Podcast 521: Traumatic Hyphema
Emergency Medical Minute
Author: Jared Scott, MD Educational Pearls: A hyphema is blood in the anterior chamber of the eye, typically caused by trauma While there is a spectrum of disease, blurred vision and eye pain are common presenting complaints after direct trauma to the eye Hyphema are graded between Grade 1 and Grade 5, depending on the amount of blood in the anterior chamber. Higher grades are associated with worse outcomes and more complications Other important diagnoses to consider include globe rupture and retrobulbar hematoma Complications of a hyphema can include glaucoma and vision loss ...
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Podcast 520: Approach to the arresting patient
Emergency Medical Minute
Contributor: Peter Bakes, MD Educational Pearls: Peri-arrest patients present a particular challenge to ED providers, as the differential is broad and time is critical The differential for near cardiac arrest includes the “H’s and T’s”, just as in true cardiac arrest The 6 H’s include: hypoxia, hypo/hyperkalemia, hypovolemia (including shock states), hydrogen (acidosis), hypothermia The 6 T’s include: tension pneumothorax, cardiac tamponade, thrombus (PE/MI), toxins, trauma Use your history skills to narrow down this list (i.e renal failure leads to...
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CBHW Summit: The Cycle of Drug-Related Stigma - Implications for the Opioid Crisis
Emergency Medical Minute
From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Michael Miller, Strategic Initiatives Coordinator, Jefferson County Public Health
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CBHW Summit: A Strategic Framework for Addiction Medicine
Emergency Medical Minute
From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Judith Shlay, MD, MSPH, Associate Director, Denver Public Health, and Brooke Bender, MPH, Center for Addiction Medicine Planner, Denver Health
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CBHW Summit: Safe Prescribing 101/201
Emergency Medical Minute
From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Christopher Urbina, MD, MPH, Colorado Consortium for Prescription Drug Abuse Prevention
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CBHW Summit: Male Mental Health - A Crisis in Public Health
Emergency Medical Minute
From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Jason Vitello, MSW, Behavioral Health Coordinator, Denver Public Health/CPHA
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CBHW Summit: Children's Mental Health
Emergency Medical Minute
From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Sarah Davidon, EdD, Director of Research & Child and Adolescent Strategy, Mental Health Colorado, and Sarah Younggren, LCSW, Child & Adolescent Specialist, Mental Health Colorado
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CBHW Summit: Positive Psychology and Well-Being
Emergency Medical Minute
From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Carl Clark, MD, President & Chief Executive Officer, Mental Health Center of Denver
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CBHW Summit: Words Matter - How Language Can Shift Public Thinking
Emergency Medical Minute
From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Karen Prestia, MBA, Director, Marketing & Communications, Mental Health Center of Denver
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CBHW Summit: Integrated Substance Use, Family Systems, and Culturally Responsive Treatment in Community Mental Health Settings
Emergency Medical Minute
From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Allison Miller, LCSW, LAC, Program Manager of Child and Family Outpatient Services, Mental Health Center of Denver, and Jon Roberts, LCSW, CAC II, Licensed Mental Health Therapist, Mental Health Center of Denver
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