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

SOCMOB joins REBELEM

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Hi all, I’m excited to report that I’ve joined the group over at REBELEM.com (Rezaie’s Evidence Based Evaluation of Literature in Emergency Medicine) and my first post on the use of Colchicine for treatment of pericarditis is now up. For those of you who don’t follow REBEL:EM, what are you waiting for?  With Salim Rezaie […]

SOCMOB How To: Using the Ventilator for DSI with Dave Lendrum

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Hi all, Today we have a guest post from Dr. David Lendrum, an ER physician at the Foothills Hospital in Calgary.  Dave is a super brilliant doc, and this post will outline how to perform BIPAP using a ventilator, as opposed to bringing an extra BIPAP machine into an already crowded resus area.  This is […]

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

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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 […]

SMACC 2013

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Hey SOCMOBBERS, Welcome to the new WordPress site.  It took a while, but we’ve finally made it.  Part 3 of the NSAID discussion will be out in the next few days (it keeps getting longer), as will some new videos on how to Macgyver some equipment in the ER.  In the meantime, sign up for […]

NSAIDs part 2: The Ceiling Effect

Sorry readers.  I’ve been slacking off on vacation in NYC, eating too much and blogging about food more than medicine.  Tonight at dinner with Mr. EMCrit, Scott called me out a bit for insufficient content.  Also, one of my readers has some rounds coming up soon, and needs to talk NSAIDs.  With that in mind, […]

Battle Preparation 2: The Buddy Shift

This is the 2nd part in the Battle Preparation series by SOCMOB guest blogger Damon Tedford.In part 1, we looked at a checklist of items that new learners and staff should identify and examine prior to their first shift in a new ED.  Today we will be looking at the critical questions to ask on […]

NSAIDs Part 1: Which one is best?

–> I love NSAIDs!  Yup, love ‘em! NSAIDs (Non-steroidal anti-inflammatory drugs) are some of the best analgesics available, plus they’re generally over the counter.  Despite their daily use for decades, NSAIDs remain sorely misunderstood.  I know they’re not a panacea, and they have some serious side effects in certain populations.   But for healthy patients without […]

Battle Preparation: Getting Ready for Your First Shift in the ER

Today is a first for the SOCMOB blog, as we have our first guest blogger.  Damon Tedford is one of my fellow EM residents, and is also in his final year of training.  Combining his military background with the works of Cliff Reid and Scott Weingart, Damon had the fantastic idea of creating a checklistto […]