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Michelle Lin's Twitter Updates

@precordialthump I totally forgot about the EKG library! Awesome stuff. Keep up the great work (when do you sleep?!) 258 days ago
@emeducation Perfect, thanks for the suggestions! Turns out one is co-authored by Jeff Tabas. He already gave them all books. 258 days ago
Recommendations for an EKG resource to review bread & butter cases for senior residents? Pre-graduation panic setting in for our residents. 258 days ago
@danipedia Good point. I use the studies to convince the trauma consults NOT to get c-spine imaging on EVERYONE (citing distracting injury)! 263 days ago
@doctorflash Hi there. Just wanted to drop a note to thank you for all the extra traffic you're sending to blog. Much appreciated!! 273 days ago
 

Trick of the Trade: Minimizing abscess odor

Posted Mar 10 2010 12:00am

Building on my theme of combating odors in the Emergency Department (see Toxic Sock Syndrome ), foul-smelling pus from large abscesses has got to be one of the most nauseating smells in the ED for me.



How can you minimize such odors?
  • Prepare a Yankauer wall suction set up.
  • Start by making only a small initial incision in the abscess, such that you can fit the Yankauer tip in the opening.
  • Suction out as much of the pus into the closed suction canister as possible.
  • Widen the incision and continue suctioning out the pus, as needed.
Basically you are moving the smell from one closed system (the abscess) into another closed system (wall canister).

What tricks do you have to minimize odors when performing I+Ds of abscesses?
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