Nerve blocks. I’m a fan. Lido works great. But the other options are very helpful for local blocks after surgery. Here are some basic calculations. The two blocks I use the most are lido and bupivacaine. These are AmIdes. The things I don’t use (cocaine, procaine, tetracaine) are esters.   Lidocaine 1%, lasts 1 h…Read moreRead more

Roadster II trial (Stroke, 2020). CEA is the traditional operation for carotid stenosis (symptomatic and >50%, or asymptomatic > 80%). However, starting in 2009, endovascular approaches entered the scene (Fig 1 from JAMA). These were performed using a transfemoral approach. Note that stenting was not a slam dunk. Even though it is less invasive, patients…Read moreRead more

Rib Fractures – why elderly need more intensive care: http://www.emdocs.net/rib-fractures-elderly/ Cocaine and STEMI: http://www.emdocs.net/ecg-pointers-cocaine-and-st-elevation/

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 moreRead more

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 moreRead more

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 moreRead more