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Emergency Medical Minute

 

Oct 30, 2019

Author: Don Stader, MD

Educational Pearls:

  • Suboxone, methadone, and naltrexone are commonly used as treatments for opiate use disorder. 
  • Naltrexone is a full mu-opiate receptor antagonist, making acute pain control difficult in patients taking it. 
  • Options for pain control in patients on naltrexone include nerve...


Oct 27, 2019

Author: John Winkler, MD

Educational Pearls:

  • The plague (black death) is caused by the Yersinia Pestis bacteria. This bacteria is spread by fleas and carried by rats. It is very contagious and only needs ~ 100 bacteria to cause an infection. 
  • The pulmonary form presents with cough, fever, night sweats, hemoptysis and...


Oct 22, 2019

Author: Don Stader, MD

Educational Pearls:

  • Abstinence from substances such as tobacco or alcohol are effective strategies to achieve long term sobriety
  • However, abstinence is not an effective strategy for achieving sobriety with opiate use disorder (OUD)
  • Up to 90% of those who use an abstinence-only strategy for OUD...


Oct 17, 2019

Author: Rachel Beham, PharmD

Educational Pearls:

  • There are currently many Ebola vaccines that are being studied, and one (recombinant VZV-Ebola vaccine) is currently being used in Africa. This vaccine has so far shown good efficacy in reducing Ebola infections and mortality from Ebola in those who do become infected. 


Oct 16, 2019

Author: John Winkler, MD

Educational Pearls:

  • There is a new outbreak of Ebola in The Congo. This is likely due to civil war and rebel attacks on healthcare workers in the area. 
  • Ebola is now spreading from the Congo into neighboring Uganda, but vaccination efforts are staving off the spread across the border