Tissue Glue Eye Injury (Cyanoacrylate Tarsorrhaphy) Emergency providers frequently utilize tissue adhesives like cyanoacrylate glues for wound closure, especially in pediatric patients where sutures can be challenging.  However, these compounds can inadvertently end up in unintended areas if the patient moves unexpectedly during the application process.  The term "cyanoacrylate adhesive tarsorrhaphy" refers to inadvertent gluing of the eyelids by cyanoacrylate.  It's important to act quickly but remain calm.  Eye irrigation along with manual removal of adhesive debris can h ..read more

Escherichia coli O157:H7 is a pathogenic strain of E. coli known for causing severe gastrointestinal illness in humans through consumption of contaminated and raw food, including raw milk and undercooked ground beef. This bacterium is notable for producing a potent toxin called Shiga toxin, which is responsible for the characteristic symptoms associated with E. coli O157:H7 infection. Patients infected with E. coli O157:H7 typically exhibit symptoms like bloody diarrhea, abdominal cramps, and occasionally fever. In severe cases, the infection can progress to hemolytic uremic syndrome (HUS), a ..read more

Scombroid poisoning is caused by consuming improperly refrigerated fish. Scombroid is the common term for histamine fish poisoning.  It gets its name from the family of fish Scombridae such as tuna and mackerel, which typically cause the poisoning.  However, a large variety of fish can cause scombroid, most of them dark meat fish.  These fish have high levels of histidine in the meat.  If the meat is improperly refrigerated, bacteria on the surface of the meat convert histidine to histamine, which is the principal cause of the symptoms. Common fish causing scombroid include ..read more

* The supine position is when a person lies on their back with their face looking up.  * This is the most common position for medical examinations and procedures. * The prone position is when a person lies on their stomach.  * This position is sometimes used for medical procedures, such as surgery on the back. * The lateral position is when a person lies on their side.  * It is commonly used for sleeping but can also be used for medical procedures.  * The left lateral position is preferred for pregnant women because it improves blood flow to the uterus and baby. * The semi ..read more

Remind yourself why you do what you do: It's important to stay connected to your purpose and find1 meaning in your work. Find a hobby: Hobbies can provide a fun and relaxing way to de-stress. Spend time with loved ones: Social connection is important for mental health. Make time for exercise and sleep: Exercise and sleep are essential for both physical and mental health. Take a vacation: Breaks from work are essential for preventing burnout. Find support in the workplace: Having a good friend or mentor at work can provide emotional support and help you feel less isolated. Set personal goals: H ..read more

One mnemonic for potentially reversible causes of traumatic cardiac arrest is the acronym H.O.T.T., which stands for Hypovolemia, Oxygenation impairment, Tension pneumothorax, and Tamponade of the pericardium. Hypovolemia (H) in trauma is almost exclusively caused by hemorrhage and is the most common, potentially reversible cause of traumatic cardiac arrest.  Impairment of oxygenation (O) often requires the creation of a patent airway and optimizing oxygen supply.  A tension pneumothorax (T) may present in spontaneously breathing patients, but also rapidly develop after endotracheal ..read more

Thompson Test for Achilles Tendon Tear: The Thompson Test is a physical exam maneuver used to evaluate the Achilles tendon's integrity. The patient is positioned prone with feet hanging over the edge of the examination table The examiner squeezes the calf muscles of the affected leg and observe motion of the  foot and compare it with the other side. A normal or negative Thompson test refers to plantar flexion of the foot on squeezing the corresponding calf muscles. This indicates an intact Achilles tendon. If the Achilles tendon is intact, squeezing the calf muscles causes a plantar flexi ..read more

Physical restraints should be avoided in elderly patients to reduce the incidence of delirium. Avoid unnecessary lines such as intravenous lines, Foley, and monitors if possible. Avoid drugs that may cause delirium, such as Benzodiazepines and anticholinergics. Daytime napping should be avoided in elderly patients to prevent delirium. Avoid unnecessary NPO order, and consider feeding assistance to reduce the risk of delirium. Adequate pain management is important in reducing the incidence of delirium in elderly patients. Delirium in elderly patients may be due to acute urinary retention and st ..read more