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Podcast #70: Pancreatic Injuries

Run Time: 3 minutes Author: Dr. Brent Levy Educational Pearls: Pancreatic injuries are generally associated with blunt trauma and high velocity causing compression of the pancreas into the spine. 3-5% of intra-abdominal trauma injuries involve the pancreas. CT scans are not very effective in diagnosing a pancreatic injury. A clinical diagnosis usually comes from relating history…

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Podcast #69: Critical Airway Management

Run Time: 4 minutes Author: Dr. Aaron Lessen Educational Pearls: Over the last few years, general consensus has strayed away from pre-hospital intubation in the field. This is because it has been found that interruptions to CPR (namely intubation and airway management) decrease the success of the patient. This was believed to be solved via the quick…

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Podcast #68: Beer!

Run Time: 3 minutes Author: Dr. Michael Hunt Educational Pearls: 1/3 of Americans have Metabolic Syndrome or Syndrome X. The risk factors for Metabolic Syndrome are obesity, lack of physical activity, and genetics. You need three of the five qualifications to be diagnosed with Metabolic Syndrome. Waistline greater than 40 inches for men and 35 inches…

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Podcast #67: Snake Bites

Run Time: 7 minutes Author: Dr. Gregory Burcham Educational Pearls: Colorado has 20+ snake species, one of the poisonous types is the Prairie Rattlesnake. Snake venom causes issues with coagulopathy and neurological problems. 25% of rattlesnake bites are dry (without poison). This is often the case in adult rattlesnake bites. Baby rattlesnakes will always release…

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Podcast #66: Medications for Kidney Stones

Run Time: 4 minutes Author: Dr. Jared Scott Educational Pearls: NSAIDS should be prescribed for all patients with kidney stones. This helps to reduce the hyperactivity of your ureter. Narcotics work well for treating kidney stone pain. This should be accompanied by NSAIDS for best results. Using diuretics or fluid therapy do not significantly treat kidney…

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Podcast #65: Intussusception

Run Time: 2 minutes Educational Pearls: Intussusception is when the intestines telescope in on each other. This condition is idiopathic and occurs most in children of the age six months to two years. The child usually presents with intermittent abdominal pain, vomiting, diarrhea, URI, abdominal distention, and lethargy. As the bowel dies, the child also…

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Podcast #64: Paroxysmal Atrial Fibrillation

Run Time: 6 minutes Author: Dr. Peter Bakes Educational Pearls: Causes of new onset of atrial fibrillation can be remember by the acronym ATRIAL FIB. A-alcohol T-Thyroid disease R-Rheumatic heart disease A-atrial myxoma L-Lung processes (PE, PNA, COPD) F-pheochromocytoma (it’s phonetic, don’t judge.) I-idiopathic B-blood condition (HTN) Anticoagulate the patient if they are a 2…

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Podcast #63: Better to Have & Not Need

Run Time: 6 minutes Author: Dr. Mark Kozlowski Educational Pearls: When preparing for a critical patient there are seven top preparations that are better to have in the room than to need in the room after their arrival. 1. EPOC 2. Glide Scope and Stylet (suction would also be very nice) 3. Ultrasound – in the…

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Podcast #62: Pediatric Consent

Run Time: 4 minutes Author: Dr. Mark Kozlowski Educational Pearls: Treat any pediatric patient first, call parents later! If a sixteen-year-old patient comes in to the ED for their child, the sixteen-year-old mother can consent to treatment of the child. Emancipated minors can consent for themselves. Minors can also consent for treatment for psychiatric related issues,…

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Podcast #61: Permissive Hypotension

Run Time: 5 minutes Author: Dr. Martin O’Bryan Educational Pearls: Although ATLS indicates that you should be providing fluids and blood to hypotensive trauma patients to increase blood pressure, the patient has a higher risk of mortality with higher blood pressure. The increase in mortality is due to the dilution of the blood and the…

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