Nov 30, 2018
Author: Dylan Luyten, MD
Educational Pearls:
- Early recognition that the current situation is a mass casualty incident (MCI) is essential with establishing a sole provider/nurse to oversee
- Team members labeling themselves by name and role is also helpful
- Practice and prepare for these unfortunate events
Editor’s...
Nov 28, 2018
Author: Aaron Lessen, MD
Educational Pearls:
- Retrospective study looking at type of transportation and mortality outcomes for patients with penetrating trauma
- Mortality was 2.2 % for those brought in by private vehicle compared to 11.6% by EMS
Editor’s note: the above is raw mortality - even after...
Nov 26, 2018
Author: Nick Hatch, MD
Educational Pearls:
- Quick review on typical treatments for acute CHF:
- Nitrates are a mainstay to reduce preload
- Furosemide has fallen out of favor in regards to urgency but still essential; it can also be utilized in those with poor renal function
- Before going into the weeds:
- Phlebotomy can...
Nov 23, 2018
Author: Don Stader, MD
Educational Pearls:
- Recent study showed efficacy 5mg IM midazolam > 10mg IM olanzapine > 10mg IM haloperidol for quickly sedating an agitated patient
- If you have access, ketamine intravenous is the fastest
- Olanzapine should be used with caution in elderly patients because of its anticholinergic...
Nov 21, 2018
Author: Don Stader, MD
Educational Pearls:
- Three options for a blister in partial thickness burns: do nothing, unroof it, or poke a hole in it
- Recent study suggest that aspirating the blister may be more effective in regards to wound healing
- The overlying skin acts as a bio-band-aid and patients recover slightly...