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Emergency Medical Minute


Jun 24, 2024

Contributor: Aaron Lessen MD

Educational Pearls:

  • A recent study assessed EMS treatment of high blood pressure in the field

  • 2404 patients randomized to prehospital treatment (1205)  vs. usual care (1199)

    • Included patients with prehospital BP greater than 150 mm Hg

    • The treatment arm’s BP goal was 130-140 mm...

Jun 17, 2024

Contributor: Taylor Lynch MD

Educational Pearls:

  • Overview:
    • Sympathomimetic drugs mimic the fight or flight response, affecting monoamines such as dopamine, norepinephrine, and epinephrine
    • Limited therapeutic use, often abused.
  • Types:
    • Amphetamines: Methamphetamine, Adderall, Ritalin, Vyvanse
    • MDMA (Ecstasy)
    • Cocaine...

Jun 12, 2024

Contributor: Travis Barlock MD

Educational Pearls:

  • Wide-complex tachycardia is defined as a heart rate > 100 BPM with a QRS width > 120 milliseconds

  • Wide-complex tachycardia of supraventricular origin is known as SVT with aberrancy

    • Aberrancy is due to bundle branch blocks

    • Mostly benign

    • Treated with adenosine...

Jun 3, 2024

Contributor: Aaron Lessen MD

Educational Pearls:

The case:

  • A gentleman came in from a nursing home with symptoms concerning for sepsis. He was hypotensive, hypoxic, febrile, and mentally altered.

  • His past medical history included previous strokes which had left him with deficits for which he required a feeding...