Tracheostomy Tubes Nomenclature

2016-10-13T18:16:43-05:00September 20th, 2012|Pulmonary|

Tracheostomy tubes provide for air movement through an ostomy in the anterior neck into the trachea. Unfortunately, there is an abundance of types, sizes, and complex numbering that is difficult to decipher for those who don't work with them everyday.


2016-05-04T15:25:14-05:00September 20th, 2012|Neurology|

Prosopagnosia is a fairly rare presentation of acute ischemic stroke. It is also known as face blindness, and presents as an impairment to recognize known faces such as spouse, family, or friends. This syndrome can develop after traumatic brain injury or stroke, though the cases I hav

Ultrasound Guided Placement of Percutaneous Chest Tube

2016-10-13T18:16:43-05:00September 20th, 2012|Procedures|

When placing a percutaneous chest tube into a small pneumothorax, it is easy to enter the lung parenchyma instead of the pleural cavity. This not only interferes with the placement of the chest tube, it can cause parenchymal damage, pulmonary contusion and hemorrhage. I have been u

Katz extractor for ear or nose foreign bodies

2016-10-13T18:16:43-05:00September 19th, 2012|Procedures|

I have come to really like these devices for removing foreign bodies. When combined with an operating otoscope or a nasal speculum, it makes removing most any foreign body a trivial exercise. Give them a try next time instead of reaching for the alligator forceps.

Infectious Disease Reading List

2014-10-19T05:21:18-05:00September 15th, 2012|Infectious Disease, Toxicology|

Fascinating list of books that lets you understand the importance infectious diseases have had on the world and how disease have shaped the history of politics, nations, wars, migrations, and culture. Topics include malaria, smallpox, cholera, and more.

Neonatal Emesis

2016-10-13T18:16:43-05:00September 14th, 2012|DDx, Pediatrics|

Like most emergency physicians, I am much more comfortable taking care of adults than children. This is simply because of the generally low number of very sick children we see. This is doubly so for neonates. One common chief complaint during the neonatal period is excessive spitti