May 17, 2022
Contributor: Aaron Lessen, MD
Educational Pearls:
- Tidal volume is the amount of breath a patient receives in a single ventilation
- Traditional tidal volume (TV) setting was 10 ml/kg but studies showed lower TV had less incidence of respiratory distress, ARDS, and overall better outcomes
- ED ventilation settings may get...
May 16, 2022
Contributor: Chris Holmes, MD
Educational Pearls:
- Foxglove plant contains the cardiac glycoside digoxin
- Foxglove leaf potions were once used to treat Dropsy; a historic term for symptoms of heart failure
- Digoxin, previously used for treating heart failure, works by increases heart contraction strength and...
May 10, 2022
Contributor: Aaron Lessen, MD
Educational Pearls:
- Recent study looking at a pediatric emergency department to determine what percentage of patients after intubation received sedation within 10 minutes after intubation
- About 25% of the patients in the study received sedation within 10 minutes after intubation
- Only 75%...
May 9, 2022
Contributor: Aaron Lessen, MD Educational Pearls:
- Pulse pressure is the difference between the systolic and diastolic blood pressure, normal is about 40
- A narrow pulse pressure is generally thought of as less than 30 mmHg which may signal peripheral vasoconstriction in response to lower blood volumes
- 2020 study...
May 3, 2022
Contributor: Peter Bakes, MD
Educational Pearls:
- Mild frostbite injury usually only requires supportive care
- In severe frostbite injury, patients should receive an immediate angiogram, be admitted, and receive tPA if there is evidence of vascular occlusion
- Salvage rate is around 80% for appropriate patients who receive...