Jan 29, 2021
Educational Pearls:
- Atropine has been shown to reduce hypersalivation as well as nausea and vomiting induced by ketamine sedation.
- Atropine can increase the occurrence of a transient rash, as well as tachycardia.
- There are no guidelines that recommend for or against atropine use in pediatric patients undergoing...
Jan 26, 2021
Contributor: Peter Bakes, MD
Educational Pearls:
- Two main differentials for wide complex tachycardia (WCT) include ventricular tachycardia (most common) and supraventricular tachycardia with aberrancy
- Brugada syndrome and Wolff-Parkinson White are potential causes
- Arrhythmogenic right ventricular dysplasia is a rare...
Jan 25, 2021
Contributor: Dylan Luyten, MD
Educational Pearls:
- D10 may be a better alternative to D50 in correcting hypoglycemia
- Risks of D50:
-
- Can cause extravasation injury
- Risk of rebound hypoglycemia
- D10 does not have the same risks and has no significant difference in reversal time of hypoglycemia compared...
Jan 19, 2021
Contributor: Jared Scott, MD
Educational Pearls:
- Pathologic bone fractures occur due to weakened bones from chronic disease and with less force when compared to non-pathologic fractures
- Can be due to bone tumors, bone cysts, infections (osteomyelitis), osteogenesis imperfecta, Paget's disease of bone, and multiple...
Jan 18, 2021
Contributor: Jared Scott, MD
Educational Pearls:
- Bilirubin is natural breakdown product of red blood cells but can be neurotoxic if levels become too high
- Fetal red blood cells are fragile and break down easier, leading to higher bilirubin levels in neonates
- Immature livers and increased intestinal absorption from...