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Today in the OR, the anesthesiologist shared with me his "Coffee Cup Rule" for ETCO2 obstruction
shared with me his "Coffee ... like a cup of coffee ... would slide off = clinically ... RickTumminello #Diagnosis
Caffeine Content (mg) for Popular Drinks

JOLT 
Energy Drink 
280 mg 

5 Hour 
Energy 
200 mg
mg Brewed Coffee ... Donuts Brewed Coffee ... Regular Brewed Coffee ... mg Instant Coffee ... Decaf Brewed Coffee
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
, hematemesis, coffee-ground ... #Differential #Diagnosis
Coffee Ground Emesis: Appearance of vomitus that occurs with acute upper intestinal bleeding.
Photo Credit: John Rossettie,
Coffee Ground Emesis ... UCSD Catalog of Clinical ... Images #Clinical
When choosing an endotracheal tube for children use the following formulas. For uncuffed tubes, take the
For cuffed tubes
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
wooden stick (coffee
Practice Guidelines for Preoperative Fasting

Infographic by Dr. Jesse Burk-Rafel
@jbrafel

> 8 hours - Heavy foods (fried/fatty) and
clear tea, black coffee
Predicting a Difficult Airway
Prior to attempting intubation one should assess the airway. 
3-3-2 rule indicates normal
alignment and can offer ... Preop #Anesthesia #Diagnosis
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
rib deformity offer ... Chest #XRay #cxr #clinical
Critical and Emergent Causes of Neuromuscular Weakness
CRITICAL DIAGNOSES 
 - Cerebral cortex or subcortical 
 -
Critical and Emergent ... Neuromuscular Weakness CRITICAL ... DIAGNOSES - ... Muscle EMERGENT DIAGNOSES ... Neurology #Causes #Diagnosis