Topical NSAIDS

Topical NSAIDs provide good levels of pain relief in acute conditions such as sprains, strains and overuse injuries, probably similar to that provided by oral NSAIDs.

Procedural Sedation Errors

Error #1: Delaying deep sedation until fasting times are met Error #2: Believing PSA carries less risk than endotracheal intubation Error #3: Minimizing risk of airway and breathing complications while using ketamine Error #4: Not having full intubation setup nearby Error #5: Responding to hypoventilation or apnea with early and/or aggressive use of the bag-valve […]

10 Ways to Safely Push Ketamine in the ED

Push Ketamine for Analgesia Consider Ketamine for Procedural Sedation Reach For Ketamine in Rapid Sequence Induction (RSI) Dilate in Asthma Sedate Post-Intubation Keep It Handy as a Tranquilizer Manage Ketamine’s Psychiatric Distress Remember the Cardiac Factor Lock it Down: Prevent Abuse Limit Risks of Laryngospasm, Hypertonicity, Hypersalivation  

Quick Tip: Finger tip dermal avulsion injuries

Quick Tip: For finger tip dermal avulsion injuries the first step in caring for any minor wound is controlling the patient’s pain. As a means of anesthesia, have the patient dip the injured finger in 1% lidocaine with epinephrine for 5 minutes. One can pour 10-20 cc of this solution into a small medicine cup […]

Emergency Medicine Kenya Foundation

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