Jan 30, 2019
Author: Aaron Lessen, MD
Educational Pearls:
- Choose the longest needle for the humeral IO
- Internally rotate and adduct the patients hand (resting on umbilicus) for best access to the site
- Aim 1 cm superior to the greater tuberosity of the humerus with the needle angled 45 degrees inferiorly
- Maintaining the line is...
Jan 28, 2019
Author: Chris Holmes, MD
Educational Pearls:
- In WWI, the 2nd leading cause of soldier disability were STDs.
- An early treatment of syphilis included topical and inhaled mercury
- Bloodletting, vitriol, arsenic, and bismuth were other treatments for syphilis.
- Infecting patients with Malaria and treating the Malaria was...
Jan 27, 2019
Author: Gretchen Hinson, MD
Educational Pearls:
- Clinical manifestations of severe hypothyroidism may include:
- Pale, cool, diaphoretic skin
- Myxedema is the non-pitting edema seen in hypothyroidism
- Hypothermia, heart failure, hypotension and shock
- Shortness of breath
- Cholestasis, constipation
- Encephalopathy and...
Jan 24, 2019
Author: Eric Miller, MD
Educational Pearls:
- Recent CDC statement warms against consumption of cookie dough
- Two common ingredients can pose risk: eggs and flour
- Flour in dough is a raw agricultural product not treated to kill E. coli
- A 2016 E. coli outbreak was linked to flour
References:
Jan 22, 2019
Author: Katrina Iverson, MD
Educational Pearls:
- The winter holiday months present a unique picture of patient
presentations to the emergency department
- Some of the unique presentations include:
- Children falling off Santa’s lap
- Sledding injuries
- Falling off ladders
- Lacerations, ingestion, and insertion of broken...