1 punch kill
San Soo li oo – One punch bleeding kill there is a korean word for this that I learned once, when I was a kid impossible, I thought. an urban legend the stuff of kung fu movies, or not..? Enter blunt cardiac injury not quite bleeding, but shocking literally turning the beating heart into a shivering mess that hums…Read more
Local Blocks
Here are some basic dose calculations. Lidocaine and bupivicaine are amides. They have a lower chance of causing an allergic reaction than esters (procaine). Lidocaine 1%, lasts 1 h I weight about 75 kg. So, the most lidocaine (1%) I should use is: 75kg * 5mg/kg * 1 mL / 10 mg = 37 mL…Read more
Ways to improve the CERNER EMR
There are a lot of reasons why ppl hate EMRs. I hope to collect some of the biggest problems and work with the IT department to streamline whatever views can be streamlined to improve charting efficiency and accuracy. In turn, I expect this to reduce burnout amongst residents, attendings, and medical students (who unfortunately lose…Read more
Electrolyte Repletion
Potassium (always check Mg and replete PRIOR to repleting K. Low Mg can worsen K losses) Goal serum potassium level: ∼ 4.0 mEq/L Expected increase in serum potassium levels: ∼ 0.1 mEq/L after an IV dose of 10 mEq Use caution with repletion in patients with impaired renal function. Oral uptake can be improved by…Read more
Best advice for being a good 3rd year med student / how to get honors in 3rd yr
Best advice re: how to be a good medical student. This is absolutely what I wish they told ppl going into 3rd year. It’s copied directly from a reddit post by “LUIS DE FUNES” so that if reddit goes down this advice will still be preserved (redditpostlink) I got H in all clerkships, and can…Read more
Notes for a medical student interested in surgery
Notes for an MS1-2-3 interested in surgery My advice: print this out and check things off as you do them. Also, these are rough notes I mostly type on my phone, so they’re not going to be pretty/tgramatical/typos will exist. Stress management/Mindset vids. Success in 3rd year I think is actually largely based on staying…Read more