PTA 1 LabeledPeritonsillar abscess drainage in the ED continues to be one of my favorite procedures to perform. There are several tricks to increase your chances for a successful aspiration. One trick involves using a curved laryngoscope to help depress the tongue AND provide a bright light source.

What if you don’t have a laryngoscope readily available?

Trick of the Trade

Use a fiberoptically-lit, plastic pelvic speculum
PelvicSpeculum2sm
PelvicSpeculum4sm
  1. Slide off the top of the plastic pelvic speculum
  2. Attach the fiberoptic light source.
  3. Use as a lighted tongue depressor!
Michelle Lin, MD
ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco
Michelle Lin, MD

@M_Lin

Professor of Emerg Med at UCSF-Zuckerberg San Francisco General. Founder of ALiEM @aliemteam #PostitPearls https://t.co/7v7cgJqNEn
Michelle Lin, MD