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Emergency Medical Minute


Jun 5, 2023

Contributor: Aaron Lessen, MD

Educational Pearls:

What is Tranq?

  • Tranq is the street name for xylazine, a sedative drug typically used in veterinary medicine.

  • Xylazine has recently emerged as a recreational drug, often mixed with heroin or fentanyl. 

  • The mechanism of action of xylazine is similar to...

May 29, 2023

Contributor: Travis Barlock MD

Educational Pearls:

  • Three categories of pressors: inopressors, pure vasoconstrictors, and inodilators

  • Inopressors: 

    • Epinephrine - nonselective beta- and alpha-adrenergic agonism, leading to increased cardiac contractility, chronotropy (increased heart rate), and...

May 22, 2023

Contributor: Aaron Lessen, MD

Educational Pearls:

What is thrombolysis?

  • Thrombolysis is performed by administration of a medication that promotes the body’s natural ability to break up clots. These medications include Alteplase (tPA) and Tenecteplase (TNK).

  • The main side effect of using such an agent is bleeding...

May 15, 2023

Contributor: Aaron Lessen MD

Educational Pearls:

  • SCAPE (Sympathetic Crashing Acute Pulmonary Edema), formerly known as flash pulmonary edema, is a life-threatening condition due to a sudden sympathetic surge that leads to hypertensive heart failure, pulmonary edema, hypoxia, and respiratory distress. 
  • The initial...

May 8, 2023

Contributor: Travis Barlock, MD

Educational Pearls:

Sudden Cardiac Arrest (SCA) is defined as when the heart suddenly stops beating. Immediate treatment for SCA includes Cardiopulmonary Resuscitation (CPR) and defibrillation. This event is commonly depicted in medical dramas as an intense moment but often with the...