Clinical Conundrum: Foreign Body Part 2
From July 2020, UFBs: Unidentified Foreign BodiesHow do you decide if you should go after a retained foreign body in the urgent care setting? Dr. Matthieu DeClerk and UC/EM physician assistant Vicky Pittman discuss an approach to cutaneous foreign bodies, including removal tips and post-removal care. •
10min 13Matthieu DeClerck, MD and Vicky Pittman, PA
Clinical Conundrum: Foreign Body - Part 1
From July 2020, UFBs: Unidentified Foreign BodiesHow do you decide if you should go after a retained foreign body in the urgent care setting? Dr. Matthieu DeClerk and UC/EM physician assistant Vicky Pittman discuss an approach to cutaneous foreign bodies, including removal tips and post-removal care. •
17min 20Vicky Pittman, PA and Matthieu DeClerck, MD
Laceration Repair in the Time of COVID
From June 2020, Bonus Short - Laceration Repair in the Time of COVIDDrs. Brian Lin and Mike Weinstock discuss alterations to our usual practice patterns of laceration repair in the setting of the COVID pandemic, which include increasing patient throughput through faster closure techniques, reducing total points of contact with the healthcare system by using …
15min 9Brian Wai Lin, MD and Mike Weinstock, MD
INTRO | Wound Care
From August 2019, Disabilities MatterFoam dressings address the important elements of wound healing; they absorb exponentially more than gauze, keep wound somewhat moist, and can stay on for 3-7 days. Downsides are that they may not help all wounds (little benefit for arterial ulcers).
14min 35Mike Weinstock, MD and Matthew DeLaney, MD
Paper Chase #2 | Ice Cube Cryotherapy for Reducing Pain for Simple Lacerations
From February 2018, Pericarditis: Getting To The Heart Of The MatterApplying and ice cube for 2 min before local anesthetic significantly reduced pain from local anesthetic injections in patients with simple lacerations.
3min 8Nate Finnerty, MD and Brett Ebeling, MD
Q & A Corner: Lacs Gone Wild!!!
From October 2017, Lacs Gone Wild!!!H.A.T. is safe, fast and effective technique that works well for closing most scalp lacerations. Patients prefer it and it saves revisits for suture/staple removal which, as we saw here, can be especially problematic in small children. •
15min 32Josh Russell, MD and Mizuho Morrison, DO
Spiders Bites
From July 2017, Franks and BeansSpider bites of clinical consequence are rare. In North America there are only a few spiders whose bites cause clinically relevant pathology requiring medical treatment beyond basic wound care. These species and the clinical picture resulting from their bites are reviewed in this segment. •
15min 9Mizuho Morrison, DO and Matthieu DeClerck, MD
Chronic Wound Care - Pearls and Pitfalls
From June 2017, A Disposition Conundrum?!Understand the general approach to wounds that are commonly seen in urgent care settings. •
16min 14Charles Khoury, MD and Matthew DeLaney, MD
Paper Chase 5: Soap and Water is Not Inferior to Antiseptics for Umbilical Cords
From May 2017, Pain in the Neck!Discuss the findings in the recent article by Gras-Le Guen et al Dry Care Versus Antiseptics for Umbilical Cord Care: A Cluster Randomized Trial. •
5min 49Mike Weinstock, MD and Nate Finnerty, MD
Paper Chase 2 | No Irrigation Necessary after Abscess I&D
From February 2017, The Barky Cough ConundrumReview irrigation of cutaneous abscesses. • Chinnock et al. Irrigation of Cutaneous Abscesses Does Not Improve Treatment Success • Journal: Annals of emergency medicine, 2016 •
4min 43Mike Weinstock, MD and Nate Finnerty, MD
Paper Chase 2: Finger Injuries
From November 2016, Prepare For Take Off!Double-dorsal or single-volar subcutaneous injection techniques have similar pain of injection and success rates of anesthesia. • Single-volar injection appears suitable alternative to the commonly performed double-dorsal injection in the ED. •
9min 2Nate Finnerty, MD and Rebekah Richards, MD
Tendon Lacerations
From November 2016, Prepare For Take Off!Brian describes a methodical approach to evaluation of tendon lacerations.
22min 25Brian Wai Lin, MD and Mike Weinstock, MD
Dermal Avulsion Injuries
From July 2016, Heart Score, PECARN and A Twist of LymeBrian Lin discusses an effective method of dealing with common superficial dermal avulsion injuries.
10min 6Brian Wai Lin, MD and Mizuho Morrison, DO
Chronic Wounds in the UC, Part 2
From June 2016, Things That Go SouthPatients will present to the UC with chronic wounds. Its important to know how to identify acute issues and complications that surround chronic wounds and how to manage these in the UC.
16min 45Colin Kaide, MD, Nate Finnerty, MD, and Mike Weinstock, MD
Chronic Wounds in the UC, Part 1
From June 2016, Things That Go SouthPatients will present to the UC with chronic wounds. Its important to know how to identify acute issues and complications that surround chronic wounds and how to manage these in the UC. •
17minColin Kaide, MD, Nate Finnerty, MD, and Mike Weinstock, MD
2nd Degree Burns
From May 2016, Danger ZonesDiscuss current evidence and burn center practice regarding the management of second degree burns.
17min 3Chuck Yowler, MD and Jessica Mason, MD
Complex Ear Lacerations
From January 2016, Mysteries of Tetanus & InfluenzaComplex ear lacerations can be very intimidating. When cartilage is involved or complex auricular hematomas need to be drained its important that these are treated correctly in the acute setting for optimal cosmetic wound healing. Brian Lin MD shares with Miz some pearls on management of complex …
21min 59Brian Wai Lin, MD and Mizuho Morrison, DO
Wound Care Management - Part 2
From January 2016, Mysteries of Tetanus & InfluenzaSimple wound management controversies.
14min 40Stuart Swadron, MD and Sean Nordt, MD PharmD
Introduction: Coyote Attack!
From December 2015, Disruptive Docs, Patients & FacesMike and Mizuho discuss a case of a coyote attack and useful resources that can help guide you in management. •
9min 7Mike Weinstock, MD and Mizuho Morrison, DO
Lip and Tongue Laceration Repair
From December 2015, Disruptive Docs, Patients & FacesBrian Lin MD discusses tricks on repair of lip and tongue lacerations. Including regional nerve blocks for optimal anesthesia, using a sharpie marker to approximate your borders, and when you need to close with deep sutures firs. We also review the literature regarding irrigation and antibiotics.
25min 51Brian Wai Lin, MD and Mike Weinstock, MD
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