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Los médicos de urgencias se enfrentan constantemente al desafío de sacar cuerpos extraños de varios orificios, como los oídos, como se muestra aquí en un truco del oficio anterior utilizando...
Michelle Lin, MD |
Un usuario de drogas intravenosas rompe accidentalmente una aguja de calibre 25 en su antebrazo y acude al servicio de urgencias para que le extraigan el cuerpo extraño con la...
Michelle Lin, MD |
La técnica para el drenaje de abscesos tradicionalmente es la incisión y drenaje (I&D). En agosto de 2012, escribí sobre la incisión y el drenaje con asa (I&LD), que parece...
Michelle Lin, MD |
Los principios generales de la reducción de fracturas implican distraer o tirar axialmente de un fragmento de fractura y empujar la pieza hacia su alineación anatómica. Esto se puede ver...
Michelle Lin, MD |
This post is about an editorial comment by Dr. Richard Levitan on an article (1) about pulmonary critical care doctors performing intubations in the ICU (2). The study states that...
Javier Benitez, MD |
Dr. Matt Borloz (Carilion Clinic) recently emailed me his recent trick in fixing a persistently leaking paracentesis site. Read about his experience: A patient with advanced alcoholic cirrhosis with ascitic fluid leaking...
Michelle Lin, MD |
You are finishing up a successful subclavian line procedure. You insert the straight-needle suture needle through the skin to secure the line. When trying to pull it out, you accidentally...
Michelle Lin, MD |
Large-sized abscess often have pus trapped in deep crevices and pockets. Irrigation can help express the pus. How can you set up a high-volume irrigation system?
Michelle Lin, MD |
A patient arrives in PEA arrest and you note that her left chest has no breath sounds or lung sliding on bedside ultrasound. You suspect a tension pneumothorax. You insert...
Michelle Lin, MD |
Have you ever accidentally flicked a drop of blood while disposing a straight guidewire into a rectangular sharps bin? The bins just don’t quite fit the wire easily. That’s just...
Rob Bryant MD |
Having you had trouble seeing a pediatric patient’s tympanic membrane because of impacted cerumen? Scared from that last time you used a rigid curette and caused bleeding in the ear...
Michelle Lin, MD |
A 40 y/o man presents with significant agitation and severe respiratory distress from a COPD exacerbation. His oxygen saturation is 75% on room air, and he has diffuse, tight wheezes...
Michelle Lin, MD |
Bartholin abscesses are challenging to manage, partly because of Word catheter insertion. Sometimes, the space is not large enough (unable to fit the catheter) or too large (catheter falls out)....
Michelle Lin, MD |
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