Diphenhydramine for Local Anesthesia Say you have any one of the following three scenarios in a patient who requires local anesthesia for repairing a minor wound laceration in the emergency department: 1 – Documented allergy to “-caine” agents (now, before you grumble…the patient assures you that this is a true allergy; yes, the whole nine yards with full-blown anaphylaxis that occurred years ago with some “-caine”). 2 – Shortage of all forms of parenteral lidocaine [...]

Goog Guy Rocuronium. As if you needed another reason to like rocuronium. I'm certain many of you are aware of this neat trick but I just discovered it while restocking the RSI kit. Good guy rocuronium wants you to reduce medication errors by labeling your syringes! Take a look: on this particular manufacturer's vial the label has an arrow in the top right corner of the orange area. Until literally 5 minutes ago, I thought [...]