Run Time: 4 minutes Author: Dr. Samuel Killian Educational Pearls: Greater than 1 million visits per year in American for kidney stones. 12% men and 6% women will have kidney stone at some point during their lifetime. Most studies that discredited Flomax were not properly organized – there was no placebo, the study was not…
Read MoreRun Time: 9 minutes Author: Dr. Donald Stader Educational Pearls: Patients with variceal bleeding are sick at baseline, and come from a very sick patient population with a higher mortality rate. Varices occur in a patient with cirrhosis when blood goes through other pathways to get back to the heart – rather than going through…
Read MoreRun Time: 2 minutes Author: Dr. John Winkler Educational Pearls: Camphor from Vicks Vapor rub and Tigerbalm has a very low toxic level and can cause lethargy, altered mental status, and seizures – very dangerous for children. Oil of Wintergreen contains Salicylates – basically aspirin – which only takes 1 teaspoon to be deadly for…
Read MoreRun Time: 3 minutes Author: Dr. Mark Kozlowski Educational Pearls: There are 700,000 transgender people in US – 20-30% avoid coming to the ER because they feel uncomfortable in the ER and 25-30% are victims of some kind of abuse. It is important to refer to a transgender person by their preferred identity to improve…
Read MoreRun Time: 7 minutes Author: Dr. Donald Stader Educational Pearls: Stevens-Johnson Syndrome (SJS) was first described in 1922 by pediatricians Dr. Stevens and Dr. Johnson after severe rash and skin peeling in one of their patients. SJS is described on a scale of <10% of body affected is Steve-Johnson Syndrome, 10%-30% is called Steven-Johnson/TENS, and…
Read MoreRun Time: 3 minutes Author: Dr. Aaron Lessen Educational Pearls: New guidelines about treating small clots in the leg and lungs published by the American Academy of Chest Physicians. In a patient with a DVT in the calf, without cancer or long term immobility concerns, there is a 15% chance of the clot moving up…
Read MoreRun Time: 2 minutes Author: Dr. Christopher Holmes Educational Pearls: Old Sepsis criteria included 2 SIRS criteria – Temperature > 100.4°F, Heart Rate >90 bpm, Respiratory Rate >20, and White Blood Cell count > 12,000 mm3 – and a suspected source of infection. New Method involves SOFA – Sequencial Organ Failure Assessment scale – which…
Read MoreRun Time: 4 minutes Author: Dr. Donald Stader Educational Pearls: Priapism originates from the Greek god of fertility, Priapus. Causes of Priapsim include: chemically induced – Viagra, Cialis, spinal injury, low flow state, and Leukemia. Treatment of priapism Phenylephrine, Tributyltin, Epinephrine – can cause penile necrosis, and drainage and irrigation from the corpus callosum of…
Read MoreRun Time: 1 minute Author: Dr. John Winkler Educational Pearls: REBOA stands for Resuscitative Endovascular Balloon Occlusion of the Aorta. The balloon is often placed via femoral artery and placed in the aorta at the level of the heart to increase perfusion to the brain in trauma. Significantly less invasive than a thoracotomy and has less…
Read MorePodcast #19: Pediatric Procedures Run Time: 2 minutes Educational Pearls: “Superman” the patient by placing their hands in a pillow case and wrap them in a sheet to help combative kiddos. Have the parents pull up a phone or tablet to distract the kids as well. Utilizing a well-sized cervical collar can help when repairing…
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