Difficult Lumbar Puncture? Ultrasound to the rescue!
Point of care ultrasound can be used to facilitate Lumbar Puncture in the Emergency Department.
Dizzying HiNTS in the ED – Lecture Slides from 12/2/2015
Slideset on the ED management of Acute Vestibular Syndrome and how the HiNTS exam fits in, by Dr. David Marcus
Yes, You CAN See Gout on Ultrasound!
Case 63 year old male presented to the ED with left elbow swelling for a few days. The patient was afebrile but the erythema was concerning for cellulitis and a collection around the medial aspect of the elbow. The ultrasound showed a small pocket containing hyperechoic tophi, suggestive of gout, although no drainable collection was […]
Thoracentesis- No X-ray required!
Case: 88 year female with a history of ovarian cancer presented to the ED for shortness of breath. Two weeks prior, she was admitted with a similar presentation, was found to have a pleural effusion that was drained in hospital as well as a pneumonia that was successfully treated with antibioticstore.online. Her pleural effusion […]
LIJ EMconf Extras Oct 21, 2015
Here are two pdfs that summarize when to activate the cath lab. We have Steve Smith’s PCI Cheat Sheet. We also have a pdf I put together that summarizes the STEMI equivalents mentioned in the 2013 AHA guidelines. Click on the snapshots to access the full doc. Read. Enjoy. Discuss. -Chris Can’t Miss STEMI Equivalents Cath […]
Posterior Tibial Nerve block
Case: A 20 year old female presented to the ED after having stepped on a sewing needle 3 days earlier, having it now buried in the plantar surface of her left foot. She described pain when she walked, but no fevers, chills or other systemic symptoms. Her vital signs were normal and she was well […]
LIJ EMconf Extras for Oct 14, 2015
Another round of that FOAM-EY goodness for you all… I. OUTPATIENT PNEUMOTHORAX – Probably not ready for prime time but here’s Sanjay and Mike waxing poetic regarding pneumothorax management. http://www.emrap.org/episode/february2015/paperchase02 II. PNEUMOTHORAX AND PIGTAILS – If you are convinced, here’s how to put in the pigtail III. CORD SYNDROMES – Here’s the quick and dirty synopsis […]
Talwin, Yeah, Talwin…
Click through the image to: 5 Minute Tox Talk: Pentazocine (Talwin) by Dr. Adam Berman Reviewed by: Dr. Payal Sud, Medical Toxicologist
So, why is dexmedetomidine only approved for use for
Dexmedetomidine is centrally-acting highly-selective a2-receptor agonist that is approved by the Food and Drug Administration (FDA) for sedation in the ICU for less than 24 hours in 19991. As dexmedetomidine is more selective towards the 2A subtype of the receptor, it causes more sedation and analgesia than the other commonly used a2-receptor agonist clonidine5. However, […]
So, why is dexmedetomidine only approved for use for <24 hours?
Dexmedetomidine is centrally-acting highly-selective a2-receptor agonist that is approved by the Food and Drug Administration (FDA) for sedation in the ICU for less than 24 hours in 19991. As dexmedetomidine is more selective towards the 2A subtype of the receptor, it causes more sedation and analgesia than the other commonly used a2-receptor agonist clonidine5. However, […]
