I forget…what did that email say? oh yeah, its at

Archive for the ‘Lecture Notes’ Category

Blood: a practical guide to the (gi) bleeding patient


Powerpoint Lecture

One Page Summary (pending)

NG Tube Insertion


Michael D. Witting, ‘You Wanna Do What?!’ Modern Indications for Nasogastric Intubation, Journal of Emergency MedicineVolume 33, Issue 1, , July 2007, Pages 61-64.

Sharara AI, Rockey DC. Medical progress: gastroesophageal variceal hemorrhage. N Engl J Med 2001;345:669-681.

Bernard B, Grange JD, Khan EN, at al.. Antibiotic prophylaxis for the prevention of bacterial infections in cirrhotic patients with gastrointestinal bleeding: a meta-analysis. Hepatology 1999;29:1655-61.

Sixth ACCP Consensus Conference on Antithrombotic Therapy,Chest 2001:33S-34S.

Lankiewicz MW, Hays J, Friedman KD, Tinkoff G, Blatt PM. Urgent reversal of warfarin with prothrombin complex concentrate.
J Thromb Haemost 2006; 4: 967–70.

J Trauma. 2008 May;64(5):1177-82

Written by phil

July 15th, 2009 at 4:51 pm

Posted in Lecture Notes

Infectious Illness in the Emergency Department

Skin and Soft Tissue

1. Moran, Gregory J., Krishnadasan, Anusha, Gorwitz, Rachel J., Fosheim, Gregory E., McDougal, Linda K., Carey, Roberta B., Talan, David A., the EMERGEncy ID Net Study Group, Methicillin-Resistant S. aureus Infections among Patients in the Emergency Department N Engl J Med 2006 355: 666-674

2. Gabillot-Carré M, Roujeau JC. Acute bacterial skin infections and cellulitis. Curr Opin Infect Dis. 2007 Apr;20(2):118-23.

Angela M. Mills and Esther H. Chen, Are Blood Cultures Necessary in Adults With Cellulitis?, Annals of Emergency Medicine, Volume 45, Issue 5, May 2005, Pages 548-549.


1. de Gans J, van de Beek D. Dexamethasone in adults with bacterial meningitis. New England Journal of Medicine 2002;347(20):1549– 56.

2. Michael T Fitch and Diederik van de Beek, Emergency diagnosis and treatment of adult meningitis, The Lancet Infectious Diseases, Volume 7, Issue 3, March 2007, Pages 191-200.

3. Karen E. Thomas, Rodrigo Hasbun, James Jekel, and Vincent J. Quagliarello The Diagnostic Accuracy of Kernig’s Sign, Brudzinski’s Sign, and Nuchal Rigidity in Adults with Suspected Meningitis. Clinical Infectious Diseases 2002; 35:46–52.

4. John Attia, MD, PhD; Rose Hatala, MD, MSc; Deborah J. Cook, MD, MSc; Jeffrey G. Wong, MD. Does This Adult Patient Have Acute Meningitis? JAMA. 1999;282:175-181.


1. American College of Emergency Physicians. Clinical policy for the management and risk stratification of community-acquired pneumonia in adults in the emergency department. Ann Emerg Med. 2001 Jul;38(1):107-13.

Online PORT Score Calculator:

Online CURB Score Calculator:

Written by phil

September 8th, 2007 at 3:40 pm

Posted in Lecture Notes

Access – Lecture Bibliography

Ambesh Manuever Volume 95(6), December 2001, pp 1377-1379.

Costantino TG et al. Ultrasonography-guided peripheral intravenous access versus traditional approaches in patients with difficult intravenous access. Ann Emerg Med 2005 Nov; 46:456-61.

Brannam L et al. Emergency Nurses Utilization of Ultrasound Guidance
for Placement of Peripheral Intravenous Lines in
Difficult-access Patients Academic Emergency Medicine 2004; 11:1361–1363.

Lewin, M et al. Humming Is as Effective as Valsalva’s Maneuver and
Trendelenburg’s Position for Ultrasonographic Visualization
of the Jugular Venous System and Common Femoral Veins doi:10.1016/j.annemergmed.2007.01.024

Leung G et. al. Real-Time Ultrasonographically-Guided Internal Jugular Vein Catheterization in the Emergency Department Increases Success Rates and Reduces Complications: A Randomized, Prospective Study. Annals of Emergency Medicine Volume 48, Issue 5, November 2006, Pages 540-547

Higgs Z et. al. The Seldinger technique: 50 years on. Lancet. 2005 Oct 15-21;366(9494):1407-9. Epub 2005 Jul 20.
Derek A. Riebau, James F. Selph & Adrian A. Jarquin-Valdivia: Acute Ischemic Strokes after Central Line Placement: The Internet Journal of Emergency and Intensive Care Medicine. 2005; Volume 8, Number 2
Albrecht et al. Applied anatomy of the superior vena cava—the carina as a landmark to guide central venous catheter placement British Journal of Anaesthesia 92(1): 75. (2004)
Stonelake PA, et al. The carina as a radiological landmark for central venous
catheter tip position. British Journal of Anaesthesia 96 (3): 335–40 (2006)

Maury E et. Al. Ultrasonic Examination – An alternative to chest radiography after central venous catheter insertion. Am J Resp Crit Care Medicine Vol 164 pp403-405

Maki DG et. al. Prospective randomised trial of povidone-iodine, alcohol, and chlorhexidine for prevention of infection associated with central venous and arterial catheters. Lancet 1991 Aug 10;338(8763):339-43.

