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#30 Finding things
Take a look for a small vein on a little hand. Seek a subcutaneous sliver. Transilluminate with your LED pocket light or the otoscope light. No luck? Go to ultrasound.
Tape your tongue depressor to your penlight for a free hand to guide the head’s position.
Lift off shards of glass with a large adhesive membrane dressing. A hand-held vacuum cleaner has also been used to remove shards and sand from the patient and his stretcher wrappings.
A pocket-sized illuminated magnifying glass (2X-6X) is cheap and handy for looking at small lesions, splinters, drug tablet codes, sluggish pupils, and the infuriatingly small lettering on drug labels when one is over 40!
Drop something and can't find it? Get low on the floor with your flashlight and look for reflection, color, height irregularity, or long shadow in your beam.
Did your laryngoscope go dim? Your video laryngoscope lens is fouled? Is the airway soiled by vomitus, UGIB, or charcoal? Is it a dark hole down there? Consider a bright penlight or flashlight (LED) pressed against the anterior neck over the cricothyroid membrane to provide a chink of light for which to aim. http://bja.oxfordjournals.org/content/105/1/96.full.pdf+html
---Still not sure? Have someone give a sharp squeeze or compression to the chest which may make a visible bubble at the cords. Pass your bougie there and seek tactile confirmation of tracheal rings or “hold-up” of the bougie at 30-40 cm.Click to download the latest Collected Tips