Medical Minute

Podcast 522: e-Cigarette and Vaping Related Lung Injury  

Contributor: John Winkler, MD Educational Pearls: Vaping-related lung injury initially presents with flu-like symptoms and can progress to respiratory failure requiring aggressive resuscitation including ECMO It is thought to be related to the contents of homemade vaping fluid, mostly in THC-containing products (“brands” include DankVapes, PaxPen) Ask patients with vague constitutional or respiratory symptoms about…

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Podcast 522: e-Cigarette and Vaping Related Lung Injury  

Podcast 521: Traumatic Hyphema 

Author: Jared Scott, MD Educational Pearls: A hyphema is blood in the anterior chamber of the eye, typically caused by trauma While there is a spectrum of disease, blurred vision and eye pain are common presenting complaints after direct trauma to the eye Hyphema are graded between Grade 1 and Grade 5, depending on the…

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Podcast 521: Traumatic Hyphema 

Podcast 520:  Approach to the arresting patient

Contributor: Peter Bakes, MD Educational Pearls: Peri-arrest patients present a particular challenge to ED providers, as the differential is broad and time is critical  The differential for near cardiac arrest includes the “H’s and T’s”, just as in true cardiac arrest  The 6 H’s include: hypoxia, hypo/hyperkalemia, hypovolemia (including shock states), hydrogen (acidosis), hypothermia  The…

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Podcast 520:  Approach to the arresting patient

Podcast 519: Malaria Drug Resistance 

Contributor: John Winkler Educational Pearls: There is increasing resistance to antimalarial drugs, especially in P. falciparum. This trend started with chloroquine, but is now spreading to the other first-line drugs.  Resistant strains have been identified in Cambodia and Thailand 220 million people were infected last year The best treatment of malaria is prevention from bites…

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Podcast 519: Malaria Drug Resistance 

Podcast 518: Professional Complications

Contributor: Jared Scott, MD Educational Pearls In a 4 yr period at 2 hospital systems, unprofessional behavior of surgeons was monitored via a complaint system. Number of complaints was compared with surgical complications.  In 13000 patients over this period, the number of surgical complications was found to vary with the number of complaints. Surgeons with …

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Podcast 518: Professional Complications

Podcast 517: It’s all about the PEEP 

Contributor: Dylan Luyten, MD Educational Pearls: Bag-valve masks (BVM) typically  have a port to connect O2 to. Unfortunately room air becomes entrained in the mask, reducing the FiO2 delivered to the patient. This can be overcome by using a PEEP (positive end-expiratory pressure) valve on the BVM  PEEP valves function by keeping alveoli open in…

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Podcast 517: It’s all about the PEEP 

Podcast 516: Narcan and Pulmonary Edema

Contributor: Erik Verzemnieks, MD Educational Pearls: Important to realize complications can occur in the post-opioid overdose patient regardless of cause Narcan administration has been associated with non-cardiogenic pulmonary edema, although the mechanism of this is not quite known Symptoms include progressive shortness of breath and hypoxia.  Treatment is with positive-pressure ventilation and diuresis, similar to…

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Podcast 516: Narcan and Pulmonary Edema

Podcast 515: Non-Accidental Trauma 

Contributor: Jared Scott, MD Educational Pearls: Non-accidental trauma (NAT) to children is commonly missed by medical providers Try to remember TEN-4-FACES as a useful aide for concerning patterns that may reflect NAT: Torso, ears, neck and any bruising in child 4 months or longer Frenulum, angle of the mandible, cheek, eyes, sclera References Pierce MC,…

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Podcast 515: Non-Accidental Trauma 

Podcast 514: Pain Control While on Naltrexone 

Author: Don Stader, MD Educational Pearls: Suboxone, methadone, and naltrexone are commonly used as treatments for opiate use disorder.  Naltrexone is a full mu-opiate receptor antagonist, making acute pain control difficult in patients taking it.  Options for pain control in patients on naltrexone include nerve blocks, NSAIDS, ketamine, and high doses of opiates.  Of the…

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Podcast 514: Pain Control While on Naltrexone 

Podcast 513: Plague

Author: John Winkler, MD Educational Pearls: The plague (black death) is caused by the Yersinia Pestis bacteria. This bacteria is spread by fleas and carried by rats. It is very contagious and only needs ~ 100 bacteria to cause an infection.  The pulmonary form presents with cough, fever, night sweats, hemoptysis and has a near…

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Podcast 513: Plague

 

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