May 31, 2022
Contributor: Nick Hatch, MD
Educational Pearls:
- “Smiling Death” describes the prehospital phenomenon of a person who is happy to be extricated from an extended period of crush injury, but dies suddenly soon after the rescue.
- Smiling Death is caused by Crush Syndrome. Crush Syndrome begins when large areas of...
May 30, 2022
Contributor: Jared Scott, MD
Educational Pearls:
- Pepper spray is a chemical irritant derived from oleoresin capsicum (OC), an extract from pepper plants. It can be used by police for riot or crowd control, or by individuals for self defense.
- In the event of an exposure, those affected should immediately disperse from...
May 24, 2022
Contributor: Jared Scott, MD
Educational Pearls:
- About 50% of those infected with SARS-CoV-2 will shed the virus in their feces
- Wastewater surveillance can be used to track COVID burden, which may be easier than collating test data from multiple hospitals across a region
- Viral shedding begins 5-7 days prior to...
May 23, 2022
Contributor: Jared Scott, MD
Educational Pearls:
- A study randomized 34 healthy patient to have their left anterior descending artery (LAD) occluded by balloon for 0, 15, 30, or 90 seconds
- Subsequently, cardiac troponins (cTns) and Copeptin were measured every 15 minutes for 3 hours, then every 30 minutes for the...
May 17, 2022
Contributor: Aaron Lessen, MD
Educational Pearls:
- Tidal volume is the amount of breath a patient receives in a single ventilation
- Traditional tidal volume (TV) setting was 10 ml/kg but studies showed lower TV had less incidence of respiratory distress, ARDS, and overall better outcomes
- ED ventilation settings may get...