Run 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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