Jul 31, 2019
Contributor: JP Brewer, MD
Educational Pearls:
- Because of their smaller size, there are a variety of adult-dose pills that are potentially toxic to children.
- The most common categories of medications that may be toxic include cardiac, diabetic, pain, psychiatric, anti-malarial, and herbals/caustics
- Oral hypoglycemics...
Jul 26, 2019
Contributor: Don Stader, MD
Educational Pearls:
- Buprenorphine is a partial Mu-agonist and binds with higher affinity than most opioids
- Pain management with opioids therefore can be difficult in patients taking buprenorphine
- Ketamine is a good option for pain control in these patients
- You can also consider using...
Jul 24, 2019
Educational Pearls:
- Buprenorphine is a semi-synthetic derivative of the opium poppy
- FDA approved for the treatment of opiate use disorder and chronic pain
- Benefit in emergency department use is the ceiling effect - producing less euphoria as well as respiratory depression with higher doses
- It has an onset of 30-60...
Jul 22, 2019
Contributor: Don Stader, MD
Educational Pearls:
- Syncope is usually benign but can be caused by serious etiologies which include: PE, certain cardiac arrhythmias, AAA, intracranial bleed/stroke
- The Canadian Syncope Rule appears to identify those patients with syncope and low risk of serious outcomes
- The score is based...
Jul 18, 2019
Contributor: Jared Scott, MD
Educational Pearls:
- The CDC recommends rabies prophylaxis if there was a direct encounter with a possibly rabid animal except...
- Bats are treated differently since their bites may be very superficial and not seen/felt. All people with possible close encounters with a bat should receive...