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Patient Education Anorectal Disease Hemorrhoids GERD Gallbladder Disease Appendicitis Before Surgery ICU Anal Fissure Pruritis Ani Stomach Ulcers Pancreatitis Colorectal Disease Wound Care Disclaimer This website is provided for educational and informational purposes only and although every effort has been made to present accurate information, this is not a substitute for professional advice. Always seek guidance from a qualified healthcare provider or physician for inquiries regarding medical conditions, treatments, or before embarking on any new healthcare regimen. Never disregard professional medical advice or delay in seeking it due to information found here. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. No physician-patient relationship is created by use of this website. This website is based on my interpretation of medical literature and best clinical practices. It is my attempt to compile the information I share with my patients. This information does not replace the clinical expertise of a physician. Every effort has been made to ensure the accuracy and validity of the information, yet there remains a possibility of inaccuracies or unintended errors in this information presented here. The practice of medicine relies on using the best available evidence, but clinical scenarios often lack clear-cut answers. Every clinical situation is unique, and no single solution applies universally. Clinical guidelines attempt to provide recommendations that apply in most situations, but that are not one-size-fits-all solutions and they do not replace clinical judgment. The infinite variety of patient, disease, and environmental factors influencing clinical decision-making cannot be fully accounted for in medical literature. Therefore, any variance in the approach of physicians from what is presented here does not necessarily signify an error on their part.

Tutorials Vent Mgmt #1: Basics Vent Mgmt #3: Pressures Vent Mgmt #5: Weaning Ultrasound: Trauma E-FAST Ultrasound: Cardiac Exam Cardiac Physiology ICU Rounding: How I Do It Bowel Anastomosis Pack the Guts Vent Mgmt #2: Modes Vent Mgmt #4: All Together Ultrasound: Just The Basics Ultrasound: Thoracic Exam Ultrasound: Misc Interpreting Chest X-Rays Nasogastric Tubes Pre-Peritoneal Packing

Non-Medical Musings of a Surgeon I have no special talents. I am only passionately curious. -Albert Einstein Item Title Read More Item Title Read More Item Title Read More

Lectures and References Trauma Lectures General Surgery Lectures Critical Care References Critical Care Lectures Trauma References Note Templates

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Medical Editorials Why Don't They Believe Us? [Editorial inspired by @kari_jerge] Read More Kelly Snap Mosquito Give me that thing that does the thing… Read More Austere Damage Control Surgery Caring for soldiers in the deployed environment Read More Don't Call me Anesthesia A response to the Tweet about being offended by being referred to as anesthesia Read More Consults How to play nice in the sand box...and why it matters Read More I could never do your job The emotional stress and challenges of ACS Read More Are you sure? The Challenges of Being A Female (Acute Care) Surgeon Read More It's a Small World And You Really Should be Nice to People Read More Comfortably Numb Maintaining our humanity in the clinical environment Read More Goals of Care The person you know her as isn’t there anymore Read More Heartless with a God Complex Stereotype of a Surgeon Read More Code Blue: Who's in Charge? Advanced Practice Nurses to begin coming to Code Blues and supervising residents Read More Peer Support Learning how to live with an ostomy Read More Radiologic Dyslexia 1st day in radiology: your right is your left, your left is your right Read More Accessing the Right Information Confessions of an ICU Physician with a terrible memory Read More Tackling the expertise bias Overcoming barriers while teaching and being humble as a consultant Read More Blood Shortage Life and Death Decisions in a Resource-Constrained Environment Read More Giving Bad News 6 Tips to Be More Comfortable with Uncomfortable Conversations Read More How Do I Do It? Practical Tips on Having a Difficult Discussion Read More Who's my doctor? Resolving Patient Concerns Read More End of Life Issues Brain Death and Organ Donation Read More Speaking Greek What language are we speaking? Read More Giving Bad News, #2 Difficult Discussions Read More

How to Adult Technology #1 Websites to Bookmark Technology #3 Video Tutorials Organizational Hacks How not to lose everything Kitchen Hacks #2 Measuring Cups and Spoons Kitchen Hacks #4 Favorite Websites and Apps Starting a Business Tips and Tricks from a Novice Technology #2 Mac, Microsoft and PDFs My Favorite Things Gadgets and Tools Kitchen Hacks #1 Meal Prep: Eating with Intention Kitchen Hacks #3 Common Measurement Conversions Kitchen Hacks #5 Ratios

