Hyperglycemic Emergencies

Diabetics often present to the Emergency Room with high blood sugar. Sometimes it’s just high and nothing else is wrong. Lower the sugar and send them on their way. Sometimes this represents something more ominous. In the next two videos we review the hyperglycemic emergencies of diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome.

Penetrating Neck Trauma

Here is an application of the method we use to approach trauma, namely penetrating trauma to the neck. Here are some important questions to ask yourself while watching these videos:

  • What are the boundaries of the zones of the neck and why do they matter?
  • Do all patients need to be intubated?
  • Do all patients need to be put in a cervical collar?
  • What are the “hard signs” of neck trauma and why do they matter?

Anatomy

Management

Left Ventricular Assist Devices

lvad

Left Ventricular Assist Devices confused the heck out of me, so I thought I’d go through some of the anatomy and physiology of these things. Then everything seemed to make a bit more sense.

Anatomy and Physiology of the Heart… with an LVAD

I misspoke in this video. Dick Cheney did not have ‘destination therapy’ but ‘bridge-to-treatment’ therapy. He eventually got a heart transplant.

Pathophysiology of the Heart… with an LVAD

Please let me know if things don’t make sense, if they’re flat out wrong, or whatever you’d like.

Splint Like a Pro

splint_like_a_proPaul Casey and I were making videos to teach splinting. The lighting was poor, the audio terrible and Paul’s splint application technique was pathetic. So we instead decided to see if someone else has already done this. Luckily someone has. Rob Orman (from the ERcast podcast). It’s called Splint-Like-A-Pro because Rob goes to the ortho techs, who do this all the time – the pros, to see how they do it.
Continue reading “Splint Like a Pro”