Medical Minute Archives - Page 64 of 68 - The Emergency Medical Minute

Medical Minute

Podcast #42: Andexanet for Xarelto?!

Run Time: 2 minutes Author: Rachael Duncan, PharmD BCPS Educational Pearls: Eliquis and Xarelto are oral anticoagulants that inhibit the clotting cascade. Currently prothrombin complex concentrate or PCC can be used to reverse the effects of Xarelto or Eliquis by overpowering the inhibition of the clotting cascade. Andexanet is a medication currently in phase III trials that is…

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Podcast #41: CHF from Aortic Stenosis

Run Time: 5 minutes Author: Dr. Peter Bakes Educational Pearls: Common symptoms for congestive heart failure (CHF) are dyspnea, lower extremity edema, and chest congestion. Right heart failure usually presents with JVD and pedal edema. Left heart failure usually presents with chest congestion with rales and rhonchi. A crescendo and decrescendo murmur on presentation indicates congestive…

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Podcast #40: Altitude Sickness

Run Time: 2 minutes Author: Dr. Brent Levy Educational Pearls: Altitude sickness occurs on a spectrum, usually starting over 5000 feet above sea level. The minor presentation, Acute Mountain Sickness, includes headache and flu-like illness. High Altitude Pulmonary Edema is the more severe presentation, which includes severe hypoxia and shortness of breath and upon evaluation. This…

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Podcast #39: Propranolol Overdose

Run Time: 4 minutes Author: Rachael Duncan, PharmD BCPS Educational Pearls: Propranolol overdose presents with bradycardia, hypotension, decreased activity, and decreased body temperature. Propranolol is a lipophilic beta-blocker. Appropriate reversal agents for overdose on propranolol are epinephrine, dopamine, glucagon, calcium, levophed, and an IV lipid sink to sequester the propranolol. In cardiogenic shock, the heart begins…

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Podcast #38: Diphtheria and March 18th

Run Time: 5 minutes Author: Dr. David Rosenberg Educational Pearls: There are two cases of diphtheria per year in the United States due to our ubiquitously provided vaccinations. Diphtheria presents with a grey, leather-like appearance in the back of the throat as well as a “seal-bark” cough. This is caused by a relatively weak bacteria called Corynebacterium…

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Podcast #37: Aortic Rupture

Run Time: 4 minutes Author: Dr. Jared Scott Educational Pearls: The number first most common reason for sudden death after a motor vehicle accident is head injury, the second is traumatic aortic rupture. Due to the increased pressure of blood in the aorta, a rupture leads to rapid exsanguination. The most common location for a traumatic aortic…

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Podcast #36: Pulmonary Embolism in Pregnancy

Run Time: 4 minutes Author: Dr. Nicholas Hatch Educational Pearls: Risk of DVT and PE does go up with pregnancy and increases in each trimester. 1 in 50,000 people develop blood clots in the first trimester with 1 in 10,000 people developing blood clots in the second trimester. The risk for PE or DVT in pregnancy is…

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Podcast #35: Coumadin Reversal

Run Time: 3 minute Author: Dr. Samuel Killian Educational Pearls: 5 million people are on Coumadin. Coumadin is in the top 5 of most adverse events. 2 options for reversal in the ER: Vitamin K and FFP or vitamin K and 4 factor PCC. FFP is cheap but harder to use and takes longer –…

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Podcast #34: Hard Signs for Vascular Injury

Run Time: 1 minute Author: Dr. Nicholas Hatch Educational Pearls: Hard signs of vascular injury include: loss of pulses, severe arterial bleeding, active uncontrolled hemorrhaging, rapidly expanding pulsatile hematoma, and palpable thrill or bruit. Patient with these signs and suspected injury needs to be moved to the operating room ASAP. Soft signs of vascular injury include:…

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Podcast #33: Adverse Reactions during Procedural Sedation

Run Time: 3 minutes Author: Dr. Samuel Killian Educational Pearls: Agitation – 16% of patients experience agitation with Ketamine. Aspiration – rare with 1 in 2500 cases exhibiting aspiration. Bradycardia – Happens most often with Etomidate, 1 in 250 cases. Hypotension – 2% of cases with Propofol – still less frequent than patients on a…

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