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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
 

Tricks of the Trade: Finding the wandering contact lens

Posted Jan 05 2011 12:00am

Contact lens wearers are familiar with the phenomenon of the wandering lens. What should you do if you can't visualize the contact lens of a patient, who presents with a "lost contact lens" in the eye? You have the patient look in all directions and you evert the eyelid, but still no contact lens can be found. The patient swears that it's there because of the painful foreign-body sensation.




Trick of the Trade: Fluorescein dye
This trick was written by Dr. Ciro Paolillo from the Italian EM website MedEmIt by Dr. Gemma Morabito et al. No, I don't read Italian but my browser, Google Chrome can! The browser automatically recognizes that the text is not in English and asks me if I want it translated. While the translation isn't perfect, I can definitely understand the gist. The following is a summary.

Apply a drop of fluorescein dye in the eye. The contact lens will absorb the dye and appear yellow. This serves as a reminder that you should check to be sure that patients have removed their contact lens before instilling fluorescein. It permanently stains the lens.




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