*To remove embedded tick mandibles after the rest of the tick has been removed, use an 18 gauge needle in a scooping motion and they will easily come out. (T.Y.)
*In a patient with suspected subclavian thrombosis: With patient's hand in dependent position, most patients will have distended veins. Have the patient raise the hand above the level of the heart and the distended veins should collapse. If not, this raises suspicion for an upper extremity/subclavian DVT (B.P.)
*Carotid dissection: causes stroke/TIA symptoms in younger patients (causes 25% of strokes in this population!) Exam findings may include facial or neck pain/tenderness, ipsilateral Horner's syndrome, monocular blindness. CTA is test of choice for diagnosis. (A.Y.)
* Emedhome.com is a good website for emergency physicians, to subscribe is $99/year. (M.K.)
*A monoclonal antibody to reverse Pradaxa in major bleeds (Praxibind) is coming to Porter! It is specific only to Pradaxa. It's not cheap. (T.Y.)
Feel free to submit any other pearls of wisdom that you'd like to share.
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