Wire-In-Needle (WIN) Technique for Ultrasound-Guided Central Venous Catheterization. Advancing CVC placement safety, speed and success with real-time ultrasound guidance.
There are only a few things I know about the world. Sunrise in the east, sunset in the west. Death and taxes. Jennifer Garner was thinking about migraines. TL:DR – reglan, without benadryl. Decadron before they’re gone. Also try some... Continue Reading →
Caution in Pediatrics Important medico-legal issues -Recognize high risk cases (i.e. close contact with Neisseria meningitis) -Be wary of unexplained tachycardia! -Avoid discharge diagnoses of "viral syndrome" or "gastroenteritis." Use "fever" or "vomiting" instead. -Considering discharge? Double check, vitals, document.... Continue Reading →
EM – Critical Care Journal Club Topic: 'Lytics in Sub-massive PE - Part II Article: Chatterjee, Saurav, et al. "Thrombolysis for pulmonary embolism and risk of all-cause mortality, major bleeding, and intracranial hemorrhage: a meta-analysis." Jama 311.23 (2014). Resident: Thiago... Continue Reading →
EM – Critical Care Journal Club Topic: Thrombolysis for sub-massive pulmonary embolism (PE) Article: Konstantinides, S.V., et. al. Impact of Thrombolytic Therapy on the Long-Term Outcome of Intermediate-Risk Pulmonary Embolism. Journal of the American College of Cardiology. 2017. Volume 69,... Continue Reading →
Sickle Cell Disease Acute Complications -Sickle cell pain: Diagnosis of exclusion! -Fever: Patients are functionally asplenic, prone to sepsis. Give antibiotics. -Chest pain/dyspnea: Acute chest syndrome (leading cause of death), PE -Headache: CVA ischemic (children and older) or hemorrhagic -Abdominal... Continue Reading →
EM – Critical Care Journal Club Topic: Use of tenecteplase in patients with intermediate-risk pulmonary embolism Article: Meyer et al. "Fibrinolysis for Patients with Intermediate-Risk Pulmonary Embolism." NEJM 2014. Resident Reviewer: Emily Zametkin, MBBS Case / Problem Should we... Continue Reading →