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.

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

Trick of the trade: Endotracheal tube lubrication

ETT_Lubricatesm-1
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|

Trick of the trade: Percuss the spine in low back pain

 SpineAnatomysmMany patients present to the Emergency Department for low back pain. Determining whether these patients have a red-flag diagnosis can be difficult. Red flag diagnoses include:

  • Fracture
  • Cauda equina syndrome/ spinal cord compression
  • Spinal infection
  • Vertebral malignancy

Almost all patients presenting with back pain, whether it be a muscle spasm or a spinal epidural abscess, will have back tenderness to some extent. So, how can you better differentiate benign from dangerous etiologies?

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By |2016-11-11T19:01:21-08:00May 5, 2010|Tricks of the Trade|
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