Parts of the Ventilator Setting up the Ventilator Connect the yellow (air) and green (oxygen) gas tubes to the wall (or tanks). Connect oxygen tubing from the top of the humidifier plate to one of the two oxygen flow meters. One has finer control but a smaller range. Aim for 2 L/kg and pick the … Continue reading Setting Up The Pediatric High Flow Ventilator
Category: WTF
Occlusion MI
Our goal in diagnosing acute coronary syndromes is not to diagnose ST-elevations but coronary artery occlusions leading to myocardial infarction (OMI). In the past, we diagnosed heart attacks by looking for Q-waves, thus missing all the ST-elevations. EKG manifestations only are a marker for what's going on underneath. Within the broad bucket of NSTEMI, 25% … Continue reading Occlusion MI
Introduction to Quality Improvement
Quality Improvement is the business of making healthcare better. This is based on the same systems that drove Toyota to become a world leader in making cars. They concentrated on constantly making their processes better. Seems like the same should apply to healthcare. In fact, Paul Batalden said, “In healthcare everyone has two jobs: to … Continue reading Introduction to Quality Improvement
Single payer is not socialized medicine
I am not advocating for socialized medicine or even single payer, but it is important to distinguish between the two. The Economist this month had a great article on the different setups we see today. Private Insurance, Private Doctors In this system, private insurance pays private doctors. There is no interference from the government but … Continue reading Single payer is not socialized medicine
Graham-Cassidy Bill Doesn’t Add Up
The latest Republican health care bill meant to replace the Affordable Care act comes from Senators Bill Cassidy (LA) and Lindsey Graham (SC). This one presents a more substantial change to the way things are run. Most of this comes from an article in the 9/23/2017 issue of the Economist. The Federal government would play … Continue reading Graham-Cassidy Bill Doesn’t Add Up
Become a Presentation Master Handouts
Here are the handouts for our talk at CORD17, Clearwater Ballroom. Practice Bad Slides http://bit.ly/2plVb6g Slide Design eBook http://bit.ly/2oAbhwg The Presentation Slides http://bit.ly/2qa8KpG And if you want to contact any of the speakers, here are our Twitter handles. Tyson Pillow @docpillow12 Rahul Patwari @rahulpatwari Annahieta Kalantari @akkalantari
Terminal Commands
Every time I need to reinstall my Mac, which has happened more often than I would have guessed, there are certain terminal commands I need to look up. Set length of time Notification Banners Persist Those little notification banners in the upper right hand corner of the screen seem to stay up there forever. Bothers … Continue reading Terminal Commands
Clinical Reasoning (1st draft)
The goal here is to start teaching clinical reasoning on day 1 of medical school. Though the students don't yet have the medical knowledge to apply, I bet they can learn the process. 01: An Overview The first video gives an overview of the process. There is a lot in here that will be unpacked … Continue reading Clinical Reasoning (1st draft)
Discharge Instructions
The October edition of EM-RAP had a great section on how to write good discharge instructions. This is not the pre-printed stuff that comes with the EMR but instructions written specifically for each patient. I modified my DCI (discharge instruction macro) to make those points more obvious. You have been diagnosed with ***, this is … Continue reading Discharge Instructions
HEART Score
Used to risk stratify patients for further cardiac workup in the ER according to risk of major adverse cardiac events (MACE). History 2: highly suspicious 1: moderately suspicious 0: slightly or non-suspicious ECG 2: significant ST-depression 1: non-specific repolarization 0: normal Age 2: > 65 years old 1: 45-65 years old 0: < 45 years … Continue reading HEART Score
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