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EM Clerkship

Deep Dive MW R9

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Education, Science, Life Sciences, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 16 May 2023

⏱️ 15 minutes

🧾️ Download transcript

Summary

Indications for LP: CNS infection, SAH, Guillian Barree, IIH Contraindications for LP: Space occupying lesion with mass effect ; severe thrombocytopenia and coagulopathy; cellulitis over LP site or concern for epidural abscess ; traumatic injury to spine Complications for LP: Post LP Headache, spinal hematoma, brainstem herniation Technique for LP: Positioning is everything.  Use US […]

Transcript

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0:00.0

Hello, students. My name is Mike Estefan and I thank you for joining me today for this month's

0:07.0

deep dive episode on the EM Clerkship podcast. On this month's episode, we are going to be talking about

0:14.8

everything that is lumbar punctures. We will discuss the indications, the contraindications, and the complications of the procedure.

0:23.4

Then I will share a few of my personal keys to success when performing the procedure,

0:28.6

and finally, we will end by answering the age-old question, that is, when to CT before LP.

0:37.2

But before we begin, just a quick word from our sponsors at Pearson Rabbit's insurance.

0:43.2

Pearson Rabbit is my own personal disability insurance broker.

0:47.9

Stephanie Pearson at Pearson Rabbit's is a former practicing OBGYN who unfortunately suffered a career-ending injury while delivering

0:56.2

a baby from one of her patients. As she could no longer practice medicine, she sought recourse

1:02.2

through her disability insurance policy, but ran into a complex legal battle due to the wording

1:08.5

of her disability insurance policy.

1:11.2

She started Pearson Rabbits with the goal of preventing other health care providers from having

1:15.7

to go through the same battles with insurance companies as she had to.

1:20.2

The key for preventing this from happening is to obtain own occupation disability insurance,

1:26.3

which is precisely what Pearson Ravits specializes in.

1:29.8

Schedule a consultation appointment with Pearson Ravits today at www.personRavits.com, and be sure

1:37.1

to mention EM clerkship when you do. Now, back to our episode. So let's talk about

1:44.1

lumbar punctures. This is one of my favorite

1:47.1

procedures in emergency medicine. In my opinion, the satisfaction of the CSF dripping out of the

1:53.2

spinal needle into those little clear plastic tubes is rivaled only by a couple other procedures

1:58.9

in our specialty. So to begin, let's start by talking about the indications for lumbar punctures.

2:04.0

Now, to lead this section off, I want to share a quote from one of my attendings in residency

...

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