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Emergency Medical Minute


Apr 28, 2021

Contributor:  Peter Bakes, MD

Educational Pearls:

  • Incidence 2.5-10 per million people occurring primarily in those with environmental allergens
  • Typically occurs with mRNA vaccines in lipid nanoparticles (Moderna/Pfizer) rather than the adenovirus vaccine (J&J)
  • Recommendation is to forego 2nd dose of the mRNA vaccine...

Apr 27, 2021

Contributor:  Jared Scott, MD

Educational Pearls:

  • 1-3 cases of rabies per year in US with 55,000 people per year receiving rabies prophylaxis
  • 90% of rabies cases come from wildlife, most commonly by racoons, bats, foxes, and skunks
  • Because of rabies prophylaxis, domesticated pets almost never have rabies in the United...

Apr 26, 2021

Contributor:  Alicia Oberle, MD

Educational Pearls:

  • Down Syndrome with Trisomy 21 have three copies of chromosome 21
  • Current birth rates are around 1 in 700 births 
  • Average life span 25 years in 1980, today the average life span is 60 years of age
  • Patients with Down syndrome require additional therapies in the first 3...

Apr 22, 2021

This week’s episode features a fascinating conversation with Dr. Nadia Tremonti, medical director for the pediatric palliative care program at Children’s Hospital of Michigan in Detroit. Dr. Tremonti was the featured physician in an independent short film Palliative and subsequent New York Times shorter...

Apr 21, 2021

Contributor:  Aaron Lessen, MD

Educational Pearls:

  • Droperidol for sedation in agitated patients in the emergency department was studied compared to ziprasidone (Geodon) and lorazepam (Ativan)
  • Double-blinded RCT showed droperidol was 65% effective to get patients to a good level of sedation in 15 minutes compared to...