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Emergency Medical Minute

 

Dec 29, 2021

 

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Pulse checks are necessary during CPR to check for return of spontaneous circulation (ROSC)
  • Previous studies have shown that assessing ROSC with palpating for pulse are not a very consistent
  • Study compared palpating pulses at carotid/femoral artery versus a newly...


Dec 28, 2021

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Study of nearly 400 patients evaluating giving calcium during cardiac arrest with the endpoint as return of spontaneous circulation (ROSC)
  • Compared giving 1 amp calcium chloride with each round of epinephrine for the first two rounds of epinephrine versus saline...


Dec 21, 2021

Contributor: Peter Bakes, MD

Educational Pearls:

  • High concern causes of third trimester vaginal bleeding include placenta previa, placental abruption, or vasa previa
  • In placenta previa, the placenta implants over the cervix and this condition
    • Often noted during routine prenatal care on transabdominal ultrasound


Dec 20, 2021

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Study examined patient perceptions of providers wearing traditional white coats,  fleece coats and soft-shell jackets
  • Found that white coats were seen as more professional than other types of dress
  • Also found that female physicians were viewed as less professional than...


Dec 14, 2021

Contributor: Ian Gillman, PA-C

Educational Pearls:

  • Acute mesenteric ischemia is a condition where bowel loses blood supply from an acute occlusion of the mesenteric arteries
  • A frequent sign is abdominal pain that is out of proportion to the exam
  • Atrial fibrillation is one risk factor for mesenteric ischemia
  • Treatment...