Monday: Back to Basics Deep Dive: The Hand

•  Important Review for EM physicians
•  Link to Hand Physical Exam: 

Tuesday: An Alternative Abortive Therapy in Refractory Trigeminal Neuralgia Pain Crisis

• Trigeminal Neuralgia is severe pain in the distribution of the trigeminal nerve distribution
• Typical therapy is carbamazepine 200mg / day (upto 1200mg / day)
• Second Line is gabapentin or Lamotrigine. Baclofen as an add-on for refractory causes
• There are multiple cases reports for severe refractory exacerbations suggesting IV phenytoin or fosphenytoin for abortive therapy

Thursday: #emconf: Hand Injury Pearls

•  High pressure Injection injuries always require surgical consult & exploration
•  You can use a tourniquet for up to 2 Hours
• OK to use Lido with EPI in digits as long as no concern for vascular injury

Friday: A Tale of Baclofen Toxicity

•  Symptoms = Range of CNS depression to delirium to paradoxical seizures to coma
•  May have: fixed, dilated pupils, loss of brainstem reflexes
•  Symptoms can last up to 7 days, Avoid early declarations of brain death