Feb 27, 2019
Author: Don Stader, MD
Educational Pearls:
- Recent study demonstrated patients with non-STEMI treated with heparin had no difference in survival, but had an increased risk of major bleeding
- Heparin may be an outdated medication in the era of dual anti-platelet therapy and PCI
- Heparin may fall to the wayside like other...
Feb 25, 2019
Author: Katie Sprinkle, MD
Educational Pearl:
- Carbon monoxide (CO) is the leading cause of death from poison world-wide
- CO forms from the combustion of any carbon based product
- Patients often present with non specific symptom like headache, vomiting, and malaise
- Consider this diagnosis with multiple people presenting...
Feb 22, 2019
Author: Aaron Lessen, MD
Educational Pearls:
- Several studies have shown administration of tPA can improve outcomes and reduce need for amputation
- tPA is considered in grade III and IV frostbite
- tPA cannot be given until after the warming process
- Administration is systemically, not catheter directed...
Feb 22, 2019
Author: Aaron Lessen, MD
Educational Pearl:
- A double ingestion of a single pill is typically a benign event but several drug classes may cause problems
- A published review of 10 years of single medication double dose ingestion found 12 out of 876 cases had adverse events. The drugs and events were:
-
- Propafenone...
Feb 20, 2019
Podcast # 437 : Myasthenia Gravis
Author: Gretchen Hinson, MD
Educational Pearls:
- Myasthenia gravis (MG) is an antibody mediated autoimmune disorder against the acetylcholine receptors at the neuromuscular junctions.
- Bimodal age distribution (20’s-30’s: women; 60’s-70’s: men)
- Presents with fluctuating muscle...