Run Time: 3 minutes Author: Dr. Jared Scott Educational Pearls: The area postrema controls vomiting – not protected by blood-brain barrier – gets input from several types of receptors, the vagus nerve, serotonin input from gastric mucosa, and cranial nerve #8. Physiologic steps: Increased salivation, Involuntary deep breath to avoid aspiration, retro-peristalsis of the upper…
Read MoreRun Time: 5 minutes Author: Dr. Donald Stader Educational Pearls: Can be inhaled for relief from nausea – works for approximately 50% of people within 10 minutes. Administered by cupping the swab in the hands and inhaling through the nose and exhaling out of the mouth. Works through a process known as olfactory distraction, but it…
Read MoreRun Time: 3 minutes Author: Dr. Christopher Holmes Educational Pearls: Shot with musket to upper abdomen in 1822 on Mackinac Island – survived standard of care of blood letting and cathartics – was left with a fistula from his stomach to his abdominal wall. Alexis St. Martin was illiterate and signed a contract with Dr. William…
Read MoreRun Time: 4 minutes Author: Dr. Jared Scott Educational Pearls: Semi-synthetic methadone used for chronic pain and nausea treatment. Partial agonist to opioid receptors, which decreases respiratory depression – theoretically decreases likelihood of respiratory arrest in a patient who overdoses. Patients on Buprenorphine chronically need Sufentanil for surgery – 10 times more potent than Fentanyl…
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Run Time: 3 minutes Author: Dr. Christopher Holmes Educational Pearls: 2 Billion Dollars is spent on Diverticulitis a year Typically has been treated with antibiotics Large studies in Sweden / Netherlands – treated patients in the hospital with either Antibiotics or normal saline. They had the same resolution rate! Suggests antibiotics are of little utility. Old…
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Comments? Have an idea for a new medical minute? Contact Us @ emergencymedicalminute@gmail.com Don’t just be educated – be well! Check out the UBC’s Wellness Newsletter at: https://slate.adobe.com/cp/aXzro/ ______________________________________________________ Observe, record, tabulate, communicate. Use your five senses. Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone you…
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