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Emergency Medical Minute

 

Sep 12, 2024

Contributor: Kiersten Williams MD, Travis Barlock MD, Jeffrey Olson MS3

Show Pearls

  • Hypertensive disorders of pregnancy are one of the leading causes of maternal mortality worldwide.

  • Hypertension (HTN) complicates 2-8% of pregnancies

  • The definition of HTN in pregnancy is a systolic >140 or diastolic >90, measured...


Sep 9, 2024

Contributor: Sean Fox, MD

Educational Pearls:

  • Newborns may lose up to 10% of their birth weight in the first week of life

    • Weight loss is greatest in exclusively breastfed infants

    • Should regain birth weight by age 2 weeks

  • Newborns should gain an average of 30g (1 oz) per day in the first 3 months of life


Sep 4, 2024

Contributor: Travis Barlock, MD

Educational Pearls:

  • SVT: supraventricular tachycardia

    • Pharmacotherapy for SVT includes drugs that block the AV node, such as adenosine

  • EKG criteria before adenosine administration in SVT

  1. Regular rhythm

  2. Monomorphic: ​​all QRS complexes are identical

  • If the EKG is...


Aug 26, 2024

Contributor: Aaron Lessen, MD

Educational Pearls:

How does an automated blood pressure cuff work?

  • Automated blood pressure cuffs work differently than taking a manual blood pressure.

  • While taking a manual blood pressure, one typically listens for Korotkoff sounds (turbulent flow) while slowly deflating the cuff.


Aug 19, 2024

Contributor: Megan Hurley, MD

Educational Pearls: 

  • Heat cramps

    • Occur due to electrolyte disturbances

    • Most common electrolyte abnormalities are hyponatremia and hypokalemia

  • Heat edema

    • Caused by vasodilation with pooling of interstitial fluid in the extremities

  • Heat rash (miliaria)

    • Common in newborns...