Standing on the corner, minding my own business in the ER

Hyperkalemia myths from EMLyceum

Hi all, Short post today, as I just want to acknowledge the great work of another blog over at EMLyceum. The myths of hyperkalemia management are many.  While I have discussed the uselessness of kayexalate in my introductory post, I was thinking about discussing ECG changes and the “textbook progression” so often cited with peaked [...]

Digital Intubation, and I Don’t Mean Video

150px-Russell's_Sign

Hey all, Listening to the May edition of EM:RAP yesterday, there was a segment by Patrick Shipsey on digital intubation.  At first I thought this would be the same old, same old.  That is, someone discussing the pros and cons of video and direct laryngoscopy.  What I didn’t expect to hear was someone talking about [...]

SOCMOB How To: Jet Insufflation and Bougie Assisted Cric

Hi all, A few months back we looked at how to make your own cricothyrotomy trainer.  Easy and inexpensive, you can find the video here. Today I’m adding two more procedure videos which demonstrate a simple jet insufflation setup, as well as the bougie-assisted cricothyrotomy.  Shout out to Darren Braude of EM:RAP and many other [...]

Evidence Based Management of Acute Heart Failure: Forget LMNOP, think POND!

LMNOP-CHFMeme

Case: Imagine you are an attending ED physician supervising a learner. A 72 year old female presents to the ED with cough and shortness of breath worsening over a week.  She has a history of Afib, previous MI, diabetes and dyslipidemia.  She has recently been non-compliant with her meds and has been taking some ketorolac [...]

Eleven Madison Park with Mr. and Mrs. EMCrit

Happy Easter everyone. Today I’m cross-posting a restaurant review of Eleven Madison Park in NYC, from my other blog over at licencetoeat.wordpress.com.  The FOAMed connection is that the dinner was with Scott Weingart of the EMCrit podcast. Warning: This is primarily a food post, though there is one important piece of info about Scott’s job [...]

SOCMOB How To: Make an atomizer device

It’s time for another video.  Today I’ll be showing you how to MacGyver your own atomizer for intranasal and orotracheal drug administration.  Shout outs to fellow USask FOAMite Dr. Nadim Lalani (@ERMentor) and Dr. Whit Fisher for the idea behind this one.  Today’s video is a modification of the design outlined by Whit Fisher here.   [...]