Jul 28, 2021
Contributor: Aaron Lessen, MD
Educational Pearls:
- Traditionally, fingernails were replaced after avulsion using sutures
- Sometimes artificial material was placed when the fingernail was not available
- Recent study evaluated treatment of fingernail avulsions pediatric patients by replacing the nail versus cleaning and...
Jul 27, 2021
Contributor: Aaron Lessen, MD
Educational Pearls:
- Survey of EM physicians to self-report empathy and burnout levels and correlated with patient satisfaction scores
- Patient satisfaction was not affected by what the physicians thought about their level of empathy or burnout
- Patient satisfaction was affected by...
Jul 26, 2021
Contributor: Aaron Lessen, MD
Educational Pearls:
- Kounis syndrome is an allergic acute coronary syndrome
- Triggers include medications (antibiotics), insect bites, or other common allergens
- Believed to be due to mast cell activation, inflammatory cytokines, and platelet activation causing coronary vasospasm or plaque...
Jul 21, 2021
Contributor: Peter Bakes, MD
Educational Pearls:
- ST elevation clinical guidelines for myocardial infarction include:
-
- 2.5 mm elevation for males <40 in V2 and V3
- 2 mm elevation in males >40 in V2 and V3
- 1.5 mm elevation for females in V2 and V3
- 1 mm elevation in 2 or more contiguous leads (not V2 or V3)
- Differential...
Jul 20, 2021
Educational Pearls:
- Albert Einstein had chronic abdominal pain as a middle-aged man
- Dr. Rudolph Nissen, founder of the Nissen fundoplication, performed exploratory surgery for this pain and found an abdominal aortic aneurysm (AAA)
- The only treatment for an AAA at that time was to wrap the vessel in cellophane, causing...