Reduction of the dislocated finger
Check out a brief video on how to reduce a dislocated finger.
Instead of packing an abscess try a drain
I've recently shared posts on Loop abscess and drainage as well as on the utility and need for packing abscesses. I've concluded, for the time being, that it is likely appropriate to pack abscesses greater than 5cm. But, is there something other than stuffing a [...]
Should we really be packing abscesses?
When I was first taught how to drain an abscess I was taught to pack most with ¼ inch gauze. Initially it was iodoform gauze, later just plain old ribbon gauze. As with many things I felt like it worked and had no impetus to change. [...]
Incision and loop drainage of cutaneous abscesses: What’s the evidence?
This excellent article comes courtesy of Cincinnati Children's Hospital Medical Center senior resident Landon Krantz, MD - who performed a thorough literature review and wrote a concise, informative review of the titular technique. Subcutaneous abscesses are a common presenting problem in pediatric emergency rooms, and [...]
Digital Blocks of the finger: Is one injection better than two?
This post was written by Meredith Posner Shuch, a senior resident at Cincinnati Children's Hospital Medical Center as a component of the Emergency Department Procedure Elective. Digital nerve blocks provide anesthesia for many procedures in the ED, including finger lacerations, paronychia drainage, finger reductions, and [...]
FYI on ABI
In adults calculating the ankle-brachial index (ABI) is a relatively simple way to confirm the clinical suspicion of lower extremity arterial occlusive disease. In pediatric lower extremity limb injury patients where vascular compromise is a concern (think bad fractures, lawnmower calamities) it may also be a helpful test. [...]
A video tutorial for endotracheal intubation
Do you have 7 minutes and 22 seconds to learn more about endotracheal intubation? Of course your do! Watch this brief video I originally made for AAP's PediaLink educational portal that reviews the basic technique of direct laryngoscopy for endotracheal intubation. Edit: [...]
Absolute and relative contraindications for ketamine use in the Pediatric Emergency Department
Another informative post by Lauren Riney, one of the excellent Pediatric Emergency Medicine Fellows at Cincinnati Children's Hospital Medical Center. When is ketamine ABSOLUTELY contraindicated? Age younger than 3 months (primarily for risk of airway complications) Schizophrenia (studies show this condition may be exacerbated with ketamine administration) The list of relative [...]
A dissociative state of mind: Talking to parents about ketamine
This post was contributed by Lauren Riney, one of the excellent Pediatric Emergency Medicine Fellows at Cincinnati Children's Hospital Medical Center. So you’ve got another procedural sedation to do in the pediatric emergency department. If your ED is anything like ours, your options for sedation [...]
Why we do what we do: Early stylet removal in lumbar puncture
There are numerous techniques that we can use to improve our likelihood of success in performing a lumbar puncture. There is one that has a bit of nuance to it that I thought would be an excellent theme for my latest Why We Do What [...]