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Emergency Medical Minute

 

Oct 7, 2024

Contributor: Megan Hurley, MD

Educational Pearls:

Fevers

  • Tylenol

  • Up until 20 weeks NSAIDs are ok but after 20 weeks they are contraindicated

    • Can limit the amount of amniotic fluid produced

    • Can lead to growth restriction

    • Can cause premature closure of the ductus arteriosus

Cough

  • Cough drops

  • Humidifier


Sep 30, 2024

Contributor: Travis Barlock MD

Educational Pearls:

  • Assessment of head and neck vascular injury due to blunt trauma

    • Symptomatic patients require screening head and neck CT angiography

  • EAST guidelines include the following criteria for a screening CT angiography in blunt head trauma:

    • Unexplained...


Sep 23, 2024

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Hemothorax: blood in the pleural cavity, most commonly due to chest trauma

  • Treatment: thoracostomy tube for blood drainage

    • helps to avoid clotting, scarring, and infection

  • A recent study looked at patients with hemothorax who either received or did not receive...


Sep 22, 2024

Contributor: Taylor Lynch, MD

Educational Pearls:

When it comes to hypoglycemia, the age dictates possible causes

  • Neonate:

    • Hormonal deficiency

      • Congenital Adrenal Hyperplasia (21-hydroxylase deficiency, 11β-hydroxylase deficiency)

      • Primary or Secondary Adrenal Insufficiency leading to cortisol deficiency 


Sep 12, 2024

Contributor: Kiersten Williams MD, Travis Barlock MD, Jeffrey Olson MS3

Show Pearls

  • Hypertensive disorders of pregnancy are one of the leading causes of maternal mortality worldwide.

  • Hypertension (HTN) complicates 2-8% of pregnancies

  • The definition of HTN in pregnancy is a systolic >140 or diastolic >90, measured...