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Emergency Medical Minute


Nov 29, 2017

Author: Nick Hatch, M.D.

Educational Pearls

  • Unlike coin ingestions, button batteries can cause necrosis of the GI tract.
  • If lodged in the esophagus, removal within 2 hours is important, because they can cause problems such as strictures or esophago-aortic fistula.
  • If the battery is in the stomach or beyond, it may be...

Nov 27, 2017

Author: Aaron Lessen, M.D.

Educational Pearls

  • A recent prospective observational study was performed to examine the safety of different sedation medications in the pediatric ED.
  • This study included 6000 children, and looked at the rate of serious adverse events following administration of different sedatives.
  • Overall,...

Nov 17, 2017

Author: Sam Killian, M.D.

Educational Pearls

  • Difficulty with bag valve mask (BVM) ventilation can be addressed using the MOANS mnemonic.
  • Mask seal, Obesity/obstruction,  Age, No teeth, Sleep apnea.
  • Often BVM difficulty can be addressed by an extra set...

Nov 16, 2017

Author: David Rosenberg, M.D.

Educational Pearls

  • A study of 20,000 subjects found that reducing fever in sepsis did not improve outcomes such as morbidity, mortality, or length of stay.
  • However, correcting fever may help for patient comfort.

References: Zhang Z, Chen L, Ni H. Antipyretic Therapy in Critically Ill...

Nov 13, 2017

Author: Chris Holmes, M.D.

Educational Pearls

  • The nexus chest CT scan rule is based on an 11,000 subject, multicenter study that looked for signs following a trauma that predicted significant findings on subsequent chest CT.
  • Findings that were associated with abnormal chest CT included: abnormal CXR, distracting...