Recipes Chicken Enchiladas in Sour Cream Sauce Sausage Tortellini and Brussels Sprouts Thai Chicken Enchiladas Chunky Tomato Bisque Shakshuka- A North African Dish

Clinical Vignettes Gunshot Wound to the Leg Trauma Guts on the Floor and Exposed Spine Trauma Blast- Multiple Penetrating Injuries Trauma Machete Attack- Neck Trauma Trauma Free Fluid in the Abdomen Trauma Chronic Upper Abdominal Pain EGS Just Cellulitis...or something worse.... EGS Abdominal Pain- Renal Disease ICU Delirium...what's going on? ICU Respiratory Failure- it hurts to breathe ICU Thoracoabdominal Wound Trauma Stabbed in the Right Thigh Trauma Shot in the Chest- Aortic Occlusion Trauma Mangled Extremity- Keep or Cut? Trauma Abdominal Pain- Mesenteric Ischemia EGS Unusual Case of Peritonitis EGS Don't mess with the Pancreas EGS Postoperative hypotension ICU Intracranial Hypertension ICU

Adventures Snowboarding Gear and Resources Dogs #1 Supplies- Food, Water and Grooming Dogs #3 Supplies- Miscellaneous National Parks Yellowstone and Grand Tetons Dogs #2 Supplies- Adventures Dogs #4 Helpful Resources

5 < Back Critical Care Resources Society Guidelines CHEST Guidelines. Topics addressed include: Acute Respiratory Distress Syndrome (ARDS), venous thromboembolism (VTE), and liberation from mechanical ventilation. Antithrombotic Therapy for VTE Disease: Executive Summary (2021) SCCM Guidelines. Topics addressed include: Surviving Sepsis, management of pain/ agitation/ delirium, nutrition, critical-illness-related corticosteroid insufficiency, etc. Infectious Disease Society of America. Critical Care Nutrition. Nutrition guidelines and bedside tools (i.e., Nutric score). European Society for Clinical Nutrition and Metabolism (ESPEN). References ICU One Pager. "Critical care education one page at a time. Simple, free, & open source." High-yield clinical topics condensed into single-page reference cards. Other topics addressed in more detail include point of care ultrasound (POCUS) and COVID. The Bottom Line. High-yield journal article summaries focused on the diagnosis and management of critically ill patients. Critical Care Reviews Newsletter. Weekly update on the most up-to-date literature. Register to receive the email weekly. Life in the Fast Lane [LIFTL]. ICU providers provide educational resources for EM and critical care, including EKG interpretation and the Critical Care Compendium. REBEL EM. Journal reviews, tutorials, and other educational tools. Focus is emergency medicine, but plenty of cross-over with critical care. Stanford Critical Care Educational Resources. Free education resources hosted by Stanford Medical School. University of Maryland- Critical Care Project. Critical Care Now. Deranged Physiology. Antibiotic Coverage Diagram [image] EM-Crit Project. Parent website of the Internet Book of Critical Care and PulmCrit. The Internet Book of Critical Care (IBCC) PulmCrit - blog entries on practical ICU topics. Venous thromboembolism and anticoagulation management Anticoagulation Provider Toolkit Anticoagulation Desktop Reference Anticoagulation in Non-valvular Atrial Fibrillation Anticoagulation in Venous Thromboembolism DOAC Bleeding Management Anticoagulation in Pediatric Venous Thromboembolism Periprocedural Management (DOAC) Periprocedural Management (Warfarin) Cardio Nerds Infographics A Guide to Temporary Mechanical Circulatory Support in Cardiogenic Shock Inotropes Pulmonary Embolism Management Anticoagulation for Atrial Fibrillation/Flutter Push-dose vasopressors Push Dose Pressors: Your Quick & Dirty Guide emDOCs: Push-Dose Vasopressors: An Update for 2019 Scott Weingart: Push-dose pressors for immediate blood pressure control Tutorials Edwards Science Clinical Education. Free access to clinical resources including quick references for hemodynamic monitoring and oxygenation assessment of the critically ill. Quick Guide to Cardiopulmonary Care. Hemodynamic Optimization. Perioperative Goal-Directed Therapy. ScVO2 Monitoring. Thromboelastography. Diagrams of TEG and ROTEM, explanation of methods and variables. Previous Next