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Emergency Medical Minute

 

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:
    • 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...