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Doc Cottle's Desk

Now 100% more board-certified!

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Doc Cottle's Desk | doccottlesdesk.blogspot.com Reviews
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Now 100% more board-certified!
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Doc Cottle's Desk | doccottlesdesk.blogspot.com Reviews

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Now 100% more board-certified!

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1

Doc Cottle's Desk: December 2012

http://doccottlesdesk.blogspot.com/2012_12_01_archive.html

Now 100% more board-certified! Wednesday, December 12, 2012. It's narrow, regular, and fast - Now what? Despite the variety of disorders an illness that parade through the ED, it often seems like each shift has a "theme." For example, you may diagnose two ectopic pregnancies in one shift, or send 3 patients to the cath lab. Heck, on a rare day you may actually have 3 or 4 patients with alcohol intoxication! This is a thing that happens. Source. An older lady, Mrs Black. Mrs Black - before. Had been havin...

2

Doc Cottle's Desk: July 2014

http://doccottlesdesk.blogspot.com/2014_07_01_archive.html

Now 100% more board-certified! Wednesday, July 16, 2014. Septic hip in kids: 5 myths of ED evaluation. Of course, I was thinking "This either septic arthritis (SA) or transient synovitis (TS) . how does this again? So I turned to some trusted EM references, and was reminded of the. THE FOUR BIG RULES. The WBC, ESR, and temp can rule out septic arthritis. Send the kid to radiology to get an US of the hip. Send the kid to IR to get the effusion drained. Consult ortho early for help. Had septic arthritis, a...

3

Doc Cottle's Desk: Oral contrast for abdominal CT?

http://doccottlesdesk.blogspot.com/2015/06/oral-contrast-for-abdominal-ct.html

Now 100% more board-certified! Thursday, June 18, 2015. Oral contrast for abdominal CT? PO, IV contrast for abdominal CT. This material is educational, and is not intended to serve as hospital protocol. Mostly, it's here to serve a quick reference for myself, and for impromptu discussions with PAs and residents. Oral contrast is contraindicated. IV contrast is preferred, but not required. Oral contrast is not required, but may be beneficial in extremely. Oral contrast is not required. Concluded that &#82...

4

Doc Cottle's Desk: High-flow nasal cannulas: Not yet ready for ED use.

http://doccottlesdesk.blogspot.com/2015/03/high-flow-nasal-cannulas-not-yet-ready.html

Now 100% more board-certified! Sunday, March 8, 2015. High-flow nasal cannulas: Not yet ready for ED use. What is high-flow nasal cannula (HFNC) therapy, and, more importantly, does. A recent segment on EM:RAP. Went into a fair amount of detail about the putative mechanism, so I’ll leave that alone. Although the “diet-PEEP” argument would suggest that HFNC might have a large role in tiny patients, it isn’t clear that HFNC helps prevent intubation. In preemies. A Cochrane review suggested. Although the da...

5

Doc Cottle's Desk: Pulmonary Embolus: See the echo, and believe the ECG!

http://doccottlesdesk.blogspot.com/2014/12/pulmonary-embolus-see-echo-and-believe.html

Now 100% more board-certified! Saturday, December 13, 2014. Pulmonary Embolus: See the echo, and believe the ECG! Too many people are nihilistic about studying the ECG for signs of PE, and believe that the ECG is too non-specific to play a role. In particular, two beliefs stick in my craw:. 8220;The most common sign of PE on the ECG is tachycardia”. This is not necessarily true. For example, Ferrari found that TWI in V1-V4 was far more common in PE ( 68. Of patients) than was sinus tachycardia (only 36.

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Now 100% more board-certified! Tuesday, November 10, 2015. Posterior shoulder dislocation confirmed by ultrasound. I've previously described an "ultrasound win," where bedside US helped prevent. And fruitless) procedural sedation. In this case, the ultrasound is used to confirm. An infrequent type of dislocation. A young muscular male had been in a car accident. Despite devastating damage to the vehicle, he only complained of left shoulder pain. An x-ray of the shoulder was obtained. The next time you ha...

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