Oct 27, 2020
Contributor: Jared Scott, MD
Educational Pearls:
- Lactate is a byproduct of anaerobic metabolism or tissue hypoperfusion
- Though typically associated with severe sepsis, hyperlactatemia can be caused by vigorous exercise, seizures, liver failure, asthma exacerbations, albuterol, metformin, antiretroviral drugs, and...
Oct 26, 2020
Contributor: Don Stader, MD
Educational Pearls:
- Pain is ubiquitous in the emergency department but it is not the enemy - suffering is
- Nociception is the ability to feel noxious stimuli which usually causes a reaction, like pulling a limb away when you feel something painful. Nociception is really a brainstem reflex.
Oct 21, 2020
Emergency Medical Minute collaborated with CarePoint Health in early March for a night of education on Pediatric Emergencies geared towards mid-level providers at a local Denver brewery for our latest Brewcast. Pediatric patients require special considerations compared to adults when receiving medical care, and that...
Oct 20, 2020
Contributor: Aaron Lessen, MD
Educational Pearls:
- The use of oxygen is controversial when treating patients with certain conditions, like MI’s, stokes, or ARDS because adverse outcomes have been demonstrated with using high oxygen concentrations.
- The Oxygen ICU trial looked at using higher and lower oxygen levels in...
Oct 19, 2020
Contributor: Peter Bakes, MD
Educational Pearls:
- Classically presents with the 6Ps: Pain, pallor, paresthesia, pulseless, poikilothermia (cold), and paralysis
- Acute limb ischemia occurs by embolic or thrombotic causes
- Thrombotic causes are now more common due to aging populations and advancements in vascular surgery...