Run Time: 3 minutes Author: Dr. Aaron Lessen Educational Pearls: The “bougie” or “endotracheal tube introducer” is a low tech adjunct for difficult airway management. The bougie is a flexible stylet that can be used almost blindly when the vocal cords cannot be visualized. The stylet has a Coude tip at the end, which allows you…
Read MoreRun Time: 3 minutes Author: Dr. Nicholas Hatch Educational Pearls: TXA is short for tranexamic acid. Most often use in the ED is with severe bleeding or problematic bleeding associated with trauma. Crash II trial determined the benefit of TXA is only applicable for about three hours after a trauma. Typical dosing is 1 gram in…
Read MoreRun Time: 5 minutes Author: Dr. Jared Scott Educational Pearls: Urticaria means “burning nettles” in Latin. Lymph nodes release immunoglobulin IgE and IgG, which trigger mast cells located all over the body to release histamines. Along with the well-known acute urticaria, there are chronic types of urticaria, which last longer than six weeks. There are…
Read MoreRun 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…
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