Doc Cottle's Desk

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Tuesday, November 10, 2015

Posterior shoulder dislocation confirmed by ultrasound

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I've previously described an "ultrasound win," where bedside US helped prevent an unneeded (and fruitless) procedural sedati...
644 comments:
Monday, August 31, 2015

“The BNP is high – just give Lasix!”

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This isn't rocket science, right? If your hypoxic patient has a high BNP and a wet CXR, then you give then a diuretic, and admit...
49 comments:
Thursday, July 9, 2015

The stethoscope – “it’s not a lie if you believe it.”

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The skillful use of the stethoscope is a key element of the physical exam. Introduced in 1816, it afforded an unprecedented “view”...
28 comments:
Thursday, June 18, 2015

Oral contrast for abdominal CT?

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PO, IV contrast for abdominal CT This material is educational, and is not intended to serve as hospital protocol.   ...
31 comments:
Thursday, June 4, 2015

Is the shoulder in? Use ultrasound!

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It was a classic “good news/bad news” sign out. The  attending who was signing out to me admitted that this wasn't the cle...
303 comments:
Sunday, March 8, 2015

High-flow nasal cannulas: Not yet ready for ED use.

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What is high-flow nasal cannula (HFNC) therapy, and, more importantly, does it work? A recent segment on EM:RAP went into a fair amount of...
19 comments:
Monday, December 29, 2014

Femoral pulse during CPR - Arterial or Venous?

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There are many uncertainties about how each of us will die. Based on my experience in the ED, however, many of us will spend our last minute...
118 comments:
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Brooks Walsh
From the Paris of Southwestern CT...
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