Retention of Simulation-Based Training for Emergency Procedures

Simulation-Based Training
Joseph Esherick, M.D., FAAFP, FHM
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Critical emergency skills are an important tool in a healthcare provider’s arsenal. They must be able to safely perform emergency procedures to save lives when faced with a critical situation.  However, once they finish their studies and training, many physicians…
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Point-of-Care Ultrasound in the Emergency Department

Point-of-Care Ultrasound in the Emergency Department
Joseph Esherick, M.D., FAAFP, FHM
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Ultrasound technology has revolutionized the medical industry and provided physicians with the ability to visualize internal tissue and organs in real time. Advancements and changing trends in medical technology have also seen smaller and more affordable ultrasound machines cropping up…
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Ultrasound-Guided Paracentesis

Ultrasound-Guided Paracentesis
Joseph Esherick, M.D., FAAFP, FHM
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Ultrasound-guided paracentesis is a common hospital procedure that medical professionals perform to drain ascites in patients with advanced cirrhosis. It has a low bleeding risk and is used for diagnostic or therapeutic purposes. Although paracentesis is generally a safe procedure,…
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What Is Awake Videolaryngoscopy?

Awake Videolaryngoscopy
Joseph Esherick, M.D., FAAFP, FHM
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Videolaryngoscopy has quickly become a popular method for airway management because it provides better visuals of the glottis. Failed intubations have decreased since more clinicians have begun to rely on videolaryngoscopy and the greater visibility it provides.  Awake videolaryngoscopy is…
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Intraosseous Lines: Decreased ROSC Rates and Survival Compared to Peripheral IV Access

Intraosseous Lines
Joseph Esherick, M.D., FAAFP, FHM
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Intraosseous lines are commonly associated with decreased return of spontaneous circulation or ROSC rates compared to peripheral IV access. Intraosseous lines have also been linked to decreased survival after out-of-hospital and in-hospital cases of cardiac arrest in comparison to IV…
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Pigtail Catheters vs Large-Bore Chest Tubes for Traumatic Hemothorax

Pigtail Catheters
Joseph Esherick, M.D., FAAFP, FHM
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Traditionally, traumatic hemothorax treatment called for the insertion of a 36-French (36F) to 40F large-bore chest tube (CT). In this article, we’ll delve into a study that shows how 14F percutaneous catheters (P-CATs or PCs) or pigtail catheters have equal…
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Peripheral Administration of Vasopressors and Their Safety

Joseph Esherick, M.D., FAAFP, FHM
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While vasopressors are typically administered through a central venous catheter (CVC), peripheral intravenous (PIV) administration is becoming more common in clinical practice. The safety of this administration method is now well-established and is a good alternative to CVC placement for…
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Early Paracentesis in Patients Admitted With Cirrhotic Ascites

Joseph Esherick, M.D., FAAFP, FHM
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Cirrhosis refers to a chronic liver disease that causes the liver’s normal architecture to change. It leads to scarring, the formation of fibrous tissue, and fluid (ascites) in the abdomen. Some cases may require invasive hospital procedures. Ascites is cirrhosis’…
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Central Line or PICC Line Placement in Patients With CKD

central-line-placement
Joseph Esherick, M.D., FAAFP, FHM
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A peripherally inserted central catheter (PICC) line refers to a type of central line that is used for long-term vascular access in patients with chronic kidney disease (CKD). However, the American Board of Internal Medicine’s (ABIM) Choosing Wisely campaign recommends…
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