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Trick of Trade: Topical lidocaine jelly to make constipation relief less painful
Severe constipation, requiring fecal disimpaction and rectal enemas, can be excruciatingly painful for patients. Administering sedatives and opioids to help alleviate this pain poses a challenge,...
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Trick: Peritonsillar abscess drainage 3.0 | All the steps with added variations
A 25-year-old medical student comes in with a muffled voice, sore throat and trismus. You look at the back of her throat and you see the uvula deviated to the right. You astutely diagnosed a...
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Trick of the Trade: Save the Ultrasound Probe Cable
You need to perform an ultrasound on your patient. You walk up to the ultrasound and upon grabbing the machine, you notice it’s stuck! You look down and realize the ultrasound probe cable...
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Trick of the Trade: Combine Adenosine with the Flush
2019 literature update from this original 2012 Trick of the Trade post! The success of adenosine depends as much on the administration technique as it does the mechanism of action. The 2010 Advanced...
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Trick of Trade: Topical lidocaine jelly takes the tears out of skin tears and...
Skin tears are a common injury treated in the elderly in the emergency department (ED). Often the skin is paper thin, and the area involved can have a large flap. By the time the patient has arrived,...
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Trick of the Trade: Directed Saline Irrigation for Nasal Suctioning
You are just starting out your mid-January evening shift, and you go to the room of an 8-month old male with nasal congestion. He is afebrile, and mildly tachycardic, but his lung exam is fairly benign...
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Trick of the Trade: Tracheostomy leak temporization
Patients who are tracheostomy and ventilator dependent are at increased risk for complications the longer they remain in this condition. One common complication is tracheomalacia. Progressive...
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Trick of the Trade: Deflate an Undeflatable Gastrostomy Tube
A 54-year-old female with a past medical history of throat cancer presents for gastrostomy tube (G-tube) replacement. The initial G-tube was placed 3 years ago. Most recently, the patient had the...
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Trick of the Trade: Face mask hacks
A 35-year-old male working as a healthcare worker presents for evaluation of ear discomfort. The skin behind his ears has been red and irritated since having to wear a surgical face mask with the...
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Trick of the Trade: Identifying Team Members in Protected Code Blues
Your team in the Emergency Department (ED) receives a call from your local Emergency Medical Services (EMS) crew informing you that they are transporting a patient with high suspicion of COVID-19 in...
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