About Michelle Lin, MD

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

Trick of the Trade: I need more lidocaine but I have sterile gloves on!


LPkit3
How often has this happened to you —

You are in the middle of a sterile procedure (chest tube, suturing, central venous line, lumbar puncture) and you realize that you need more lidocaine to provide better topical anesthesia. You don’t have any more in your kit and you are alone in the room with the patient.

“Uh, can someone help me out there?”

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By |2016-11-11T18:52:56-08:00Jun 15, 2011|Tricks of the Trade|

Paucis Verbis: Lifetime attributable risk of cancer from CT

How great would it be if you could give patients concrete numbers when you are talking about cancer risk and CT? Well, Dr. Hans Rosenberg (Univ of Ottawa)  has come up with just such a table.

Using this table you can say that the risk is about “one in …”

PV Card: Cancer Risk from CT


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Smith-Bindman R. Radiation Dose Associated With Common Computed Tomography Examinations and the Associated Lifetime Attributable Risk of Cancer. Archives of Internal Medicine. 2009;169(22):2078. doi: 10.1001/archinternmed.2009.427
By |2021-10-13T08:43:55-07:00Jun 10, 2011|ALiEM Cards, Radiology|

Trick of the Trade: Fingertip injuries

FignernailGone2sm fingertip injuriesFingertips can get injured in a variety of ways such as machetes, meat grinders, and broken glass. You name it, and we’ve probably seen it. Some don’t actually need anything invasive done because the skin is basically just torn off. The wound just needs to be irrigated, explored, and then bandaged to allow for secondary wound closure.

What do you do if the finger injury keeps oozing and the finger tip is too painful for the patient to apply firm pressure? Poking the finger with 2 needles to perform a digital block seems a bit overkill.

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By |2020-02-12T20:41:43-08:00Jun 8, 2011|Orthopedic, Trauma, Tricks of the Trade|

SAEM National Meeting a success!

SAEMlogo

The national SAEM meeting in Boston just concluded and was a success. As part of the SAEM Social Media Committee, I was encouraged to see how many people were tweeting events from the meeting. Check out the tweets with the #SAEM11 hashtag.

To view beyond the most recent 100 tweets, you can view here.

 

By |2016-11-11T18:53:04-08:00Jun 6, 2011|Medical Education|
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