Eric Deutsch
Author's posts
FOAM of the Week – Nerve Blocks, Hip Dislocation, General Orthopedics
Some good MSK stuff this week to supplement our skills day. Enjoy You learned the posterior tibial block to anesthetize the sole of the foot, now try some hand blocks: http://www.sonoguide.com/radial_plexus_block.html http://www.sonoguide.com/median_plexus_block.html http://www.sonoguide.com/ulnar_plexus_block.html Don’t sweat your hip reductions, try the Captain Morgan Technique: http://regionstraumapro.com/post/10201631357 https://www.youtube.com/watch?v=lQMWaFX-MeQ Question about something ortho related? A great comprehensive resource: http://www.orthobullets.com/
FOAM of the Week – TXA in Trauma, Submassive PE
Since there was no formal lecture today, I’ve included a couple pieces related to issues that have come up on recent shifts. Enjoy! TXA (tranexamic acid) in trauma – a nice review from emDocs. Of note, the reasons why you haven’t seen this given at Grady is because it’s stocked in the OR and the …
FOAM of the Week 10/27/15 – Anticoagulation Reversal, Dental Trauma
Hey guys, I picked a few topics for this past week since we didn’t have conference. I think you’ll find them helpful – check it out. One of the pharmacists was asking that I send some stuff out about PCC and anticoagulation reversal. I found a nice summary by Rob Orman from ERCast – it’s …
FOAM of the Week 10/20/15 – Anaphylaxis, Pressors
Some stuff related to this past week’s lectures (Sorry for the delay!) Great overview of anaphylaxis management: http://first10em.com/2015/07/20/anaphylaxis/ Do steroids prevent biphasic reactions? http://rebelem.com/may-2015-rebelcast/#more-3788 Need to start that anaphylaxis (or otherwise hypotensive) patient on epi but can’t wait for the bag to make it up from pharmacy? Use push-dose pressors! Especially helpful if you go …
FOAM of the Week 10/13/15 – Angioedema, Vasculitis, Knee Dislocations
More great FOAM stuff on this week’s topics! Great summary of evidence for ACEI-induced angioedema therapy from PulmCrit: http://www.pulmcrit.org/2015/02/treatment-of-acei-induced-angioedema.html Kawasaki’s from Ped EM Morsels: http://pedemmorsels.com/missed-kawasaki-disease/ EM approach to Vasculitides from emDocs: http://www.emdocs.net/the-emergency-medicine-approach-to-vasculitides/ Short discussion from EMRAP on Knee dislocations in Obese patients: https://www.emrap.org/episode/march2015/obesepatientand
FOAM of the Week 10/6/15 – Cardiac Arrest
Cardiac arrest patients are as sick as they come. ACLS is intended as protocolized medicine that any trained provider can administer. However, we are not just “any provider”. As EM physicians we should be master resuscitationists. Here are some ideas to take your care for cardiac arrest patients to the next level. Intra-arrest care from …
FOAM of the Week 9/29/15 – Intimate Partner Violence, Human Trafficking, CHF
Thoughts on IPV and screening in the ED on EmDocs Blog: http://www.emdocs.net/intimate-partner-violence-an-emergency-department-perspective/ Great Podcast from EMRap on a related topic, Human Trafficking: https://www.emrap.org/episode/july2015/human ]https://www.emrap.org/episode/july2015/human1 Expert discussion in CHF management in ED from EMRap: https://www.emrap.org/episode/august2014/hippoemreviews https://www.emrap.org/episode/september2014/hipporeviewschf Using nitropaste instead of a drip: http://empharmd.blogspot.com/2012/11/pharmacy-consult-nitroglycerin-paste-to.html?m=1
FOAM of the Week 9/22/15 – Acute Coronary Syndrome
Tons of ACS stuff out there, so I cut it down to some high-yield highlights. Enjoy! You know that obvious STEMI needs to go to the cath lab, but who else needs acute PCI? Find out in this podcast from EMCrit and Steve Smith from Dr Smith’s ECG Blog: http://emcrit.org/podcasts/who-needs-acute-pci/ http://emcrit.org/podcasts/who-needs-an-acute-pci-ii/ Discussion of management of low risk …
FOAM of the Week 9/15/15 – Aortic Dissection, Congenital Heart Disease
Some Foamy goodness for the week. Enjoy! Great podcast from EMCrit on nuances of Aortic Dissection management: http://emcrit.org/podcasts/aortic-dissection/ Think you need a CTA or TEE to diagnose dissection? Try your bedside ultrasound skills! http://www.ultrasoundoftheweek.com/uotw-17/ http://www.aliem.com/ultrasound-win-case-93f-chest-pain/ Bonus: Suprasternal notch view to assess the aortic arch: https://www.youtube.com/watch?v=U2Ger1eqdic Review of Congenital Heart Disease from Don’t Forget the Bubbles: http://dontforgetthebubbles.com/congenital-heart-disease-pem/ EMRAP on …
FOAM of the Week 9/8/15 – Tamponade, CHF
Some great cardiac stuff relating to the workshops today: Ultrasound – is that just an effusion or is it tamponade? Watch to find out how to tell. Also, some stuff on US-guided pericardiocentesis at the end of the first videocast: http://www.ultrasoundpodcast.com/2013/11/pericardial-tamponade-learn-know-foamed/ http://www.ultrasoundpodcast.com/2013/12/pericardial-tamponade-part-2-cases-foamed/ Critically ill CHF patients come in two flavors – the extremely hypertensive flash …
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