Fraud Blocker

Prevention is Key

preventative medicine

As health care providers we wear many different hats, we have such an awesome responsibility of caring for our patients. A few of our responsibilities include diagnosing, treating, educating, encouraging and the list goes on. One of my favorite roles in caring for patients is focusing on the prevention of disease. I think as providers …

Read more

Examination Pearls

medical examination tips

Medical Assessment Tips In school and clinicals we all learn how to take a thorough history and perform a physical assessment. Collecting this information is the foundation for our diagnosis and plan of care for our patients. As we get into practice we continue to develop and fine tune our history taking and physical assessment …

Read more

How to Manage a Knocked-Out Tooth

Bunnany Pekar, PhD, CRNA, AGACNP Have you ever had your tooth knocked out?   If you answered yes, you are not alone and probably know what to do.  But if you have not, you will be someone’s hero in knowing how to manage a knocked out tooth.   Chances are high if you work in an urgent …

Read more

Non-traumatic Foreign Bodies of the HEENT and Esophagus

Non-traumatic Foreign Bodies of the HEENT and Esophagus

People often present to an emergency room, or urgent care setting with a foreign body lodged in an orifice. When the patient presents they will have a sense of urgency, and feel that it needs to “come out now”. This may or may not be the case. In order of most to least common, non-traumatic foreign bodies can become lodged in the throat, ears, nose, vagina, rectum and urethra.  Patients may be adult or pediatric. Kids will often stick beads or buttons in their ears or nose, and will swallow just about anything. Adults may have an insect in their ear, esophageal food impaction, or engage in foreign body insertions during sexual practices. In this blog we will talk about HEENT/Esophageal foreign bodies.

Read more

Ventilator Management

Ventilator Management

Melissa Cody, APRN

The Police, an 80’s English rock band, had it right in there song ‘Every Breath You Take’ when they said:

  • Every breath you take
  • Every move you make
  • Every bond you break
  • Every step you take
  • I’ll be watching you

Read more

Fluid Administration

FLUID-ADMINISTRATION

Bunnany Pekar, PhD, CRNA, AGACNP

Utilizing the 4 D’s to exercise fluid stewardship

“Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy.” -Paracelsus, date unknown

For patients in septic shock or those that are dehydrated, administration of fluid is top priority to restore adequate intravascular volume, increasing cardiac output, augment oxygen delivery, and improving tissue oxygenation.   

Read more