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Emergency Medical Minute

 

Jun 30, 2021

Contributor: Jared Scott, MD

Educational Pearls:

  • PID (pelvic inflammatory disease) occurs when the infection ascends into the uterus
  • Tubo-ovarian abscess occurs when the infection ascends to the fallopian tubes
  • Fitz-Hugh-Curtis syndrome occurs when the infection enters the peritoneum and causes peritoneal...


Jun 29, 2021

Contributor: Jared Scott, MD

Educational Pearls:

  • Recent study evaluated vaginal self swab testing for STIs to determine if they are equally sensitive to provider-obtained swab
  • 515 patients consented to both tests and 95% agreement was found between the two methods of obtaining samples
  • 75% of participants who preferred...


Jun 28, 2021

Contributor: Dr. Nick Gorton, MD

Educational Pearls:

  • Use transgender people’s correct names and pronouns, the Russell study found a 56% reduction in suicide behavior with chosen name usage
  • ⅕ to ½ of transgender people report they avoided seeking care in the ED because of fear of transphobic treatment
  • Understanding...


Jun 23, 2021

Contributor:  Nick Tsipis, MD

Educational Pearls:

  • pH <7.35 = acidemia; pH>7.45=alkalemia
  • If pH low and pCO2 high, indicates a respiratory acidosis
  • If pH low and pCO2 low, indicates metabolic acidosis
  • After determining type of acidosis, check bicarb to determine compensation for acidosis and check electrolytes to...


Jun 22, 2021

Contributor:  Jared Scott, MD

Educational Pearls:

  • Around 30 patients with cannabinoid hyperemesis syndrome (CHS) randomized treatment in three arms with 8mg Zofran, Haldol 0.05 mg/kg, and Haldol 0.1 mg/kg
  • Haldol arms performed better on all measures compared to Zofran
  • Extrapyramidal symptoms were significantly higher...