This post contains all the info you need to perform forearm nerve blocks. Thanks to Jacob Avila for sharing his amazing teaching videos.
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Common Forearm Nerve Blocks
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Dear Intern . . .
Dear Sanjay,
Hope you’re doing well. You’ve probably just settled into your first adult-sized Manhattan apartment. It may take a while, but you’ll eventually manage to find your stethoscope – it’s been gathering quite a bit of dust since Match Day. Your scrubs are free of bodily fluids – at least for now.
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Journal Review
Validation of qSOFA for Mortality Prediction in the ED
In 2016 the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), redefined sepsis as life-threatening organ dysfunction caused by a dysregulated host response to infection. This group postulated that sepsis can be identified through an increase in Sequential Organ Failure Assessment (SOFA) score of at least 2 points. The quick SOFA (qSOFA) score is a simplified tool that includes respiratory rate >21 breaths/min,
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Post-It Pearls 6.0
Teaching on a clinical shift can sometimes be difficult: it’s busy, everyone’s running around and it’s hard to capture a trainees attention. Recently, on twitter, Amal Mattu (@amalmattu) has been posting pictures of his white board teaching: discrete pearls written down and shared with anyone who walks by. The pearls are often prompted by patients presenting during that shift but they don’t have to be.
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Olecranon Fractures
This post delves into the diagnosis and emergent management of olecranon fractures.
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Nightmare Scenario – Tracheostomy Emergency Case
This blog post is a companion piece to our core content piece on tracheostomy emergencies published earlier this week.
Like many horror stories this one began on one of my first shifts as a newly minted community doc. It was 11:00 pm and the only services in house at this hour are Emergency Medicine and Internal Medicine.
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Journal Review
30-Day Outcomes After Aggressive AF Management in the ED
Atrial fibrillation (AF) is one of the most common dysrhythmias encountered in the ED. The management of recent-onset AF and atrial flutter (AFl) in the ED continues to be debated. The discussion centers on whether patients with recent-onset AF should be rhythm controlled (e.g. converted back to sinus rhythm) or rate controlled only. This debate was showcased in a point-counterpoint in Annals of Emergency Medicine in 2011 (Stiell 2011,
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