For any of you big Pharm conspiracy theorists

I think I’ve shown this to a few of you, but this is an interesting article  Droperidol Article

Kind of amazing how some extremely dubious data can affect clinical practice for years, and take a great medicine out of our hands.

Also, do you think these QT concerns that we are now hearing about with Zofran have anything to do with the fact that its now waaaay cheaper than it used to be?   No one seemed worried when it was raking in the cash.

droperidol comment

Droperidol Black Box

droperidol or olanz

droperidol safety

droperidol – midaz

Expert central lines

Fall: it’s that time of year when the PGY-1s start holding down the MICU.

If your MICU experience is like mine, you’ll get a few texts on the overnight from the medicine PGY-3s asking for help placing central lines. I’d put in a couple subclavians in the OR as a medical student and the venerable (legendary) Jason Mann had shown me some tricks, but I was definitely nervous being the go-to person.

Found these great videos for EM docs on central line placement. Most of the videos I’d seen before were showing you how to identify landmarks and such – these are a level beyond that and offer some great information and tricks for more expert line placement. Worth watching about once a year through residency.

Here’s part 1. Just search for parts 2-5 if it’s helpful.