Preview Mode Links will not work in preview mode

Emergency Medical Minute


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



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...