Nursing Care of Lacerations equipment nursing preparation Sep 10, 2021

Nurses play an important role in caring for patients with lacerations. There is a lot of old dogma such as soaking wounds in betadine that need to be rethought. Some of these things just get passed down by older nurses and never get questioned. 

Develop protocols to empower your nurses to...

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Laceration Management for the Urgent Care Clinician equipment management preparation urgent care Aug 18, 2021

Urgent cares have flourished over the past 10 years. They stepped up to the plate and cared for scores of patients during the pandemic. Unfortunately, there is no formal residency program for "urgent care" and some UC clinicians may no thave had much training or experience with managing...

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Laceration Management For The Primary Care Clinician equipment management preparation primary care Jul 12, 2021

Primary care clinicians are the true engine of the healthcare system. Unfortunately, overly complex patients, 15 minute visits, prior authorizations, insurance hassles and administrative tasks eat away at the ability to work patients in for things such as lacerations.

Having worked in the ER and...

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90% Knowledge, 10% Skill management preparation May 21, 2021

When I started working on this lecture series, I noticed how the overwhelming majority of information was NOT related to the act of suturing. That's how I came up with this 90/10 statistic. It's from my own experience, not a randomly controlled clinical trial, so don't run to the Cochrane...

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Don't Freak Out management preparation May 20, 2021

 GRAPHIC PICTURE WARNING 

Large lacerations can take your breath away. Sometimes, something that looks complex and ghastly is rather simple if you take the surrounding blood and exposed underlying tissue out of the picture. First thing to do when approaching a large wound is to take a...

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Tetanus and Rabies management May 20, 2021

One of the most fun parts of doing this lecture series has been learning more about the material. I have asked patients about tetanus status several thousand times over the years. I’ve looked up rabies info several dozen times at least.

Now that we are in the midst of a viral pandemic that...

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Patient History - Repetition Helps management Apr 05, 2021

One of my favorite attendings in residency, Dr. Asimos, would take each of us into a room with him and listen as we interviewed and examined a patient. Then we would go into another room with him as he did a patient history. His approach was the same with every patient, regardless of the...

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Essential Tools - 2 - Laceration Kit equipment Apr 01, 2021

The most important tools we use for managing lacerations are the instruments that come in the "lac kit." These kits come from a variety of manufacturers and are commodity items that get purchased by a hospital, urgent care, or clinic with very little thought. To those making the purchases, cheap...

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Essential Tools - 1 - Finger Tourniquet equipment Mar 28, 2021

After years of experience, I have several things that I have to have when repairing certain lacerations. From time to time, I will write about these and why they are so important. If you have an essential tool, send me an email and I will try to include these on the blog. If not familiar with...

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The First Time... emergency medicine Mar 06, 2021

Prior to going to medical school, I worked as  a tech in the emergency department of a large teaching hospital. Prior to starting, I had no idea what emergency medicine was. I was quickly thrown into the hustle and bustle of an urban teaching hospital, busy Level 1 trauma center. I fell in...

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