Dec 30, 2020
EMM is excited to welcome back the hosts of Millennial Mental Health Channel podcast to explain the key points of a robust suicide assessment in the ED. Dr. Justin Romano is a third year psychiatry resident in Omaha, Nebraska and Eddie Carrillo is a licensed mental health therapist currently working at...
Dec 29, 2020
Educational Pearls:
- The CDC has made new formal recommendations for treating Gonorrhea due to increasing resistance to Rocephin and Azithromycin.
- New recommendations:
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- Confirmed gonorrhea: Ceftriaxone 500 mg once
- Empiric treatment: Ceftriaxone 500 mg once followed by 7 days Doxycycline 100 mg BID
- No longer using...
Dec 28, 2020
Contributor: Tom Seibert, MD
Educational Pearls:
- High altitude cerebral edema (HACE) is the end stage of acute mountain sickness and is diagnosed when patients develop neurologic dysfunction, ataxia, and altered mental status.
- The pathophysiology of HACE is thought to be due to increased cerebral blood flow and...
Dec 22, 2020
Contributor: Don Stader, MD
Educational Pearls:
- Time can be an important factor in outcomes regarding sepsis including mortality
- Emphasis has grown on early administration of antibiotics and IV fluids in sepsis
- However, early initiation of vasopressors for hypotensive patients may have significant mortality benefit...
Dec 21, 2020
Contributor: Tom Seibert, MD
Educational Pearls:
- Acute Mountain sickness (AMS) can cause headache along with fatigue, nausea, vomiting, insomnia
- Typically occurs above 6500 feet (not 65,000) in elevation
- Acclimation to altitude can help prevent symptoms
- if not treated, AMS can advance to severe illness involving...