(1/2) When doing nerve blocks, avoid LAST (local anesthetic systemic toxicity) by: -using the smallest volume of the least-toxic local anesthetic -using ultrasound! -avoiding multiple injections -aspirating before you inject . . . #PRFest19

Superficial cervical plexus block uses: -laceration to the helix or lobule of ear -laceration in submandibular region, adjacent to angle of mandible -placement of IJ vein central line . . . and may have some benefit for clavicle fractures #PRFest19

(2/2) When doing nerve blocks, also avoid LAST (local anesthetic systemic toxicity) by: -incremental injections of 3-5 mL at a time -use nomogram to dose your local anesthetic safely: aliem.com/2014/06/pv-car… #PRFest19

“We are playing a team game, and they are still testing us as solo athletes.” Dr Jeff Drazen, editor of NEJM, on continuing certification & assessment in medicine. Thought provoking! KP Longitudinal Integrated Clerkship @ SF Kaiser Permanente Bernard J. Tyson School of Med KP Share (Retired) #MedEd MedEdGuru Tali Ziv UCSF-Kaiser Permanente LIC, East Bay

Justin Cook: Deliberate practice for vascular access and nerve blocks: extra-firm tofu is your friend. Take a tofu time-out. vimeo.com/159548726

Anyone using a COVID “protected code blue” model that incorporates a P100 respirator for the immediate first responder to start CPR/apply O2 by mask? Versus N95, for which many don’t pass fit testing, and PAPR donning which takes obviously longer . . .

Yes!

.Marc Berg peds defib pearls: regarding J/kg dose sequence: 2, 4, 4 or more! Europeans start at (and stay at) 4 J/kg. #PedsEMCCM16

Group simulation coming up at 2pm! Hoping to see some great CRM skills in action. #humanfactors #PedsEMCCM16

Make your team better. DEBRIEF with your team on your next shift, and commit to doing this weekly, minimum. #PedsEMCCM16 #humanfactors #CRM

“Talking is the medium.”—Walter Eppich. Effective communication = high functioning teams. Closed loop, clarity. #PedsEMCCM16

Don't miss our #AMTC16 Precon with Jeff Birrer and Michael Keller! Register today at goo.gl/MvEY5y

how to make & practice with an ultrasound model for IVs, lines, abscess youtube.com/watch?v=I-Wqu6…

Our course is only two months away! Register now at criticalpoints.net to learn, refresh, and play at the Rancho Bernardo Inn.

Breaking news! 2016 ACEP Ultrasound ACEP ultrasound guidelines just published bit.ly/2dcphlP #FOAMed

I just heard the raddest Gap Band/Grandmaster Flash mashup! Oh wait, it's the new Bruno Mars song

First Stranger Things, now 24k Magic. We have just reached peak 80s nostalgia, folks. Sell your Jovi concert T now

@bedsidesono Highland EM Joe Lex - All Bones Considered So true! Otis has the Ken of a poet.

Why Nate uses only cuffed tubes in peds intubations. #NateMick #CritPointsIES

2wk old has glucose of 30. Draw these labs (=orderset) BEFORE dextrose (unless seizing or coding); 11 cc required. #NateMick #CritPointsIES