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Podcast 505: Sleep on Strep Throat 

Emergency Medical Minute

Release Date: 10/01/2019

Podcast 522: e-Cigarette and Vaping Related Lung Injury   show art Podcast 522: e-Cigarette and Vaping Related Lung Injury  

Emergency Medical Minute

Contributor: John Winkler, MD Educational Pearls: Vaping-related lung injury initially presents with flu-like symptoms and can progress to respiratory failure requiring aggressive resuscitation including ECMO It is thought to be related to the contents of homemade vaping fluid, mostly in THC-containing products (“brands” include DankVapes, PaxPen) Ask patients with vague constitutional or respiratory symptoms about their vape use References What are the respiratory effects of e-cigarettes? Gotts JE, Jordt SE, McConnell R, Tarran R BMJ. 2019;366:l5275. Epub 2019 Sep 30. Pulmonary Illness...

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Podcast 521: Traumatic Hyphema  show art 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 show art 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 show art 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 show art 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 show art 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 show art 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 show art 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 show art 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 show art 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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Contributor: 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