Doc Cottle's Desk

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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:
Monday, December 15, 2014

Septic hip in Kids, part 2: This time it's personal...

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I wrote about the "textbook" approach to differentiating the septic hip from plain ol' synovitis in a previous post Septic hip...
4 comments:
Saturday, December 13, 2014

Pulmonary Embolus: See the echo, and believe the ECG!

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Too many people are nihilistic about studying the ECG for signs of PE, and believe that the ECG is too non-specific t...
11 comments:
Wednesday, July 16, 2014

Septic hip in kids: 5 myths of ED evaluation

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I had 5 year-old brought into the ED last week, not able to walk on his right leg, or even to move his right hip around much at all. The day...
5 comments:
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Brooks Walsh
From the Paris of Southwestern CT...
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