Run Time: 1 minute Author: Dr. Nicholas Hatch Educational Pearls: Hard signs of vascular injury include: loss of pulses, severe arterial bleeding, active uncontrolled hemorrhaging, rapidly expanding pulsatile hematoma, and palpable thrill or bruit. Patient with these signs and suspected injury needs to be moved to the operating room ASAP. Soft signs of vascular injury include:…
Read MoreRun Time: 4 minutes Author: Dr. David Rosenberg Educational Pearls: Preoxygenation provides plenty of oxygen to the patient so that he/she does not desaturate during RSI. Even if the patient is at 100% on spO2 monitor, preoxygenation is necessary for continued saturation of hemoglobin and transport of oxygen to the rest of the body – respiration…
Read MoreRun Time: 9 minutes Author: Dr. Donald Stader Educational Pearls: Patients with variceal bleeding are sick at baseline, and come from a very sick patient population with a higher mortality rate. Varices occur in a patient with cirrhosis when blood goes through other pathways to get back to the heart – rather than going through…
Read MoreRun Time: 2 minutes Author: Dr. John Winkler Educational Pearls: Camphor from Vicks Vapor rub and Tigerbalm has a very low toxic level and can cause lethargy, altered mental status, and seizures – very dangerous for children. Oil of Wintergreen contains Salicylates – basically aspirin – which only takes 1 teaspoon to be deadly for…
Read MoreRun Time: 1 minute Author: Dr. John Winkler Educational Pearls: REBOA stands for Resuscitative Endovascular Balloon Occlusion of the Aorta. The balloon is often placed via femoral artery and placed in the aorta at the level of the heart to increase perfusion to the brain in trauma. Significantly less invasive than a thoracotomy and has less…
Read MoreRun Time: 2 minutes Author: Dr. Christopher Holmes Educational Pearls: Rate control with beta blockers or calcium channel blockers; with a slightly increased efficacy using calcium channel blockers. It is not contraindicated to give both if the first medication tried does not work. Magnesium has been shown to supplement the beta blockers and calcium channel blockers…
Read MoreRun Time: 3 minutes Author: Dr. Aaron Lessen Educational Pearls: The “bougie” or “endotracheal tube introducer” is a low tech adjunct for difficult airway management. The bougie is a flexible stylet that can be used almost blindly when the vocal cords cannot be visualized. The stylet has a Coude tip at the end, which allows you…
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