UnfilterED #9: Dr. Steven Bradley
Emergency Medical Minute
Dr. Steven Bradley is an active duty U.S. Naval officer practicing as a Staff Anesthesiologist in Virginia where also resides on the Medical Ethics Committee for his hospital. He serves as the Anesthesiology Residency Simulation Coordinator there and enjoys the opportunity to teach residents drawing from his experiences as a student. He just recently started The Black Doctors Podcast where he strives to tell stories of Black physicians who overcame adversity to attain their goals so that young individuals in the minority can listen and learn. Tune in to hear Dr. Bradley discuss his experience...
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Podcast 576: Status Epilepticus Drugs
Emergency Medical Minute
Author: Charlene Gnisci Melton, PharmD Educational Pearls: Status Epilepticus is defined as continuous seizure activity for >5 minutes, or 2 or more seizures without full return to consciousness between events Status epilepticus is a true neurologic emergency with significant morbidity and mortality Aggressive, early treatment of status epilepticus is essential as GABA receptors will regress over time and make benzodiazepines less effective as time elapses Go large with doses of benzodiazepines and repeat doses if necessary: In adults this means lorazepam 4 mg IV push or Midazolam 10 mg...
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Epidemic Meets Pandemic #4: The Patient Perspective
Emergency Medical Minute
This limited series will investigate how the nation’s opioid epidemic has been impacted by the COVID-19 pandemic. Over the course of this series, we will hear from a harm reductionist, an addiction medicine physician, a Denver Police narcotics sergeant and two people currently in recovery. Unfortunately, the opioid epidemic and the COVID-19 pandemic are likely not going anywhere soon. Emergency Medical Minute remains committed to providing education to help combat these health crises. In the final episode of this series, we are fortunate enough to speak with Chris...
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Podcast 575: Light on the Sedation
Emergency Medical Minute
Contributor: Aaron Lessen, MD Educational Pearls: Studies have shown that patients who are under deeper sedation in the ICU have worse outcomes. Recent study compared lighter vs heavier sedation of patients in the emergency department receiving mechanical ventilation Patients receiving lighter sedation in the ED were often continued in the ICU Patients who had lighter sedation also tended to do better, meaning less days on the ventilator, less days in the ICU, and lower mortality supporting prior observations. Though purely observational, interesting suggestion that lighter sedation starting...
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Epidemic Meets Pandemic #3: The Law Enforcement Perspective
Emergency Medical Minute
This limited series will investigate how the nation’s opioid epidemic has been impacted by the COVID-19 pandemic. Over the course of this series, we will hear from a harm reductionist, an addiction medicine physician, a Denver Police narcotics sergeant and two people currently in recovery. Unfortunately, the opioid epidemic and the COVID-19 pandemic are likely not going anywhere soon. Emergency Medical Minute remains committed to providing education to help combat these health crises. In this episode, we speak with Lex Jorge -- a Denver Police Narcotics Sergeant -- to gain...
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Epidemic Meets Pandemic #2: The Addiction Medicine Perspective
Emergency Medical Minute
This limited series will investigate how the nation’s opioid epidemic has been impacted by the COVID-19 pandemic. Over the course of this series, we will hear from a harm reductionist, an addiction medicine physician, a Denver Police narcotics sergeant and two people currently in recovery. Unfortunately, the opioid epidemic and the COVID-19 pandemic are likely not going anywhere soon. Emergency Medical Minute remains committed to providing education to help combat these health crises. In this episode, we talk to Dr. Steven Young -- board certified emergency...
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Epidemic Meets Pandemic #1: The Harm Reductionist Perspective
Emergency Medical Minute
This limited series will investigate how the nation’s opioid epidemic has been impacted by the COVID-19 pandemic. Over the course of this series, we will hear from a harm reductionist, an addiction medicine physician, a Denver Police narcotics sergeant and two people currently in recovery. Unfortunately, both the opioid epidemic and the COVID-19 pandemic are likely not going anywhere soon. Emergency Medical Minute remains committed to providing education to help combat these health crises. In the first episode, we catch up with Lisa Raville -- executive director of the Harm...
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UnfilterED Clips: A Toxicologist's Perspective on COVID-19, Biological Warfare and the Need for Disaster Preparedness
Emergency Medical Minute
Taken from 'UnfilterED #8: Dr. Christopher Hoyte'. “This current sars-coV-2 / COVID-19 situation should really be a wake-up call for not just a pandemic, but for a biological attack...One of the things I would like to do when we bring our attention back from COVID and get through this pandemic is to really start to prepare for disaster preparedness on the level and scale that we need to for a biological attack and get our hospitals ready, my poison center ready, state and local governments ready so that we can meet that challenge when it happens.” - Dr. Chris Hoyte Dr. Chris Hoyte...
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UnfilterED #8: Dr. Christopher Hoyte
Emergency Medical Minute
Dr. Chris Hoyte is an ED physician, toxicologist and researcher based in Denver, CO. He was featured in , a book celebrating emergency physicians through personal testimonies and photography on the frontlines captured by legendary photographer, Eugene RIchards. Time Stamps: 01:25 - Dr. Hoyte’s Origin Story 05:01 - What Drew Dr. Hoyte to Medical Toxicology? 08:22 - Dr. Hoyte’s Most Interesting Toxicology Cases 08:52 - King Cobra Bite 13:31 - Verapamil Overdose 16:47 - Mass Cyanide Poisoning 19:16 - The Looming Threat of Biological Warfare and the Need for Emergency...
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Podcast 574: Cyanide Toxicity
Emergency Medical Minute
Contributor: Nick Tsipis, MD Educational Pearls: Significant cyanide exposure most commonly occurs from fire/smoke exposure particularly when plastics are involved Cyanide binds to cytochrome oxidase leading to the use of anaerobic metabolism which causes a profound lactic acidosis Classic toxicity includes a rapid loss of consciousness, hypotension, bradycardia, respiratory depression, and seizures Mild exposures can lead to nausea/vomiting, headaches, and other nonspecific symptoms. Sometimes patients will complain of an almond taste. Cyanide toxicity will manifest on labs by a profound...
info_outlineContributor: Don Stader, MD
Educational Pearls:
- Only 10% of patients receiving antibiotics for strep throat actually have the diesease
- Treatment of strep with antibiotics only slightly reduces the duration of illness. Most studies say the reduction is between 16 and 24 hours
- Antibiotic treatment may reduce complications such as peritonsilar abscess and otitis media but antibiotics also increase the risk of diarrhea and yeast infection
- Rheumatic fever is caused by a specific serotype of strep that is no longer prevalent in the United States, so treating strep throat likely has no effect on preventing this complication
References
Anand Swaminathan, "Do Patients with Strep Throat Need to Be Treated with Antibiotics?", REBEL EM blog, January 5, 2015. Available at: https://rebelem.com/patients-strep-throat-need-treated-antibiotics/.
Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD