Preview Mode Links will not work in preview mode

Emergency Medical Minute

 

Aug 30, 2022

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Achilles tendon rupture usually presents in younger, healthy patients after a sports injury
  • Patients typically present complaining of an abrupt onset ankle pain after feeling a “pop”
    • Pain can be localized to posterior ankle and patient’s lack the ability to...


Aug 29, 2022

Contributor: Dylan Luyten, MD

Educational Pearls:

  • Positive End Expiratory Pressure (PEEP) is positive pressure within the lungs and maintained throughout the entire respiratory cycle. It is the pressure preventing alveoli from collapsing at the end of exhalation. 
  • When using a bag valve mask (BVM) to...


Aug 23, 2022

Contributor: Jared Scott, MD

Educational Pearls:

  • If a patient is in significant pain, a digital block can be helpful. Pain management alone may allow for manual ring removal. 
  • Ring cutters and trauma shears with specialized ring cutters can be attempted but will destroy the ring and some materials may be resistant to...


Aug 22, 2022

Contributor: Jared Scott, MD

Educational Pearls:

  • Physicians are typically advised not to trust computer interpretation of ECGs 
  • Retrospective study was done of computer interpreted normal ECGs to evaluate the accuracy of such an interpretation
    • 989 ECGs were interpreted as “Normal sinus rhythm, Normal ECG” by...


Aug 16, 2022

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Patients with recurrent ascites may need frequent outpatient or emergency department paracentesis which can be time consuming and uncomfortable for patients. 
  • Tunneled peritoneal catheters are a permanent alternative therapy which allows fluid drainage at home by...