The story of my first complicated CVL.

Needle Decompression. It was drilled into you in school over and over. Anytime the topic of pneumothorax came up needle decompression was mentioned. Don't wait for the CXR if you suspect tension. Go 2nd intercostal space midclavicular line - or should we go elsewhere?

In the past, advanced macrolide monotherapy (azithromycin and clarithromycin) was recommended for outpatient treatment of CAP and COPD AE with acute bronchitis. I'm starting to question if this is consistent with best practice recommendations.

How many of you have been signed out the following?

"He's just on low dose Neo…" 

"He's got his Levo running through a midline"

"I was hoping to wean off his pressors to avoid placing a central line but we just had to go up…sorry!" 

"I wish I were better at ultrasound." 

"I'm not as good at ultrasound as people on my team."

"I keep meaning to practice scanning on shift, but there are so many other things I could be doing."

Thanks for participating! Here you can find our consensus from our discussion during our first virtual podcast club.

No wait! Keep reading — promise this isn’t another hand hygiene campaign (though for the record, we fully support that type of foam as well)