We do some hand-on practice from time to time during our Pediatric Emergency Medicine education sessions. Today we discussed and practiced using the EZ-IO for interosseous needle insertion. For those of you who weren't able to be in chilly Cincinnati, OH here's a video that [...]
PEM Currents returns with an examination of the different topical anesthetics used in Emergency Department. Specifically, by listening to this edition you'll learn about LET, EMLA and LMX and how you can add them to your repertoire for pre-procedure anesthesia in the ED. You can [...]
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 [...]
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 [...]
Check out this video that I made that reviews basic splinting technique. This can be applied to any number of splints.
Let's take a look at some basic information on deep dermal sutures. Thanks to Cincinnati Children's Hospital Medical Center resident Drew Saylor. Before moving on to the quick hits let's take a look at an excellent video from Closing the Gap. What are [...]
There are many options for wound repair. It is no secret that the face is a common location for lacerations in children. Because children, especially toddlers and preschoolers, are inclined to be scared by intimidating ED physicians many parents inquire about dissolvable sutures, so that [...]
As a follow up to today's live demo at our morning lectures here is a lumbar puncture focused video that I recently uploaded to Vimeo.
There are many ways to repair a wound. Please use this table as a reference to help guide selection of materials and a guide for removal. *Consider use of Fast Absorbing Gut (5-0/6-0) on Ear, Eyelid, Eyebrow, Nose, Lip and Face if anticipated difficulty with [...]
The Case A kid got his finger caught in a car door. It hurt. The nail is now "all cracked and mangled." Mom is worried that he'll never be a hand model. On exam you see the following: I can see why this freaked [...]