbed lacerations are often sustained by a major crush injury, resulting in a stellate and irregular...
Michelle Lin, MD |
You are about to endotracheally intubate a patient. As you struggle to elevate the laryngoscope more anteriorly, has your left hand ever trembled while trying to see the vocal cords?...
Michelle Lin, MD |
In patients requiring central venous access, which vein do you prefer? In descending order, I prefer subclavians, internal jugulars (IJ), and then femorals. There is increasing evidence that subclavian central...
Michelle Lin, MD |
Placing an IV in the external jugular vein requires venous distension maneuvers. This means having the patient perform a Valsalva maneuver or be placed in a Trendelenburg position. Have you...
Michelle Lin, MD |
Did you know that a medical guidewire consists of a flexible central “ribbon wire” externally wrapped with a coil-spring wire? J-shaped guidewires are commonly used in many medical procedures, such...
Michelle Lin, MD |
With this hot summer season in California, kids have been running around and getting into all sorts of orthopedic troubles. Monkey bars are a common culprit. In treating pediatric patients...
Michelle Lin, MD |
Wound care mantra: “The key to pollution is dilution.” High-pressure irrigation best reduces the patient’s risk for a wound infection. Open fractures are unique in the ED in that they...
Michelle Lin, MD |
How do you drain a peritonsillar abscess? When evaluating a patient with a sore throat and “hot potato voice,” peritonsillar abscess (PTA) is at the top of the differential diagnosis...
Michelle Lin, MD |
Scalp lacerations over hair-bearing areas require wound closure, usually with staples. An alternative technique is the Hair Apposition Technique, also known as the HAT trick [1, 2]. This technique provides...
Michelle Lin, MD |
On a shift last week, we had a patient present with a spontaneous pneumothorax. Not only that, but it was a tension pneumothorax. Although the patient was hemodynamically stable, he...
Michelle Lin, MD |
The digital nerve block is common performed in the Emergency Department to provide anesthesia prior to wound closure. The digital nerves are typically accessed by injecting in the webspace on...
Michelle Lin, MD |
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