Run Time: 7 minutes Author: Dr. John Winkler Educational Pearls: 429 studies show that patient satisfaction has a positive association with the patients’ improvement after their hospital visit. 127 studies that show no change and only 1 study that has a negative association. Good communication and good rapport with the patient and the patient’s family…
Read MoreRun Time: 5 minutes Author: Dr. Eric Miller Educational Pearls: Hypertensive Emergency is generally over 180/100 with at least one associated symptom, but there are cases where this will not happen. Patient 4-5 days postpartum with eclampsia. For a patient who’s aorta is dissecting and an initial BP around 150/100 the goal is to get the…
Read MoreRun Time: 4 minutes Author: Dr. Donald Stader Educational Pearls: Mexico is number 2 in opium production in the world – Opioids now kill more people than car accidents in the United States. Heroine originally marketed as a less addictive form of Morphine – actually more addictive. 20 in 100,000 deaths in CO are due to…
Read MoreRun Time: 15 minutes Author: Dr. Donald Stader Educational Pearls: Trauma ABCs change in pregnancy. A: Progesterone dilates to blood vessels in the nose and the back of the throat changing the airway in pregnant women, causes intubation to be more difficult because of increased redundant tissue. B: Pregnant women desaturate very quickly because of metabolic…
Read MoreRun Time: 3 minutes Author: Dr. Jared Scott Educational Pearls: The area postrema controls vomiting – not protected by blood-brain barrier – gets input from several types of receptors, the vagus nerve, serotonin input from gastric mucosa, and cranial nerve #8. Physiologic steps: Increased salivation, Involuntary deep breath to avoid aspiration, retro-peristalsis of the upper…
Read MoreRun Time: 5 minutes Author: Dr. Donald Stader Educational Pearls: Can be inhaled for relief from nausea – works for approximately 50% of people within 10 minutes. Administered by cupping the swab in the hands and inhaling through the nose and exhaling out of the mouth. Works through a process known as olfactory distraction, but it…
Read MoreRun Time: 3 minutes Author: Dr. Christopher Holmes Educational Pearls: Shot with musket to upper abdomen in 1822 on Mackinac Island – survived standard of care of blood letting and cathartics – was left with a fistula from his stomach to his abdominal wall. Alexis St. Martin was illiterate and signed a contract with Dr. William…
Read MoreRun Time: 4 minutes Author: Dr. Jared Scott Educational Pearls: Semi-synthetic methadone used for chronic pain and nausea treatment. Partial agonist to opioid receptors, which decreases respiratory depression – theoretically decreases likelihood of respiratory arrest in a patient who overdoses. Patients on Buprenorphine chronically need Sufentanil for surgery – 10 times more potent than Fentanyl…
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Run Time: 3 minutes Author: Dr. Christopher Holmes Educational Pearls: 2 Billion Dollars is spent on Diverticulitis a year Typically has been treated with antibiotics Large studies in Sweden / Netherlands – treated patients in the hospital with either Antibiotics or normal saline. They had the same resolution rate! Suggests antibiotics are of little utility. Old…
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Comments? Have an idea for a new medical minute? Contact Us @ emergencymedicalminute@gmail.com Don’t just be educated – be well! Check out the UBC’s Wellness Newsletter at: https://slate.adobe.com/cp/aXzro/ ______________________________________________________ Observe, record, tabulate, communicate. Use your five senses. Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone you…
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