Kitgawa N et. al. Proper Shoulder Position for Subclavian Venipuncture A Prospective Randomized Clinical Trial and Anatomical Perspectives Using Multislice Computed Tomography. Anesthesiology 2004; 101:1306 –12.

Veenstra DL et. al. Efficacy of antiseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection: a meta-analysis. JAMA. 1999 Jan 20;281(3):261-7.

Osma S et. al. Efficacy of antiseptic-impregnated catheters on catheter colonization and catheter-related bloodstream infections in patients in an intensive care unit. J Hosp Infect. 2006 Feb;62(2):156-62. Epub 2005 Nov 22.

Robers & Hedges Clinical Procedures in Emergency Medicine

Written by phil

May 23rd, 2007 at 4:16 am

Posted in Lecture Notes

Ophthal Lecture


Van Herick Angle Estimation Method Thanks Chad.

Lateral Canthotomy Video

Management of Ocular Emergencies and Urgent Eye Problems. American Family Physician 2/1/96.

The Red Eye. Davey C, British Journal of Hospital Medicine 1996 Feb 7-20;55(3):89-94.

An investigation into the mechanism of orbital blowout fractures. Waterhouse N, British Journal of Plastic Surgery 1999 Dec;52(8):607-12.

Emergency diagnosis and management of physical abuse and neglect of children. Dorfman DH, Paradise JE. Current Opinions in Pediatrics 1995 Jun;7(3):297-301.

Are retinal hemorrhages found after resuscitation attempts? A study of the eyes of 169 children. Gilliland MG, Luckenbach MW. American Journal of Forensic Medical Pathology 1993 Sep;14(3):187-92.

Retinal Findings after head trauma in infants and young children. Buys YM et al. Opthalmology 1992 Nov;99(11):1718-23.

Prophylaxis of opthalmia neonatorum: comparison of silver nitrate, tetracycline, erythromycin and no prophylaxis. Chen J, Pediatr Infect Dis J 1992;11:1026-30.

Eye emergencies: Acute managemenet in the pediatric ambulatory care setting. Levin A. Pediatric Emergency Care 1991 Dec;7(6):367-77.

Ocular Emergencies. Emergency Medicine: A Comprehensive Study Guide. Tintinalli, J et. al. 5th Edition

Handbook of Ocular Disease Management. Review of Optometry Online.

American Association for Pediatric Opthalmology and Strabismus

Digital Journal of Opthalmology.

Written by phil

October 10th, 2006 at 4:31 pm

Posted in Lecture Notes

Surviving Sepsis Lecture


Severe Sepsis and Septic Shock: Review of the Literature and Emergency Department Management Guidelines [Ann Emerg Med. 2006;48:28-54.]

Setting up a pressure bag for CVP/HD monitoring: ehced

ARDSnet info at:

Written by phil

July 27th, 2006 at 12:21 am

Posted in Lecture Notes

Notes on Teaching in the ED from SAEM Spivey Lecture

Recommended Reading
Creative Medical Teaching – Neal Whitman
The Courage to Teach – Parker Palmer

TEACHER Mnemonic

T – Teaching in the ED
E – Enthusiasm
A – Appropriate Feedback
C – Centerdness (on learner)
H – Helpful
E – Elevates to be Independent
R – Role Model

Teaching in the ED

What do EM residents want?
– attentive
– enthusiastic
– approachable
– communicative
– “takes time to teach”
– “teachable moment”
– “tailors teaching to learner”

– Have to teach quickly for learner to remain “with you”.
– 1-2 focal teaching points; avoid teaching too much
– be armed with information
– assess level of learner

Step 1. Get a Commitment
Step 2. Probe for supporting evidence
Step 3. Provide an Educational “Hit and Run”
Step 4. Positive Feedback
Step 5. Correct Mistakes
Step 6. Identify Learning steps

– The Dr. Fox effect

Appropriate Feedback
– give effective feedback
– avoid saying “good job”
– praise in public, perfect in private
– deposit into emotional bank account -> makes corrective feedback more meaningful

Centerdness (on learner)
– who are you?
– where are you from?
– what service?
– did you get lunch? bathroom?

– professional intimacy

Elevates to be Independent
– consider who inspired you to become independent in the ED

Role Model

Written by phil

May 27th, 2006 at 11:13 pm

Posted in Lecture Notes