Quick clinical tip: Elson’s test for the finger

Extensor Tendon Laceration Finger 6 smInjuries to the hand are fraught with multiple, concurrent injuries. Many injuries may have chronic debilitating complications, if not detected early. One such example is a finger laceration with a concurrent extensor tendon injury, causing delayed boutonniere deformity formation and limited function. Review the anatomy of the extensor tendon. View the video on how to perform the Elson’s test to detect a central slip tendon injury.

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2016-11-11T19:02:35-07:00

ALiEM Book Club: THE CHECKLIST MANIFESTO – Join the conversation

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New Horizons

Do you like the ALiEM Book Club?  Well we like you too!…  so much so that we want YOU to join in on the next book discussion! We are taking the blog and book club to another level by pairing up with Dr. Teresa Chan (@TChanMD), an academic emergentologist from Canada. We are breaking the barriers of the internet and laying the foundation for a real-time, interactive discussion utilizing social media.

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2016-11-16T09:37:58-07:00

Patwari Academy: ECG Rate, Rhythm, Axis

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Dr. Rahul Patwari reviews the basics on how to determine an ECG’s rate, rhythm, and axis. It’s always nice to review these concepts. Do you remember how many seconds a traditional ECG typically spans on a single page? What’s the significance of the numbers: 300, 150, 100, 75, 60, 50? Spend a few minutes on these 2 refresher videos.
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2019-01-28T21:57:46-07:00

Patwari Academy videos: Neonatal Resuscitation

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What is your approach to neonatal resuscitation… that is, after you pause a millisecond to first take a deep breath. Stay calm in this always stressful scenario. Dr. Rahul Patwari goes over the basics from the 2010  Circulation publication on Neonatal Resuscitation (free PDF). What should you be thinking of and doing in the first “golden minute”?

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2019-01-28T21:58:43-07:00

Patwari Academy videos: The Crashing Neonate

Screen Shot 2013-07-02 at 4.50.44 PMIn this series of videos, Dr. Rahul Patwari reviews the approach to the crashing neonate. Because these cases are often stressful, it is paramount to keep in mind a broad list of potential causes, such as “THE MISFITS” mnemonic:

  • T rauma/abuse
  • H eart disease
  • E ndocrine (CAH, hyperthyroid)
  • M etabolic (hypoglycemia, hyponatremia)
  • I nborn errors
  • S epsis
  • F ormula mishaps
  • I ntestinal catastrophes
  • T oxins (home remedies)
  • S eizures

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2019-01-28T21:58:31-07:00

Patwari Academy videos: Anticoagulation and reversal agents

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Bleeding in general is bad. Bleeding while on anticoagulants is VERY bad. Dr. Rahul Patwari reviews the pathophysiology of coagulation, the various reversal agents, and treatment approaches we can use. In this five-part series where all videos are less than 10 minutes, Rahul goes from the basic physiology of coagulation all the way to the complex reasoning and approaches to reversing anticoagulants. These are worth a quick look and review.

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2019-01-28T21:57:58-07:00