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Emergency Medical Minute

 

Mar 30, 2021

Contributor:  Ricky Dhaliwal, MD, JD

Educational Pearls:

  • Glucagon administered intravenously has a high rate of adverse events (nausea/vomiting) with very weak evidence
  • NItroglycerin too has very limited evidence but a much better adverse event profile
    • Mix 0.4 mg (1 sublingual tablet) nitro in 10 mL of water and...


Mar 29, 2021

Contributor:  Jared Scott, MD

Educational Pearls:

  • While it is rare to have a native hip dislocation, it is relatively common to dislocate a prosthetic hip
  • The mechanism for dislocation is usually adduction, flexion, and internal rotation the hip which can occur when walking
  • Arthroplasty in the setting of trauma...



Mar 23, 2021

Contributor:  Katie Sprinkel, MD

Educational Pearls:

  • Hereditary angioedema (HA) is an autosomal dominant bradykinin-mediated disease affecting the airway, skin or gastrointestinal tract and typically presents with swelling in the absence of pruritus
  • HA episodes last 3-5 days, typically occur first in childhood or...


Mar 22, 2021

Contributor:  Katie Sprinkel, MD

Educational Pearls:

  • Psychogenic Non-Epileptic Seizures (PNES) are due to a psychogenic rather than an epileptic cause
  • Despite common assumption, PNES are not always volitional 
  • 20-40% of those with PNES can also have true epileptic seizures 20-40%
  • True diagnosis requires a video EEG