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Podcast #116: Catch a UA in Infants

Run Time: 2 minutes Author: Dylan Luyten M.D. Educational Pearls: An upcoming study in the Journal of Pediatrics, to be published in July, looked at reducing unnecessary urinary catheterization rates in infants. In the study they investigated bagged urines on infants and every infant got a catheter. It was found that if you restricted true…

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Podcast #115: Clostridium Difficile

Run Time: 2 minutes Author: Aaron Lessen M.D. Educational Pearls: One of the big causes of C. diff infection in patients is antibiotics because they destroy the beneficial bacteria in the intestines, which, allows C. diff to run rampant and lead to infection. Different antibiotics have different likelihoods of leading to a C. diff infection:…

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Podcast #114: Pseudo Axioms – Sterile Saline vs. Tap Water

Run Time: 2 minutes Author: Dylan Luyten M.D. Educational Pearls: Axiom: a universally accepted truth. Pseudo Axiom: Something that is held to be a truth, but is just handed down, and not questioned or scrutinized. The use of sterile saline to irrigate wounds has been aggressively studied and definitively demonstrated to be unnecessary. Studies have…

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Podcast #113: ASB vs. UTI

Run Time: 4 minutes Author: Holly Anderson, PharmD PGY-1 Resident Educational Pearls: ASB is defined as an individual with a bacteria count >100,00 or pyuria present on UA. Patients will likely present with another chief complaint and will have no localizing urinary symptoms. ASB is common in elderly patient with an indwelling catheter which frequently…

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Podcast #112:  Cardiac Arrest Survival Rate

Run Time:  2 minutes Author:  Dylan Luyten M.D. Educational Pearls: The Canadian Medical Association Journal published a study this year looking at the association between what floor people live on and cardiac arrest survival. In the US, 2% of patients with out-of-hospital cardiac arrest survive with a favorable neurologic outcome and 5% survive to discharge…

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Podcast #111: Diplopia

Run Time: 3 minutes Author:  Eric Miller M.D. Educational Pearls: 6th nerve ocular palsy often presents with diplopia or double-vision. On examination, the pupils are normal and vision is normal, but one eye usually cannot move laterally. There are three nerves that move the eye. The most important is the 3rd cranial nerve that moves…

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Podcast #110:  Elevated Lactate

Run Time:  3 minutes Author:  Susan Brion M.D. Educational Pearls: Not all that is elevated lactate is sepsis. Lactate is produced under anaerobic conditions whenever there is any state of hypoperfusion or hypermetabolic state. It is produced by all tissues, most prominently by muscle tissue, and is cleared by the liver. A normal level can…

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Podcast #109: Benadryl Overdose

Run Time:  3 minutes Author: Jared Scott M.D. Educational Pearls: EKGs are often done on patients with suspected medication toxicity to hone down which drug, or type of drug was ingested. Marked bradycardia or heartblock may represent beta or calcium channel blocker OD, widening QRS may indicate tricyclic ingestion, and prolonged QT can be seen…

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Podcast #108: Pericarditis

Run Time: 4 minutes Author:  Gretchen Hinson M.D. Educational Pearls: The pericardium has a visceral and pericardial reflection, between which there is a potential space with between 15-50 mL of serous fluid lubricating that space allowing for friction-free movement of the heart. Inflammation of this space is called pericarditis. The most common cause of pericarditis…

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Podcast #107: Sepsis Protocol

Run Time:  3 minutes Author: Jared Scott M.D. Educational Pearls: Recent study in the Annals of Emergency Medicine as of January 2016 looking at the efficacy of a Sepsis Protocol in an Emergency Department. The looked at 180 patients before using the protocol and 180 patients after using the protocol. It was noted that the…

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