laurierobichaud

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Hydrogen peroxide ingestion: can bedside ultrasound help?

<b>Young Woman With Epigastric Pain and Vomiting. Manning EP et al. Ann Emerg Med 2014 Sep;64:330.</b><p>This brief case is part of the <i>Annals of Emergency</i> …

Crayola toxicology: life-threatening causes of bluish vomiting

<b>Bluish vomiting: a rare clinical presentation of poisoning. Higny J et al. Acta Clin Belg 2014;69:299-301.</b><p>This case report describes a 65-year-old …

Do pediatric patients require endoscopy after ingesting a laundry pod?

<b>Laundry Detergent Pod Ingestions: Is There a Need for Endoscopy? Smith E et al. J Med Toxicol 2014 Sep;10(3):286-91</b><p>The authors never answer their …

Review: cobalt toxicity and artificial metal hips

<b>Systemic toxicity related to metal hip prostheses. Bradberry SM et al. Clin Toxicol 2014;52:837-847.</b><p>As <i>TPR</i> has reported before, cobalt poisoning can …

Déraisonnable ! Y'a pas, je serai toujours déraisonnable !!! Pancakes chocolat amandes et… déraison !

Y'a pas, je ne sais pas être raisonnable… Et pourtant j'étais parti pour des petits pancakes tout légers gonflés et aériens et…<p>Ça a subitement ripé …

Welcome

The Trauma Professional's Blog

<b>TETNG Video Week: How To Reduce A Posterior Hip Dislocation</b><p>The video week continues! Here’s an instructive (and funny) video that shows exactly how …

How To Place A Blakemore Tube in an ED Patient with Upper GI Bleeding from Esophageal Varices

A salem sump NG tube is laid next to the Blakemore with its tip just proximal to the gastric balloon. A piece of tape is placed on the NGT at the …

emtutorials.com

Sengstaken-Blakemore (Blakemore) Tube Placement for Massive Upper GI Bleeding

In recent lectures, I talk about a life-saving Blakemore Tube placement. I suspect some of you may need a reminder of the intricacies of this device, …

ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC | European Heart Journal

Heart failure, Natriuretic peptides, Ejection fraction, Renin–angiotensin system, Beta-blockers, Digitalis, Transplantation<p>The originally published …

PV Card: Brugada Criteria for SVT with Aberrancy vs Ventricular Tachycardia

Validations of the Brugada method have not had very good results.<p>Here is one that had, for Emergency physician #1, a sensitivity of 83% (95% CI = 78% …

Quick clinical tip: Elson's test for the finger

Injuries to the hand are fraught with multiple, concurrent injuries. Many injuries may have chronic debilitating complications, if not detected …

Bands

Ultrasound-Guided Pericardiocentesis

All the years of ultrasound training in residency has paid off. You found the large pericardial effusion in the hypotensive patient who is still …

General Hospital

The top 5 things to know about tramadol

<b>Tramadol. Young JWS, Juurlink DN. CMAJ 2013 Mar 18 [Epub ahead of print]</b><p><i>No abstract available</i><p>This quick one-page review covers some basic clinical …

University of Maryland School of Medicine, Department of Emergency Medicine

Bifascicular block<p>Right bundle branch block (RBBB) + left anterior fascicular block (LAFB)<br>• RBBB + left posterior fascicular block (LPFB)<br>• Complete left …

University of Maryland

Excellent Review Article on ST Depression and T-wave Inversion

This article, available as full text, summarizes many of the key points I've been making for the lifetime of this</b> …

Brugada Syndrome: An ECG Pattern You Need to Know

Brugada Syndrome is an abnormal ECG (Right Bundle Branch Block Pattern with coved ST elevation over the right precordial leads of V1-V3), which leads …

Medicine

Lead aVR: The Forgotten 12th Lead

Augmented leads (aVR, aVF, and aVL) were developed to derive more localized information looking at the right, lower, and left part of the heart …

San Antonio

RT @medicalgraffiti: Mallemat on pacemakers: Sgarbossa's criteria does apply to pt's with pacers #resus13 http://t.co/Wh4py0GpGF

Live Healthy, Don't Risk Your Life

Naturopathy to Cure and Prevent<p>There has never been a better time in history to be a human being. Technology makes our free time more interesting …

EKG Subtlety: Tall T-Wave in Lead V1

EKGs are a simple, cheap modality that can give an emergency physician quite a bit of information. Sometimes, in a busy ER, this information can be …

Medicine

RBBB Abnormalities Missed

The original presentation of this case appeared as "What's Wrong with Mr. Wilson?"… You can read the original post here.<p>Much has been written lately …

Trick of the Trade: Got a shoulder dislocation? Park it

Myriad techniques exist to reduce shoulder dislocations, which includes scapular rotation, Hennepin, Snowbird, Cunningham, and Legg maneuvers. They …

University of California

Briefs: Tongue laceration repair

A lacerated tongue<p>The bleeding is well controlled, he is only in mild pain, and it does not go through the tongue completely. He had just eaten some …

Repairs