Truco del oficio: centros de osificación del codo
¿Fractura o centro de osificación normal? Esta es una pregunta común que se escucha al ver una radiografía de un codo pediátrico. ¿Cómo recuerda el momento de los centros de...
Michelle Lin, MD |
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¿Fractura o centro de osificación normal? Esta es una pregunta común que se escucha al ver una radiografía de un codo pediátrico. ¿Cómo recuerda el momento de los centros de...
Michelle Lin, MD |
Las taquicardias indiferenciadas, especialmente cuando la frecuencia es extremadamente rápida, dificultan ver algo más que los complejos QRS. ¿Existe una onda P o de aleteo?
Michelle Lin, MD |
Las vías centrales subclavias se promocionan comúnmente como el sitio de vía central menos propenso a infecciones y trombosis. El problema es que tradicionalmente se realizan sin guía ecográfica. Se...
Michelle Lin, MD |
You decide to use ultrasonography to help you establish peripheral IV access for and obtain blood cultures from your patient. How can you ensure that you get a sterile sampling...
Michelle Lin, MD |
One day back in 2005 during my PGY-1 pharmacy practice residency, I remember a conversation with my residency director. He was a Surgical/Trauma ICU pharmacist. There had been a recent...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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 |
iPads are increasingly being used in medical education in a variety of arenas, including the classroom, the bedside, and small group workshops. I recently taught in a procedures lab...
Michelle Lin, MD |
A picture is worth a thousand words. My corollary to this statement is that a poorly framed or blurry image significantly detracts from its impactfulness. Plus, it just looks unprofessional....
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 |
How many times have you given your patient IM ceftriaxone for that presumed gonococcal infection? … still counting? Many of us learned (or at least thought we learned) that ceftriaxone has to...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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 |
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