Jun 24, 2024
Contributor: Aaron Lessen MD
Educational Pearls:
-
A recent study assessed EMS treatment of high blood pressure in the field
-
2404 patients randomized to prehospital treatment (1205) vs. usual care (1199)
-
Included patients with prehospital BP greater than 150 mm Hg
-
The treatment arm’s BP goal was 130-140 mm...
Jun 17, 2024
Contributor: Taylor Lynch MD
Educational Pearls:
- Overview:
- Sympathomimetic drugs mimic the fight or flight response, affecting monoamines such as dopamine, norepinephrine, and epinephrine
- Limited therapeutic use, often abused.
- Types:
- Amphetamines: Methamphetamine, Adderall, Ritalin, Vyvanse
- MDMA (Ecstasy)
- Cocaine...
Jun 12, 2024
Contributor: Travis Barlock MD
Educational Pearls:
-
Wide-complex tachycardia is defined as a heart rate > 100 BPM with a QRS width > 120 milliseconds
-
Wide-complex tachycardia of supraventricular origin is known as SVT with aberrancy
-
Aberrancy is due to bundle branch blocks
-
Mostly benign
-
Treated with adenosine...
Jun 3, 2024
Contributor: Aaron Lessen MD
Educational Pearls:
The case:
-
A gentleman came in from a nursing home with symptoms concerning for sepsis. He was hypotensive, hypoxic, febrile, and mentally altered.
-
His past medical history included previous strokes which had left him with deficits for which he required a feeding...