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

Paraspinous Cervical Block for Headache

DuhSilly

Previously we have discussed the use of propofol for migraine headache (part 1, part 2).  In this post, we’ll look at another headache treatment that can be added to your armamentarium, the paraspinous cervical block. There are many standard cocktails for headache management in the ED, but unfortunately, many of these require an IV, fluids, […]

CAEP 2013

BEEMTalk-Audience

Hey all, Just got back from the annual CAEP (Canadian Association of Emergency Physicians – eg. ACEP in Canada) conference in Vancouver.  It was an absolute blast, with the highlight being a meet up with some fellow Canadian FOAMites, including Ken Milne of The Skeptics Guide to Emergency Medicine (@TheSGEM).  Ken is a brilliant, hilarious […]

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 […]

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.   […]

NSAIDs Part 3: Gastrointestinal Side Effects and Toxicity

Golden-poison-frog

In part 1 of our discussion on NSAIDs, we discussed the equal efficacy of various NSAIDs, while in part 2, we looked at the concept of an analgesic ceiling effect when using NSAIDs. Congrats to all of those who identified the ceiling in part 2 as the Chihuly work at the Bellagio in Las Vegas.  […]

SOCMOB How To: Make Your Own End-Tidal CO2 Detector

Hey SOCMOBBERS, The ASA now recommends that all procedural sedations (not conscious sedations!) be done with quantitative waveform capnography. While I understand it’s not feasible in some places, capnography is a hugely valuable tool, and detects apnea long before the pulse ox reading drops. Where I work, there are no fancy nasal prongs or face […]

SOCMOB How to: Make your own Cricothyrotomy Trainer

Who has done a cricothyrotomy? Who thinks they would be comfortable doing a cric if asked?  Without having a code brown first? Though I have done a few tracheostomies (only three on live people), I’ve never done a cric on anyone.  Furthermore, when it’s time to cric, we need to be ready.  Unfortunately, we can’t […]

Drinking the PPI Hate-O-Rade

Hi all, sorry about the extended hiatus.  I was away after Christmas for about 12 days and have been getting back in the swing of things over the past week.  Since the break, one great new blog that has popped up on the FOAMed landscape is the boringem blog, started by Brent Thoma, one of […]