Aug 31, 2021
Contributor: Nick Tsipis, MD
Educational Pearls:
- Prospective trial studied 5 mg IM droperidol to 10 mg IM olanzapine (Zyprexa) in the reducing levels of agitation
- Time to adequate sedation was about 16 minutes for both agents
- Droperidol was slightly less sedating than olanzapine and length of stay for olanzapine was...
Aug 30, 2021
Contributor: Jared Scott, MD
Educational Pearls:
- Using LET, procedural sedation, and distraction techniques are often needed to successfully perform painful procedures in pediatrics patients
- The technique of clown therapy has been studied as an adjunct to LET and other distraction techniques for procedures in pediatric...
Aug 24, 2021
Contributor: Peter Bakes, MD
Educational Pearls:
- Paracentesis is a procedure where fluid is removed from the peritoneal cavity by needle
- Indications for paracentesis include: large volume paracentesis (5-6L), diagnosis of transudative or exudative ascites, evaluation for spontaneous bacterial peritonitis (SBP)
Aug 23, 2021
Contributor: Aaron Lessen, MD
Educational Pearls:
- Sigmoid volvulus occurs when the sigmoid colon twists 180 to 360 degrees
- 10% of intestinal obstructions in the US; 50-70% of intestinal obstructions worldwide
- More common in elderly patients with chronic constipation
- Eventually may lead to bowel perforation, a surgical...
Aug 18, 2021
Contributor: Ramnik Dhaliwal, MD JD
Educational Pearls:
- Pepper spray is a highly irritating compound with active ingredient of capsaicin
- Techniques to help decontaminate and alleviate symptoms of an exposure include:
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- Disrobing the patient to prevent further exposure
- Half milk of magnesia and half water mixture can...