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Emergency Medical Minute

 

Jan 30, 2019

 Author: Aaron Lessen, MD

Educational Pearls:

  • Choose the longest needle for the humeral IO
  • Internally rotate and adduct the patients hand (resting on umbilicus) for best access to the site
  • Aim 1 cm superior to the greater tuberosity of the humerus with the needle angled 45 degrees inferiorly
  • Maintaining the line is...


Jan 28, 2019

Author: Chris Holmes, MD

Educational Pearls:

  • In WWI, the 2nd leading cause of soldier disability were STDs.
  • An early treatment of syphilis included topical and inhaled mercury
  • Bloodletting, vitriol, arsenic, and bismuth were other  treatments for syphilis.
  • Infecting patients with Malaria and treating the Malaria was...


Jan 27, 2019

Author: Gretchen Hinson, MD

Educational Pearls:

  • Clinical manifestations of severe hypothyroidism may include:
    • Pale, cool, diaphoretic skin
    • Myxedema is the non-pitting edema seen in hypothyroidism
    • Hypothermia, heart failure, hypotension and shock
    • Shortness of breath
    • Cholestasis, constipation
    • Encephalopathy and...


Jan 24, 2019

 Author: Eric Miller, MD

Educational Pearls:

 

  • Recent CDC statement warms against consumption of cookie dough
  • Two common ingredients can pose risk: eggs and flour
  • Flour in dough is a raw agricultural product not treated to kill E. coli
  • A 2016 E. coli outbreak was linked to flour

 

References:


Jan 22, 2019

Author: Katrina Iverson, MD

Educational Pearls: 

  • The winter holiday months present a unique picture of patient presentations to the emergency department
    • Some of the unique presentations include:
    • Children falling off Santa‚Äôs lap
    • Sledding injuries
    • Falling off ladders
    • Lacerations, ingestion, and insertion of broken...