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…
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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,…
Read MoreRun 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…
Read MoreRun Time: 4 minutes Author: Dr. Brent Levy Educational Pearls: Etomidate: longer acting and causes less hemodynamic instability, but causes adrenal suppression – not good for septic patients. Propofol: quick acting, but causes hemodynamic instability – not good for hypotensive patients. Ketamine: does not suppress the breathing drive, but increases HR – not good for…
Read MoreRun Time: 5 minutes Author: Dr. Suzanne Chilton Educational Pearls: Zika originated in 1947 in a Risus monkey in Uganda, the first human case was in 1952 – spread by the Aedea aeygpti and the Aedes albopictus mosquitoes. For adults symptoms are mild – maculopapular rash, conjunctivitis, fever, and joint pain for several days to a…
Read MoreRun Time: 7 minutes Author: Dr. Philip Fidler/Dr. Gretchen Hinson Educational Pearls: Estimation of burn size is done by the Lund-Browder diagram and the Rule of 9s – burn size is often underestimated in children because there head is a larger portion of their body and often overestimated in adults. A hyperbaric O2 chamber has…
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