Amazing video: Awake endotracheal intubation

Videos are priceless when trying to teach procedures. This amazing teaching video by Dr. Michael Bailin at Mass General demonstrates a novel way of anesthetizing the airway during an awake intubation.

  1. Inject 3 cc of lidocaine using a small butterfly needle through the cricothyroid membrane. This causes coughing, which spreads the lidocaine throughout the upper airway.
  2. Inject 5 cc of atomized lidocaine through the fiberoptic scope port to anesthetize the posterior oropharynx and vocal cords.
  3. Slide the endotracheal tube over the fiberoptic scope.

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2019-01-28T23:43:42-08:00

Article review: Preparing for clinical clerkships during medical school

TurtleScaredsmDo you remember the sheer terror you felt, when you first started your medical school clinical rotations? Your first two years were probably spent in classrooms and small-group labs discussing anatomy, pharmacology, pathology, etc.

Then BAM! You are thrown into the deep end of the pool. You are now on a clinical team of medical professionals taking care of actual patients!

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2016-11-11T19:01:26-08:00

What do you do with old posters?

PostersHallIn academia, it is common practice to make posters of your abstracts for national conferences. Once you are done presenting, what DO people do with the posters? I have several posters rolled up in my garage collected over the years.

If the answer is nothing, why can’t we find a more creative way to display static (or even video) content during abstract sessions? Perhaps use a large LCD screen instead of posters taped to a backboard?

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2016-11-11T19:01:27-08:00

Article review: The future of EM

CrystalBallsmAs I was perusing through a recent Academic Medicine journal, I came across this interesting perspective piece on Emergency Medicine, written by national leaders in our specialty.

This article essentially states that how the nation addresses ED crowding will define the future of EM. Currently, Emergency Departments are at a breaking point where overwhelming demands are commonly placed on under-resourced practices.

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2016-11-11T19:01:27-08:00

Work in progress: How can you balance ED crowding and education?

 I’m working on writing a CORD consensus article on the impact of ED crowding on education and innovations towards maintaining educational excellence. We posited 2 scenarios of ED crowding:

  • Overwhelming numbers of active ED patients
  • Many ED boarders who are awaiting inpatient beds and who are taking up rooms which normally would have been used to see new patients

What approaches do you know of which improve the ED educational experience for learners? We have thus far categorized innovations into 3 areas:

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2016-11-11T19:01:30-08:00

Article review: The next 10 years in medical education

Flexner

“Medical Education in the United States and Canada in 1910” was a landmark article, published by Abraham Flexner (shown in photo) in 1910. It’s commonly referred to as the Flexner Report. It revolutionized medical education in its call for higher quality and standardization.

In summary the report advocated for the improvement of medical education and medical schools in 4 areas:

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2016-11-11T19:01:30-08:00

Work in progress: Poster on blogging

I need your help with a project!

My poster on blogging was accepted to the annual UCSF Academy of Medical Educator’s Education Day. Feelings of joy and validation were quickly followed by terror and inadequacy.

In order to get my poster costs reimbursed, I have to get feedback from my co-authors and incorporate that feedback into the poster. As you can see from the poster title on top, I have no co-authors! Since you are all my virtual co-authors, I thought I’d solicit for comments and suggestions.

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2017-03-05T14:18:34-08:00