Pinpoint Radial Artery Location
April 1, 2010
A common method used to locate the radial artery involves palpation of the radial pulse with 2 or 3 fingers of the nondominant hand, followed by an attempt to puncture the artery with a needle held in the dominant hand.
February 16, 2010
The treatment of road burn—the abrasions caused by falling on an asphalt or gravel surface, such as a school yard—can be eased and expedited by the application of a topical anesthetic.
Syringe Swap Speeds Steroid Injections
February 9, 2010
To save time and minimize pain and tissue trauma when injecting a joint or soft tissue with a corticosteroid, use a single needle and 2 screw-on syringes. Fill the first syringe with lidocaine and the second with the corticosteroid, then lightly but securely attach the first syringe to the needle. After inserting the needle and achieving local analgesia in the desired location, simply leave the needle in place and, while holding it firmly, switch the syringes; then inject the corticosteroid.
Pant Like a Puppy
January 8, 2010
Sometimes it is impossible to see beyond the tongue of a child who has a sore throat.
Sharp Way to Remove Tight Sutures
April 1, 2009
When removing sutures that are tight or for any reason difficult to get scissors under, I use a No. 11–blade scalpel, with the blunt side down and the sharp side up beneath the suture to be cut.