Trick of the Trade: Photograph slit lamp findings

IMG_0087How do you capture the image of the eye on slit lamp exam either for the patient or your ophthalmology consult? It’s often easier to show someone a photo rather than trying to describe that atypical dendritic lesion, degree of corneal edema, or pattern of corneal abrasion.

You, however, don’t have the expensive camera attachment (nor a SLR camera for that matter).

2019-01-28T22:18:01-08:00

Trick of the Trade: Converting % to mg/mL

MedicationSyringe

Medication error is something that we all fear in Emergency Medicine and do our best to avoid. Here’s a scenario and simple approach for you, provided by Zlatan Coralic, PharmD (Assistant Clinical Professor in the UCSF School of Pharmacy).

You are an emergency physician working in an underserved country. You are presented with an asthmatic kid with severe retractions and tight wheezes. Multiple nebulizers and corticosteroids have failed. You want to try some magnesium sulfate before risking intubation in a place with no reliable access to ventilator equipment. You know the dose should be 1 gm IV over 20 minutes.

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2016-11-11T18:44:27-08:00

Trick of the Trade: "Punch out" the foreign body

DoctorA patient re-presents to the Emergency Department with a foreign body sensation in his heel after stepping on a broken window. Despite a negative xray and bedside ultrasound yesterday, the patient still believes that a small foreign body is still in there.  You are unable to find a foreign body despite excising the overlying skin with a scalpel and exploring with forceps.

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2016-11-11T18:44:37-08:00