Trick of the Trade: Persistent paracentesis leakage
Dr. Matt Borloz (Carilion Clinic) recently emailed me his recent trick in fixing a persistently leaking paracentesis site. Read about his experience: A patient with advanced alcoholic cirrhosis with ascitic fluid leaking from a paracentesis puncture site from a procedure done 2 days prior. Dermabond had initially been applied post-procedure, but it had come loose, and ascitic fluid had been saturating dressing after dressing. [+]
Mythbuster: Urgent dialysis following IV contrast?
Have you ever had to promise the radiologist that you would arrange emergent dialysis for your end-stage renal disease (ESRD) patient after receiving IV contrast? This myth is even perpetuated in the field of nursing. In fact, what prompted this post was overhearing this very topic discussed between a nurse and a recent graduate nurse trainee. [+]
Trick of the Trade: Universal precautions for your iPad
iPads are increasingly being used in medical education in a variety of arenas, including the classroom, the bedside, and small group workshops. I recently taught in a procedures lab with unembalmed cadavers at UCSF’s new anatomy lab (on the 13th floor of the hospital with spectacular views of San Francisco and the Golden Gate Bridge). Everyone was gowned up from head to toe using universal precautions. But wait, what about my iPad? How can I use it to teach at the “bedside” about arthrocentesis? [+]
Top 10 medical photography tips for a camera phone
A picture is worth a thousand words. My corollary to this statement is that a poorly framed or blurry image significantly detracts from its impactfulness. Plus, it just looks unprofessional. I have had to either retake or Photoshop-edit several photos submitted for blog posts. There have been many amazing photos which I decided not to use because of image quality. [+]
Trick of the Trade: Avoiding a straight-needle needlestick injury
You are finishing up a successful subclavian line procedure. You insert the straight-needle suture needle through the skin to secure the line. When trying to pull it out, you accidentally poke yourself! This is actually a common scenario for a needlestick injury. Although many central line kits now have curved suture needles, many still have straight needles. How can you avoid a needlestick? [+]
Bloom’s Digital Taxonomy
Have you heard of Bloom’s Taxonomy? As active adult learners, we must be conscientious about the what, how, and why we are reading a piece of literature. Being conscientious makes us more efficient, selective, and critical about what we learn. This in turn will help us to provide better care for our patients, which is after all our main goal. Although mainly used to develop curricula, I believe that understanding Bloom’s taxonomy and applying it to our learning may help us to learn more effectively. Bloom’s taxonomy can help us identify learning objectives that require higher level of cognitive function, [+]
PV card: Mnemonics to predict the difficult airway
PV Card: Predictors of a Difficulty Airway See ALiEM (PV) Cards for other resources
Mnemonics for difficult airway predictors
Can you list the difficult airway predictors? Do you know the mnemonics: MOANS, LEMON, RODS, and SHORT? [+]
Director of Growth, Strategic Alliance Initiative, Center for Innovation and Digital Health
Massachusetts General Hospital;
Chief Scientific Officer, Conductscience.com
Best place to suffer a cardiac arrest?
Where's the best place to suffer cardiac arrest? Seattle? Las Vegas? Who's going to give me mouth-to-mouth resuscitation? Will someone know how to use an automatic external defibrillator (AED)? Where is the BEST place to experience a cardiac arrest??? As luck would have it, the best place would be at the ACEP Scientific Assembly. On the first day of Scientific Assembly, an exhibitor collapsed in the convention center without a pulse. At a conference with thousands of emergency physicians, several Good Samaritans immediately sprung into action. An attendee used a CPR mask while another operated an AED. They were able [+]
Trick of the Trade: High volume irrigation of abscesses
Large-sized abscess often have pus trapped in deep crevices and pockets. Irrigation can help express the pus. How can you set up a high-volume irrigation system? [+]
Director of Growth, Strategic Alliance Initiative, Center for Innovation [+]