Tactical Medicine News Blog

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 | 19 de enero de 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 | 12 de enero de 2011
Ophthalmology, Tricks of the Trade
Tricks of the Trade: Finding the wandering contact lens
Contact lens wearers are familiar with the phenomenon of the wandering lens. What should you do if you can’t visualize the contact lens of a patient, who presents with a...
Michelle Lin, MD | 5 de enero de 2011
Medical Education, Tricks of the Trade
Trick of the Trade: Self-Reflection
After a shift, we often review the day’s case with our learners. We sometimes ask them to self-reflect. I often used Demian’s ‘Plus/Delta’ approach and ask ‘What did you...
Stella Yiu, MD | 8 de diciembre de 2010
Pediatrics, Tricks of the Trade
Trick of the Trade: Laryngospasm notch maneuver
What is the incidence of laryngospasm in pediatric patients receiving ketamine for procedural sedation in the ED? Answer = 0.3% A child with laryngospasm can be a scary thing...
Michelle Lin, MD | 1 de diciembre de 2010
procedure, Tricks of the Trade
Trick of the Trade: Hemostasis of bleeding finger laceration using a glove
Lacerations of the finger can bleed quite profusely because of digital vascularity. This obscures the provider’s ability to perform a careful exam and can make suturing quite difficult. Simple direct...
Michelle Lin, MD | 24 de noviembre de 2010
procedure, Tricks of the Trade
Trick of the Trade: Toe paronychia splinting
Ingrown toenails, or paronychias, are usually exquisitely painful and a bit gnarly when they present to you in the Emergency Department. Dr. Stella Yiu described toenail splinting techniques using steristrips...
Michelle Lin, MD | 17 de noviembre de 2010
procedure, Tricks of the Trade, Ultrasound
Trick of the Trade: Ultrasound-guided supraclavicular central line
Emergency physicians are procedural experts in central venous access. The subclavian vein is the best site for such access, because it has been shown to have the lowest rate of...
Michelle Lin, MD | 10 de noviembre de 2010
Orthopedic, procedure, Tricks of the Trade
Trick of the Trade: Legg Maneuever for shoulder dislocation
There are many ways to relocate a shoulder dislocation. Most of these ways require procedural sedation. What if the risks of procedural sedation outweigh the risks? What alternative maneuver can...
Michelle Lin, MD | 3 de noviembre de 2010
Pediatrics, Tricks of the Trade
Tricks of the trade: Intranasal fentanyl for pediatric patients
Pediatric patients often receive inadequate pain control in the setting of orthopedic injuries. Because the child experiences fear, anxiety, and pain with needles, practitioners often shy away from ordering...
Michelle Lin, MD | 27 de octubre de 2010
procedure, Tricks of the Trade
Trick of the trade: Face mask ventilation in edentulous patients
Can you imagine trying to bag-valve-mask ventilating this patient without teeth? Edentulous patients can cause BVM problems because air tends to leak out the sides of the mouth, because the...
Michelle Lin, MD | 20 de octubre de 2010
Ophthalmology, Tricks of the Trade, Ultrasound
Retinal detachment on ultrasound
I just wanted to revisit the Trick of using bedside ultrasonography to diagnose retinal detachments. Be sure to use plenty of ultrasound gel and use the linear tranducer.
Michelle Lin, MD | 19 de octubre de 2010
Tox & Medications, Tricks of the Trade
Trick of the trade: Discounted medications at pharmacies
Many times, patients who we deem as “noncompliant” with medications may actually be financially unable to afford medications that we prescribe them. Thanks to Amy Kinard, I just learned about...
Michelle Lin, MD | 6 de octubre de 2010

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Tactical Medicine News Blog