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Emergency Medical Minute

 

Jun 28, 2019

Contributor: Don Stader, MD

Educational Pearls:

  • Antiplatelets include aspirin and clopidogrel, and are generally used for arterial clotting (MI, stroke)
  • Anticoagulants such as coumadin, Xarelto, Eliquis are generally used for venous clotting (DVT/PE)
  • Growing data suggests that dual antiplatelet therapy...


Jun 26, 2019

Contributor: Michael Hunt, MD

Educational Pearls:

  • Tetracycline antibiotics such as minocycline can cause greyish hyperpigmentation
  • This hyperpigmentation can sometimes be reversible but not always
  • Minocycline has been used for its effects in autoimmune and neurological diseases, where it is  often taken chronically,...


Jun 21, 2019

Contributor: Peter Bakes, MD

Educational Pearls:

  • While there are many different types of medical error, one of the most common errors in emergency medicine is failure to diagnose
  • Systematic error in thinking that negatively affects judgement
  • Medical errors are often driven by cognitive biases, which include anchoring,...


Jun 19, 2019

Author: Sam Killian, MD

Educational Pearls:

  • Abuse occurs by breathing in volatile substances such as solvents, glues, paints, butane, and propane
  • Inhalants are generally depressants
  • Estimated that 100-125 people die every year in the US from acute inhalant abuse.
  • Short-term effects include memory impairment, slurred...


Jun 17, 2019

Author:  Nick Hatch, MD

Educational Pearls:

  • Pregnancy is a hypercoagulable state, which predisposes women to venous thromboembolism, but also elevates levels of circulating d-dimer
  • A recent study evaluated the YEARS protocol in combination of adjusted d-dimer cutoffs in pregnant women to evaluate for DVT and PE