FYI on ABI

By |2016-12-14T12:56:46-05:00May 19th, 2015|Procedures, Surgery, Trauma|

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. [...]

Absolute and relative contraindications for ketamine use in the Pediatric Emergency Department

By |2016-12-14T12:56:47-05:00March 19th, 2015|Procedures|

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 [...]

Baby belly button bumps

By |2016-12-14T12:56:52-05:00June 27th, 2014|Procedures|

Umbilical granulomas are often an incidental finding on physical exam, but can be the reason a patient presents to the ED. These fleshy pink masses represent incomplete epithelialization of tissue that persists after the cord separates. It has the honor of being the #1 belly [...]

LETEMLALMX

By |2016-12-14T12:56:52-05:00June 24th, 2014|Procedures|

There are multiple topical anesthetics that we use in the ED. The common theme is that all of these drugs with -caine cause sodium channel inhibition in nerves, which blocks axonal transmission leading to the typical numbness and and localized weakness. I admit that it can [...]

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