Jan 31, 2022
Contributor: Aaron Lessen, MD
Educational Pearls:
- An endotracheal tube introducer or bougie are often used as a rescue device during difficult intubations as they are small and can be placed blindly
- Large randomized-controlled trial looked at first-pass bougie use versus standard intubation to determine if there was...
Jan 26, 2022
Dr. Kim Nordstrom discusses a valuable bedside tool for evidence-based assessment in patients that visit the ED and are at risk for suicidality. Dr. Nordstrom is a practicing emergency psychiatrist and associate professor with the University of Colorado. As a developer and user of the tool, Dr. Nordstrom gives us...
Jan 25, 2022
Contributor: Aaron Lessen, MD
Educational Pearls:
- Think about giving take home naloxone kits for anyone on long-term opioids as well as anyone with an opioid use disorder, those in opioid withdrawal, or those who recently overdosed on opioids
- Also consider for individuals with non-opioid substance use disorders
- For...
Jan 24, 2022
Contributor: Nick Tsipis, MD
Educational Pearls:
- Prothrombin complex concentrate (Kcentra) and Vitamin K are used to reverse life-threatening bleeds in patients on warfarin (Coumadin)
- Factors II, VII, IX, and X are included in four-factor PCC
- PCC/Kcentra dosing is 500-2000 units based on INR and patient weight
- PROPER3...
Jan 18, 2022
Contributor: Nick Hatch, MD
Educational Pearls:
- Botulism requires a prompt clinical diagnosis as lab results can take about 5 days to return
- Whale blubber, honey, home fermented foods, homemade wine (especially the wine made in prison), and improperly stored canned food can all contain the toxin
- The botulinum toxin is...