There are two techniques for guide wire insertion when performing central line placement. This week we compare the evidence for the two approaches and provide support for the cathether-over-needle (CON) technique which may prove useful in specific situations.
In the emergency department, we commonly encounter minor injuries to the face and mouth. In a two part series, we will provide a short overview of some helpful strategies for dealing with these cosmetically sensitive injuries in an effective manner.
We delve into the heated topic of perimortem procedures specifically concerning the ethics, legality, and repercussions of performing procedures on the recently deceased.
As ER doctors, we stick a lot of needles into a lot of different body parts. Sometimes into vessels, sometimes into the area around the spinal cord, and of course, sometimes into hot, swollen joints. The ankle is included in this which can often prove difficult to access. To help you through your next angry ankle, here are a couple of pointers.
Explore the evidence behind previously held beliefs regarding local anesthetic use in digital nerve blocks.
We review the recent randomized-controlled trial by Parienti et al in the New England Journal of Medicine which sought to determine the complication rate of central venous catheters (CVC) at the 3 primary sites of insertion.
According to the National Cancer Institute, there are 100,000 pleural effusions diagnosed every year. Read on to optimize your management of this very common ED presentation and know whether or not you should "tap that."