When performing an US-guided IV, use the depth measurement of the vein to determine the distance you begin your stick from the US probe. Then, stick at 45 degree angle, and it will be much easier to track your needle. #CincyAI

In a patient with suspected chronic acetaminophen toxicity, acetaminophen serum levels do not correlate with toxicity like an acute overdose. NAC treatment should be started in the presence of a suspicious history and supportive clinical data. #CincyAI

When deciding how to treat pyelonephritis, you should consider inpatient admission if the patient has persistently high fever or pain, marked debility, inability to maintain adequate oral intake, failure of outpatient therapy, or if there is a suspected obstruction. #CincyAI

If you’re ever on the fence about a patient’s diagnosis, treatment, or dispo, contact their their PCP. Their PCP knows the patient best. A simple call can give great information and coordinating care can set your mind at ease when deciding the best plan for the patient. #CincyAI

Wound hemostasis can be difficult in patients with cirrhotic liver disease. If pressure does not stop the bleeding, consider stepping up to therapies such as topical transexamic acid or injecting the site with epinephrine. #CincyAI

Here is a great article that explains the algorithm to work through PEA, the logic behind it, and its pitfalls. It’s a quick read and pretty helpful! karger.com/Article/FullTe… #CincyAI

One of the most sensitive physical exam findings in an orbital blowout fracture is numbness along the cheek and upper lip. This is due to injury of the infraorbital nerve which runs along the orbital floor! #CincyAI

Treating a mallet finger deformity is done with a simple splint on the volar surface of the finger. The difficult part is that the patient must keep the finger in absolute extension for six weeks. If the finger is flexed, the treatment window resets back to six weeks! #CincyAI

The eye exam is a finesse that require practice. Systematically checking the five vital signs of the eye 1) visual acuity 2) intraocular pressures 3) extraocular movements 4) pupillary reflex and 5) peripheral fields will lead you to the right direction most of the time #CincyAI

If you order a lab that will not be completed while the patient is in your immediate care, you still own it! It is your responsibility to follow up on the results. If you forgot to follow up on a labs results, the outcomes can be deleterious for the patient #CincyAI

Nurses can be one of the best resources for your patients. They spend much more time with the patients, and can give great updates when it comes to their treatment! #CincyAI