Medical Training Blog | Provider Practice Essentials

Examination Pearls

September 21, 2025November 18, 2019 by Rob Beatty, MD FACEP

Medical Assessment Tips In school and clinicals we all learn how to take a thorough history and perform a physical assessment. Collecting this information is the foundation for our diagnosis and plan of care for our patients. As we get into practice we continue to develop and fine tune our history taking and physical assessment …

How to Manage a Knocked-Out Tooth

September 21, 2025October 17, 2019 by Rob Beatty, MD FACEP

Bunnany Pekar, PhD, CRNA, AGACNP Have you ever had your tooth knocked out? If you answered yes, you are not alone and probably know what to do. But if you have not, you will be someone’s hero in knowing how to manage a knocked out tooth. Chances are high if you work in an urgent …

Non-traumatic Foreign Bodies of the HEENT and Esophagus

November 14, 2019October 3, 2019 by Rory Hession, MD

People often present to an emergency room, or urgent care setting with a foreign body lodged in an orifice. When the patient presents they will have a sense of urgency, and feel that it needs to “come out now”. This may or may not be the case. In order of most to least common, non-traumatic foreign bodies can become lodged in the throat, ears, nose, vagina, rectum and urethra. Patients may be adult or pediatric. Kids will often stick beads or buttons in their ears or nose, and will swallow just about anything. Adults may have an insect in their ear, esophageal food impaction, or engage in foreign body insertions during sexual practices. In this blog we will talk about HEENT/Esophageal foreign bodies.

Ventilator Management

September 21, 2025September 18, 2019 by Rob Beatty, MD FACEP

Melissa Cody, APRN

The Police, an 80’s English rock band, had it right in there song ‘Every Breath You Take’ when they said:

Every breath you take
Every move you make
Every bond you break
Every step you take
I’ll be watching you

Fluid Administration

September 21, 2025September 6, 2019 by Rob Beatty, MD FACEP

Bunnany Pekar, PhD, CRNA, AGACNP

Utilizing the 4 D’s to exercise fluid stewardship

“Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy.” -Paracelsus, date unknown

For patients in septic shock or those that are dehydrated, administration of fluid is top priority to restore adequate intravascular volume, increasing cardiac output, augment oxygen delivery, and improving tissue oxygenation.

Primary Care: Should we throw away the clonidine?

September 30, 2019August 2, 2019 by Rachel Beatty, APRN, FNP-C, ACGN-BC

Rachel Beatty, ARNP

Typical Scenario

Let’s discuss a common scenario. You have a 50 year old male who has not been seen by a PCP in two years. His past medical history includes arthritis and hypertension. He does not smoke and has an occasional beer on the weekend. He has been off his medications for his hypertension for over a year. His BP in office is 182/110, HR 70, Temp 97.6, Respirations 16, 02 saturation 98%. His physical exam is unremarkable and he is asymptomatic. Your medical assistant asks you if you would like her to give him clonidine and do an EKG. She then asks if we will be sending him to the emergency room. The patient is now anxious and is wondering if he is going to have a stroke. What would you do?