Archive

Medical Category: Procedures and Skills

Managing Pain in the Elderly: Acetaminophen VS. Hydromorphone

Background: The geriatric patient population is at high risk for undertreatment of pain (Hwang et al. 2010). Regrettably, they are less likely to receive pain medication and commonly experience longer delays in treatment (Hwang et al. 2010). Likewise, there are …

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Procedures and Skills

Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

Background: Many clinicians have transitioned from procedural sedation and analgesia (PSA) in favor of intra-articular lidocaine (IAL) to manage anterior shoulder dislocation. PSA, also referred to as intravenous sedation in this paper, requires considerable resources, including 1:1 nursing observation, and …

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OrthopedicsProcedures and Skills

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

Background Information:¬† Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating …

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CardiovascularProcedures and SkillsResuscitation

REBEL Core Cast 86.0 – Hand Nerve Blocks

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Procedures and Skills

Non-Sterile Gloves for Suturing Traumatic Lacerations?

Background: Traumatic lacerations presenting to the emergency department are, by definition, contaminated (ie non-sterile). ¬†Standard management involves irrigation, local anesthesia, closure and tetanus update if required. The existing literature has never shown benefit to sterile gloves in these types of …

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Procedures and SkillsTrauma

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