Podcasts Archives - Page 75 of 76 - The Emergency Medical Minute

Podcasts

Podcast #18: Lemierre’s Syndrome

Run Time: 3 minutes Author: Dr. Jared Scott Educational Pearls: A patient presented with tachycardia, hypoxia, shortness of breath, neck swelling, neck tenderness, and knee pain. Lemierre’s Syndrome is a thrombosis of internal jugular vein following a seemingly benign oral infection caused by Fusobacterium necrophorum. This thrombosis is a nidus for further infection across the body….

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Podcast #17: Sick Sinus Syndrome

Run Time: 4 minutes Author: Dr. Gretchen Hinson Educational Pearls: Sick Sinus Syndrome is a malfunction of the sinoatrial node causing any combination of bradycardic dysrhythmias, sinus arrests, and tachycardic dysrhythmias. Symptoms include dyspnea on exertion, palpitations, fatigue, and/or chest pain. On a cardiac monitor, patients can be bradycardic and immediately after tachycardic as a common…

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Podcast #16: Medications for AFib

Run Time: 2 minutes Author: Dr. Christopher Holmes Educational Pearls: Rate control with beta blockers or calcium channel blockers; with a slightly increased efficacy using calcium channel blockers. It is not contraindicated to give both if the first medication tried does not work. Magnesium has been shown to supplement the beta blockers and calcium channel blockers…

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Podcast #15: Ketamine!

Run Time: 4 minutes Author: Dr. Michael Hunt Educational Pearls: Ketamine is a dissociative anesthetic that can be used for sedation, anesthesia, or to calm down agitated patients. Can be given IV at 1-2 mg per kilo or IM at 4-5 mg per kilo every ten minutes and will last anywhere from five to thirty minutes…

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Podcast #14: Wound Care Myths

Run Time: 3 minutes Author: Dr. Christopher Holmes Educational Pearls: Betadine and hydrogen peroxide are toxic to the cells that are attempting to help heal the wound. Pouring these on wounds can paradoxically increase infection risk! DON’T DO IT. A Cochran review was done recently that compared saline, boiled-steralized water, and potable tap water. It was…

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Podcast #13: Bougie

Run Time: 3 minutes Author: Dr. Aaron Lessen Educational Pearls: The “bougie” or “endotracheal tube introducer” is a low tech adjunct for difficult airway management. The bougie is a flexible stylet that can be used almost blindly when the vocal cords cannot be visualized. The stylet has a Coude tip at the end, which allows you…

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Podcast #12: TXA in the ED

Run Time: 3 minutes Author: Dr. Nicholas Hatch Educational Pearls: TXA is short for tranexamic acid. Most often use in the ED is with severe bleeding or problematic bleeding associated with trauma. Crash II trial determined the benefit of TXA is only applicable for about three hours after a trauma. Typical dosing is 1 gram in…

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Podcast #11: Exotic Urticaria

Run Time: 5 minutes Author: Dr. Jared Scott Educational Pearls: Urticaria means “burning nettles” in Latin. Lymph nodes release immunoglobulin IgE and IgG, which trigger mast cells located all over the body to release histamines. Along with the well-known acute urticaria, there are chronic types of urticaria, which last longer than six weeks. There are…

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Podcast #10: Thyroid Storm & The Thyroid Don’t Get No Respect

Run Time: 11 minutes Author: Dr. Donald Stader Educational Pearls: Thyroid literally means shield and is important for growth and cortisol/adrenaline modulation. Hyperthyroidism puts the body in a hypercatabolic state causes agitation, fine tremors, tachycardia and Atrial Fibrillation. Iodine – like the kind given for a contrast CT scan – has been associated with precipitating…

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Podcast #9: Patient Satisfaction

  Run Time: 7 minutes Author: Dr. John Winkler Educational Pearls: 429 studies show that patient satisfaction has a positive association with the patients’ improvement after their hospital visit. 127 studies that show no change and only 1 study that has a negative association. Good communication and good rapport with the patient and the patient’s family…

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