Work NOT in progress: ACEP Tricks of the Trade column

3d puppet with a penSince 2006, I have been the ACEP News columnist on “Tricks of the Trade in Emergency Medicine. Four years later, I’ve published and co-published 33 articles on various both low-tech and high-tech pearls.

It’s official — I’ll be stepping down from the ACEP News columnist position and handing off the reins to someone with fresher ideas. Frankly, I’m running out of innovative ideas worth publishing about.


By |2016-11-11T19:00:39-08:00Jul 6, 2010|Tricks of the Trade|

Trick of the Trade: Double staple gun

ScalpLacStapleHow do you approach the repair of scalp lacerations in a child? What factors are you considering?

  • Is the wound suspicious for child abuse?
  • Procedural sedation versus local anesthesia of the wound
  • Staples versus hair apposition technique (HAT trick) for wound closure

This trick of the trade pearl addresses the stapling technique for scalp laceration repair. Perhaps the child’s hair is too short for the HAT trick.


By |2019-02-19T18:33:04-08:00Jun 16, 2010|Tricks of the Trade|

Trick of the trade: Endotracheal tube lubrication

Does your endotracheal tube get caught up on a swollen or floppy epiglottis during insertion?

Trick of the Trade: Endotracheal tube lubrication

Occasionally the endotracheal tube may become “caught up” along the epiglottis. Because it is difficult to predict when this may happen, pre-lubricate the endotracheal tube cuff and tip with a thin layer of water-soluble lubricant, such as K-Y jelly. This lubricant can also minimize the degree of surface trauma to the trachea and tracheal rings as the tube passes the vocal cords.

By |2016-11-11T19:00:45-08:00May 26, 2010|Tricks of the Trade|
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