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Emergency Medical Minute

 

Jun 17, 2024

Contributor: Taylor Lynch MD

Educational Pearls:

  • Overview:
    • Sympathomimetic drugs mimic the fight or flight response, affecting monoamines such as dopamine, norepinephrine, and epinephrine
    • Limited therapeutic use, often abused.
  • Types:
    • Amphetamines: Methamphetamine, Adderall, Ritalin, Vyvanse
    • MDMA (Ecstasy)
    • Cocaine...


Jun 12, 2024

Contributor: Travis Barlock MD

Educational Pearls:

  • Wide-complex tachycardia is defined as a heart rate > 100 BPM with a QRS width > 120 milliseconds

  • Wide-complex tachycardia of supraventricular origin is known as SVT with aberrancy

    • Aberrancy is due to bundle branch blocks

    • Mostly benign

    • Treated with adenosine...


Jun 3, 2024

Contributor: Aaron Lessen MD

Educational Pearls:

The case:

  • A gentleman came in from a nursing home with symptoms concerning for sepsis. He was hypotensive, hypoxic, febrile, and mentally altered.

  • His past medical history included previous strokes which had left him with deficits for which he required a feeding...


May 27, 2024

Contributor: Aaron Lessem MD

Educational Pearls: 

  • Oseltamivir (Tamiflu) is an antiviral medication used commonly to treat influenza

  • Trials show that the medication reduces the duration of illness by less than 1 day (~16 hours in one systematic review)

    • Benefit only occurs if taken within 48 hours of symptom...


May 20, 2024

Contributor: Aaron Lessen MD

Educational Pearls:

Epinephrine is essential in the treatment of anaphylaxis, but is epinephrine dangerous from a cardiovascular perspective?

A 2024 study in the Journal of the American College of Emergency Physicians Open sought to answer this question.

Methods:

  • Retrospective...