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Emergency Medical Minute


Nov 29, 2022

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Torus (Buckle) fractures are a commonly encountered pediatric fracture pattern
    • Typically presents as wrist pain secondary to a child falling on outstretched hand
    • One edge of the bone “buckles” or bends because children’s bones are softer and more pliable

Nov 28, 2022

Contributor: Travis Barlock, MD

Educational Pearls:

  • Normal Saline (NS) contains 154 mEq of both Sodium (Na) and Chloride (Cl),  and has a pH of 5.5
    • Normal Na and Cl in adult humans are about 140 mEq/L and 103 mEq/L. respectively 
  •  Excess negative charge resulting from hyperchloremia is managed via bicarbonate...

Nov 23, 2022

Happy Thanksgiving EMM listeners, Mason here wanting to extend a special thank you to all of you for tuning in to our show. Today we are featuring a special episode on health disparities in the opioid epidemic and their intersection with the ER that we produced for the Iowa Healthcare Collaborative’s Compass Opioid...

Nov 22, 2022

Educational Pearls:

  • Most common sexually transmitted disease (STD) in North America: Human Papillomavirus (HPV)
    • From the emergency department patients should be connected to follow-up care and educated on vaccine series
  • Most common non-viral STD in North America: Trichomonas Vaginalis  
    • While men may be...

Nov 21, 2022

Contributor: Aaron Lessen,MD

Educational Pearls:

  • Recent study looked at mechanically ventilated patients in ED and ICU to determine if O2 saturation level impacted patient outcomes
    • 2541 patients randomized to one of three target O2 saturation levels
      • Low: 90% (Range: 88-92%)
      • Intermediate: 94% (Range: 92-96%)
      • High:...