Menelaos Demestihas

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  1. Finger Thoracostomies — 5 comments
  2. Know your RSI! — 3 comments
  3. How do you assess suicidal ideation? — 2 comments

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Know your RSI!

[notice textalign=”center”]AIRWAY[/notice] As some of the more junior residents realize this time of year… fumbling your way through an intubation looks bad all around. Help yourself by really becoming comfortable with induction and paralytic agents. A difficult airway is, after all, owned by the ED. I wouldn’t want anyone else, even Anesthesia, intubating when there …

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How to give thrombolytics

[notice]PHARMACOLOGY[/notice] A great question came up in the zones. We see and likely should be comfortable with the dosing of Alteplase for CVA. Grady is a renowned Stroke Center and I would certainly have any of my family members come to the Marcus Stroke and Neuroscience Center if they were having a stroke. The fact …

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How do you assess suicidal ideation?

No Blue Zone shift is complete without seeing at least a handful of “Psych Eval” patients in the newly minted Blue Obs. Until the department of Psychiatry starts up an intake process again at Grady we are left with the burden of screening these patients and making a decision as to whether the patient we …

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Finger Thoracostomies

From teaching round–Courtesy of Mene Demestihas: In a patient in cardiopulmonary arrest, going through the H’s and T’s can lead us to suspect a tamponade or compressive physiology as the culprit of the arrest. In these patients placing a formal chest tube is generally frowned upon as it can be a labor-intensive process for a …

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