About Jeff Wiswell, MD

Attending physician
Department of Emergency Medicine
Mayo Clinic Health System

Trick of the Trade: Needle-vein alignment in ultrasound guided peripheral IV

ultrasound guided peripheral ivPlacing a peripheral IV under ultrasound guidance is often much more challenging than it outwardly appears, especially for novice users. One of the more difficult aspects is in making sure that the target vessel is perfectly in the middle of the screen and then guessing where that corresponds to the middle of the ultrasound probe.

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2016-10-26T17:04:32-07:00

Trick of the Trade: Parting the hair for scalp laceration repair

scalp laceration 1Trying to suture or staple a scalp laceration is oftentimes a hairy proposition for emergency physicians who repair these types of wounds regularly. Although the “hair apposition technique” method is one option, if one opts for sutures or staples, the most difficult part of the procedure is trying to avoid trapping hair strands within the wound, which may cause wound dehiscense, a foreign body reaction, or a local infection.

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2016-11-11T19:19:43-08:00

Trick of the Trade: EMLA for Lumbar Punctures

LP_collect copyA 9 year-old patient presents with a headache and fever after swimming, along with subjective neck stiffness. Meningitis was of concern especially because the serum WBC count was 25,000 and other inflammatory markers were elevated. Because the patient’s mother had an unpleasant experience with an epidural during childbirth, she adamantly opposed the idea of a lumbar puncture (LP).

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2016-11-11T19:03:55-08:00