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Emergency Medical Minute

 

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...


May 16, 2022

Contributor: Chris Holmes, MD

Educational Pearls:

  • Foxglove plant contains the cardiac glycoside digoxin  
  • Foxglove leaf potions were once used to treat Dropsy; a historic term for symptoms of heart failure 
  • Digoxin, previously used for treating heart failure, works by increases heart contraction strength and...


May 10, 2022

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Recent study looking at a pediatric emergency department to determine what percentage of patients after intubation received sedation within 10 minutes after intubation
  • About 25% of the patients in the study received sedation within 10 minutes after intubation
  • Only 75%...


May 9, 2022

Contributor: Aaron Lessen, MD Educational Pearls:

  • Pulse pressure is the difference between the systolic and diastolic blood pressure, normal is about 40
  • A narrow pulse pressure is generally thought of as less than 30 mmHg which may signal peripheral vasoconstriction in response to lower blood volumes
  • 2020 study...


May 3, 2022

Contributor: Peter Bakes, MD

Educational Pearls:

  • Mild frostbite injury usually only requires supportive care
  • In severe frostbite injury, patients should receive an immediate angiogram, be admitted, and receive tPA if there is evidence of vascular occlusion
  • Salvage rate is around 80% for appropriate patients who receive...