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Emergency Medical Minute


Aug 31, 2021

Contributor: Nick Tsipis, MD

Educational Pearls:

  • Prospective trial studied 5 mg IM droperidol to 10 mg IM olanzapine (Zyprexa) in the reducing levels of agitation
  • Time to adequate sedation was about 16 minutes for both agents
  • Droperidol was slightly less sedating than olanzapine and length of stay for olanzapine was...

Aug 30, 2021

Contributor: Jared Scott, MD

Educational Pearls:

  • Using LET, procedural sedation, and distraction techniques are often needed to successfully perform painful procedures in pediatrics patients
  • The technique of clown therapy has been studied as an adjunct to LET and other distraction techniques for procedures in pediatric...

Aug 24, 2021

Contributor: Peter Bakes, MD

Educational Pearls:

  • Paracentesis is a procedure where fluid is removed from the peritoneal cavity by needle
  • Indications for paracentesis include: large volume paracentesis (5-6L), diagnosis of transudative or exudative ascites, evaluation for spontaneous bacterial peritonitis (SBP)

Aug 23, 2021

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Sigmoid volvulus occurs when the sigmoid colon twists 180 to 360 degrees
  • 10% of intestinal obstructions in the US; 50-70% of intestinal obstructions worldwide
  • More common in elderly patients with chronic constipation
  • Eventually may lead to bowel perforation, a surgical...

Aug 18, 2021


Contributor: Ramnik Dhaliwal, MD JD

Educational Pearls:

  • Pepper spray is a highly irritating compound with active ingredient of capsaicin
  • Techniques to help decontaminate and alleviate symptoms of an exposure include:
    • Disrobing the patient to prevent further exposure
    • Half milk of magnesia and half water mixture can...