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Emergency Medical Minute

 

May 31, 2017

Author: Michael Hunt, M.D.

Educational Pearls:

  • Children under age of 6 are at greatest risk of accidental nicotine overdose from ingestion.
  • Biphasic presentation:
    • Hyperadrenergic = nausea, vomiting, tachycardia, flushing.
    • Bradycardia and respiratory depression.

References:


May 28, 2017

Author: Jared Scott M.D.

Educational Pearls:

  • Bear mauling is not a common issue in the ED.
  • The Ursus americanus (black bear) is the most common in Colorado, but Ursus arctos horribilis (grizzly bear) attacks are more frequent because they are more aggressive.
  • Head and neck lacerations are the most common injuries....


May 26, 2017

Author: Sam Killian, M.D.

Educational Pearls:

  • “The Rabbit Has Died” is a lesser used phrase to denote finding out one is pregnant.
  • During a test used in the 1930s, the “Rabbit’s Test,” a rabbit was injected with a potentially pregnant woman’s urine.  If the woman was pregnant, the rabbit would...


May 24, 2017

Author: Martin O’Bryan M.D.

Educational Pearls:

  • Vocal cord dysfunction can mimic other causes of stridor, such as asthma and upper airway obstruction.
  • Patients are often very anxious because of the difficulty of inspiration.
  • The definitive diagnosis is laryngoscopy that must be done by a pulmonologist.
  • The treatment...


May 22, 2017

Author: Sam Killian, M.D.

Educational Pearls:

  • Defined as fracture of neck (distal segment) of 5th metacarpal.
  • Intrinsic muscles of hand pull segment to palmar aspect of hand.
  • 30 degrees of angulation is allowed. Any more increases risk of chronic pain, grip strength and grasping deficits, and rotational deformities.