Archive

Tag: Mythbuster

Topical Anesthetic Use on Corneal Abrasions

Patients with corneal abrasions typically come to the emergency department for eye pain.  Most physicians treat these with topical antibiotics, oral analgesia, and for those who are lucky enough 48 – 72 hour follow up with ophthalmology. Oral analgesia does …

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Head, Eye, Ear, Nose, and Throat

Relationship of Radiocontrast, Iodine, and Seafood Allergies

Computed Tomography (CT) scan using radiocontrast is one of the most common imaging modalities used in emergency departments today. Several studies and my own anecdotal experiences indicate that both physicians and patients believe that iodine allergies are linked to seafood …

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Allergy and Immunology

Is Advanced Trauma Life Support (ATLS) Wrong About Palpable Blood Pressure Estimates?

In Advanced Trauma Life Support (ATLS), we learned that a carotid, femoral, and radial pulse correlates to a certain systolic blood pressure (SBP) in hypotensive trauma patients.  Specifically ATLS stated:  Carotid pulse only = SBP 60 – 70 mmHg  Carotid …

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Trauma

NG Lavage: Indicated or Outdated?

Nasogastric lavage (NGL) seems to be a logical procedure in the evaluation of patients with suspected upper GI bleeding, but does the evidence support the logic? Most studies state that endoscopy should occur within 24 hours of presentation, but the …

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Abdominal and Gastroinstestinal

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