The PEMBlog wishes you all a happy and healthy Thanksgiving. We'll return after a tryptophan aided nap with a renewed vigor for education. Look for content focusing on noninvasive respiratory support and whatever else we think is worth learning about :-)
I wanted to use this post as a way to thank all of you readers out there. Teaching is far and away the best part of my job and I relish every opportunity to share what I have learned. I plan to keep things going beyond post 100 of course, and I look forward to all of the interesting discussions [...]
Just a quick update loyal readers... More content, and more weekly features coming soon! I'm hard at work on new content
Pharmacology Clonidine is an imidazoline, a class of drugs that function as centrally-acting presynaptic alpha 2 agonists . Essentially clonidine acts like pushing down on the break pedal of sympathetic output thus decreasing sympathetically mediated vasoconstriction, cardiac inotropy, and chronotropy. It has rapid GI absorption and highly lipid soluble with excellent CNS penetration. Peak concentration is reached at 3 to 5 hours. [...]
Video laryngoscopy is the wave of the future and it has already crested onto the shores of the pediatric ED. Unlike New Coke (TM) it is here to stay. Check out these videos that give an overview of the use of video laryngoscopy in the pediatric ED, as well as specifics on the Stroz C-MAC and Glide Scope. And yes, I'm [...]
In short, yes. Check out this helpful blog post from the folks at Academic Life in Emergency Medicine - IV ceftriaxone for gonorrhea - sure. It turns out the whole myth about the 'depot effect' of IM is just that - a myth. So feel free to give 1g of ceftriaxone IV if your gonorrhea addled patient has a line.
It must be nice to work at Google. Twenty percent of an employee's time is spent on individual pursuits. One such group of Google employees worked to build an open source 3D layered model of the human anatomy. You can check it out here. The potential for this project to become a teaching tool in anatomy courses, during clinical clerkships, [...]
At this point most of you're familiar with the dangers of magnet ingestions in young children. If a child ingests at least two magnets they can attract each other through opposing loops of bowel and result in a perforation. The Consumer Products Safety Commission is taking action to attempt to ban sales of buckyballs. Several major retailers like Amazon.com have [...]
For those of you that have followed the blog you'll know that I showed this chest x-ray a few days ago. There's an interesting case attached to the film that we presented this past week. A six-week-old female presented to the emergency department with fussiness and emesis after every feed. Her past medical history was unremarkable, prenatal ultrasound was normal [...]
Type I Nondisplaced or minally displaced fracture On the lateral view: anterior humeral line remains intact but a posterior fat pad sign may be present Treatment Treated w/ immobilization in long arm posterior splint w/ elbow flexed and outpatient Ortho follow up Type II Posterior cortex remains intact, making it a greenstick fracture technically Treatment Require adequate reduction and [...]
