When the number of people (police officers, security guards, nurses) is greater than the patient’s pupil size, you KNOW that you’ll need some chemical sedation.
I mentioned from an earlier post about building a “head basin” for collecting irrigation fluid prior to wound closure. This basin prevents a deluge of fluid from soaking the gurney sheets and patient.
I finally managed to capture this trick in action, while a student was irrigating an eyebrow laceration.
When cutting out a semi-circular or rectangular hole in the basin, be sure that there remains a 2-4 inch lip at the bottom to ensure that fluid can collect in the basin.
- Who will be in the audience?
- How can I make my talk more worthwhile to audience members, beyond their just reading the material/handout/articles on their own?
- Am I giving a talk before or after Dr. Amal Mattu? If so, just be resigned to being second-best.
Occasionally, I get a rare – “Hey congrats on the article!” comment from residents or students. It’s usually in reference to my ACEP News column that comes out every 3 months on Tricks of the Trade. However, I got about 3 shout-outs in the past 2 days. How odd.
Then I saw one of our office staff who was reading EM News. “Hey cool!” she said. Totally confused, I realized that I was quoted on the front page of this week’s publication about iPhone applications in EM. Many months ago, I had done a brief telephone interview with the writer.
On any given day in the ED, I use my super-bright penlight 2-5 times a day. It is amazing what things I’ve almost missed without a bright LED flashlight.
- Subtle HSV-2 labial ulcerations in a female patient with dysuria
- Additional scalp lacerations hidden in the hair
- Tonsillar exudates in a patient with strep pharyngitis
- Unequal pupillary responses in a brightly lit trauma room in a head-injured patient
I wanted to revisit a prior post about the importance of changing your Tungsten penlight to a LED light.
Have you ever performed a lumbar puncture (LP) in a patient, only to have them return the next day for new debilitating headaches? It’s worse when sitting up, and much improved when laying down. You hate adding more problems for the patient, put you are certain that s/he now has a post-LP headache.