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Emergency Medical Minute

 

Jul 31, 2023

Contributor: Travis Barlock MD

Educational Pearls:

When might you need to apply a painful stimulus in a medical setting?

  • The main reason is to assess the patient's level of consciousness, such as when they are waking up from anesthesia or have potentially suffered a brain injury.

  • It can be part of the Glasgow...


Jul 24, 2023

Contributor: Travis Barlock MD

Educational Pearls:

  • Alcohol binds the GABA receptor, which produces an inhibitory response, hence the “depressive” effects of ethanol beverages.

  • Over time, alcohol downregulates the GABA receptors, leading to unopposed glutamate activity. Given that glutamate is excitatory, this...


Jul 21, 2023

Contributors: David Young MD, John Hesling MD, Travis Barlock MD, Jeffrey Olson

Summary:

In this episode, Dr. Travis Barlock and Jeffrey Olson meet in the studio to discuss several clips from the event “Ukraine Brewtalk” from October 2022. This event was hosted by the University of Colorado’s Center for COMBAT...


Jul 20, 2023

Contributor: Travis Barlock MD

Educational Pearls:

Clinical picture: A patient comes in with altered mental status, tachycardia, fever, elevated T4, and low TSH. What’s the diagnosis?... Thyrotoxicosis secondary to Graves’ Disease.

How do you treat thyrotoxicosis?

  • First, give a beta-blocker such as propranolol....


Jul 10, 2023

Contributor: Aaron Lessen MD

Educational Pearls:

  • 33 Medical residents and 91 nurses at Massachusetts General Hospital were randomized into two groups:

    • Intervention group: 15 PGY-1 residents assigned to the same medical service floor for a 16-week period (12 weeks after adjustment for COVID-19...