Briefs: Corneal Abrasions

By |2016-12-14T12:56:46-05:00June 18th, 2015|Briefs, Ophthalmology|

This post will just scratch the surface in its exploration of the diagnosis and management of corneal abrasions. What is the best technique for getting the fluorescin into the eye? First of all, please don't jab the patient's eye with the fluorescin strip itself. You can actually cause a corneal abrasion that way. In the past I would drip the [...]

Briefs: Migraine management meets magnesium

By |2016-12-14T12:56:47-05:00April 9th, 2015|Briefs, Neurology|

Migraines are a common sight during any shift in the ED. I have written about them before, and the benefits of antiemetics and depakote are reasonably well documented. A treatment for refractory headaches that seems to be gaining favor recently is IV magnesium. You may be familiar with Mag and its use in asthma exacerbation, or (gasp) preeclampsia - but [...]

Briefs: Assessing and staging burn severity

By |2016-12-14T12:56:49-05:00February 19th, 2015|Briefs, Trauma|

It's cold out and people are trying to warm themselves up by any means necessary. In the Emergency Department that means you may end up seeing some burns. It is important not only to assess these burns, but also determine what percentage of the body surface area is superficial versus partial AND full thickness. Wait a second... Aren't we supposed [...]

Briefs: Fentanyl at a glance

By |2016-12-14T12:56:49-05:00January 29th, 2015|Briefs, Pharmacology|

If you had a Mount Rushmore of Emergency Department drugs fentanyl would make a pretty solid case for its inclusion. This synthetic opioid is roughly 100x more potent than morphine. The onset is rapid - two to three minutes. This is in contrast to morphine, which can take up to 20 minutes. The duration of action is relatively short - [...]

Briefs: Parotitis

By |2016-12-14T12:56:49-05:00January 8th, 2015|Briefs, Infectious Diseases|

You may have recently heard about an outbreak of mumps in the National Hockey League but after seeing several cases of unilateral facial swelling over the angle of the mandible in a school age child you're probably wondering what's going on at your home institution as well. Has the MMR vaccine failed? Is everyone suddenly worshipping at the church of Jenny McCarthy? Let's [...]

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