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….
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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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