#FOAMed
TMJ Dislocation Reduction Made Easy
Syringe Technique: With the patient in a sitting position, the physician places a 5 or 10 ml syringe between the posterior upper and lower molars or gums on the affected side. The patient is asked to gently bite down and grasp the syringe as the patient is instructed to roll the syringe back and forth, resulting in the reduction of the dislocated TMJ.
COPD Exacerbation – GOLD 2023 Guidelines
An exacerbation of COPD is defined as an event characterized by dyspnea and/or cough and sputum that worsen over < 14 days. Exacerbations of COPD are often associated with increased local and systemic inflammation caused by airway infection, pollution, or other insults to the lungs.
Learn Point of Care Ultrasonography (POCUS)
If you take care of sick patients, you owe it to them to learn POCUS. You will save lives!
CT before LP?
- If you think CT will show a cause for the headache, do a CT
- If a CT is indicated for other reasons (depressed conscious level, focal neurology), do a CT
- If a GCS 15 patient is to undergo LP for suspected (or to rule out) meningitis, and they have a normal neurological exam (including fundi), and are not elderly or immunosuppressed, there is no need to do a CT first.
- If you’re seriously worried about meningitis and are intent on getting a CT prior to LP, don’t let the imaging delay antimicrobial therapy.
Rabies vaccines and immunoglobulins: WHO position
PEP consists of the following steps:
- All bite wounds and scratches should be attended to as soon as possible after the exposure; thorough washing and flushing of the wound for approximately 15 minutes, with soap or detergent and copious
amounts of water, is required. Where available, an iodine-containing, or similarly viricidal, topical
preparation should be applied to the wound. - RIG should be administered for severe category III exposures. Wounds that require suturing should be
sutured loosely and only after RIG infiltration into the wound. - A series of rabies vaccine injections should be administered promptly after an exposure.