Tactical Medicine News Blog

Critical Care/ Resus, Tricks of the Trade
Truco del oficio: oxigenación nasofaríngea
Un hombre obeso de 76 años con antecedentes de EPOC grave acude a su departamento de urgencias (DE) con dificultad respiratoria aguda. La gran barba del paciente impide un sellado...
Bradley Ching, MD | 17 de marzo de 2014
Infectious Disease, Tricks of the Trade
Truco del oficio: chocar los puños para reducir la transmisión de patógenos
El apretón de manos se practica desde el siglo V a. C. y se utiliza hoy en día como una forma común de saludar a los demás. En el ámbito...
Salim Rezaie, MD | 10 de marzo de 2014
Pediatrics, Tricks of the Trade
Child Whisperer Series: Just Breathe
Just breathe…. Early in my career as a Child Life Specialist, I was working with a 4 year old girl who needed her port catheter accessed. She was beginning to...
Kristen Beckler, CTRS, CCLS | 6 de noviembre de 2013
Endocrine-Metabolic, Tricks of the Trade, video
P-Video: Rule of 15 in anion gap metabolic acidosis
You have a patient with an anion gap of 30 and bicarbonate of 10 mEq/L. You also determine on VBG that the patient’s pCO2 is 25 mmHg. What trick of...
Michelle Lin, MD | 22 de octubre de 2013
procedure, Tricks of the Trade
Trick of the Trade: EMLA for Lumbar Punctures
A 9 year-old patient presents with a headache and fever after swimming, along with subjective neck stiffness. Meningitis was of concern especially because the serum WBC count was 25,000 and...
Jeff Wiswell, MD | 26 de septiembre de 2013
Simulation, Tricks of the Trade
Simulation Trick of the Trade: Paper Mache
Money doesn’t grow on trees, and neither do simulation manikins, not even on simulated trees. So what to do when you are looking for a cheaper, more easily replicated solution...
Nikita Joshi, MD | 20 de septiembre de 2013
Medical Education, Simulation, Tricks of the Trade
Simulation Trick of the Trade: Blindfold the Leader
Simulations are routine now in medical training. But sometimes routine can start to get boring! All learners now know, especially for high fidelity simulations, to prepare for the unexpected. The stable patient will inevitably...
Nikita Joshi, MD | 31 de agosto de 2013
procedure, Tricks of the Trade, Ultrasound
Trick of the Trade: The PIPP for deep peripheral IVs in obese patients
The Case A 500-pound morbidly obese male presents to your ED complaining of mild shortness of breath and palpitations. A quick ECG shows SVT with a rate of 160 bpm....
Noah Sugerman, MD | 5 de agosto de 2013
ENT, procedure, Tricks of the Trade
Trick of the Trade: Less traumatic nasopharyngoscopy
A fiberoptic nasopharyngoscope is a handy tool to check patients for suspected foreign bodies (e.g. fishbone stuck in throat) or laryngeal edema. Depending on the diameter of your fiberoptic cable,...
Michelle Lin, MD | 16 de julio de 2013
Orthopedic, procedure, Tricks of the Trade
Trick of the Trade: Stimson technique using wrist restraints
A patient presents with an anterior shoulder dislocation on x-ray. Your ED just received 5 new patients via ambulance and you are trying to prioritize your patients as they come...
Michelle Lin, MD | 10 de julio de 2013
Allergy-Immunology, Tox & Medications, Tricks of the Trade
The Dirty Epi Drip: IV Epinephrine When You Need It
You’re a recent graduate picking up an extra shift in a small ED somewhere north of here. At 3 AM an obese 47 year-old woman presents with shortness of breath...
Zlatan Coralic, PharmD | 27 de junio de 2013
Orthopedic, procedure, Tricks of the Trade, video
Trick of the Trade: Got a shoulder dislocation? Park it
Myriad techniques exist to reduce shoulder dislocations, which includes scapular rotation, Hennepin, Snowbird, Cunningham, and Legg maneuvers. They are nicely reviewed at ShoulderDoc.co.uk. You can also supplement any technique with ultrasound-guided intraarticular...
Michelle Lin, MD | 25 de junio de 2013
Genitourinary, Pediatrics, Tricks of the Trade
Truco del oficio: recolección de orina en recién nacidos
El caso: Un niño no circuncidado de 8 días llega al servicio de urgencias con fiebre, irritabilidad y disminución de la micción. El problema: obtener una orina limpia de manera...
Salim Rezaie, MD | 30 de abril de 2013

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Tactical Medicine News Blog