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Emergency Medical Minute


Nov 30, 2021

Contributor: Nick Hatch, MD

Educational Pearls:

  • Inhaled nitric oxide or Flolan may be considered in COVID
    • Flolan is a prostaglandin can be inhaled or given IV
  • These medications are classically used for right-sided heart failure, but may be used in COVID
  • Causes pulmonary vasodilation to reduce the resistance against...

Nov 23, 2021

Educational Pearls:

  • Organophosphates affect the cholinergic system by inhibiting acetylcholinesterase affecting muscarinic and nicotinic receptors
  • Symptoms include lacrimation, salivation, bronchoconstriction, blurred vision, bradycardia, bronchorrhea, emesis, and diarrhea
  • Initially, the patient should be...

Nov 22, 2021

Contributor: Chris Holmes, MD

Educational Pearls:

  • Parkland Formula: 4 mL x [Total Body Surface Area Burned (%)] x [body weight (kg)] given in 24 hours
    • 50% given over 8 hours and 50% given over the next 16 hours
  • Brooke Formula: 2 mL x [Total Body Surface Area Burned (%)] x [body weight (kg)] given in 24 hours
    • 50%...

Nov 16, 2021

Educational Pearls:

  • Recent updates to treatment guidelines increased the 250 mg ceftriaxone IM dose to 500 mg ceftriaxone IM
  • IM dosing can be very painful, so other methods of administration can help decrease pain for patients
  • Using IV ceftriaxone instead of IM has no significant difference in pharmacokinetics or...

Nov 15, 2021

Contributor: Jared Scott, MD

Educational Pearls:

  • A press release from Merck introduced Molnupiravir for treatment of mild to moderate COVID-19
  • The yet to be published study is a randomized control trial at around 100 different sites
  • Reported outcomes were hospitalization and mortality from COVID and mortality from...