Month: July 2016

Pain Management

It’s definitely not the most exciting topic in emergency medicine, but it’s easily one of the most important. Every single shift you will be required to manage a patient’s pain. In this episode, we will be covering the 6 major pain medicines that you need to know for your clerkship- including doses. Those medicines are PO acetaminophen, PO ibuprofen, PO hydrocodone-acetaminophen, IV/IM ketorolac, IV/IM morphine, and IV/IM hydromorphone.

STEMI (Critical Diagnosis)

We get hundreds of EKGs every day looking for ST elevation myocardial infarction. And when you finally see it, you have to know what to do. In 2013, the American Heart Association updated their STEMI management guidelines, and that is what we are learning about today. Make sure you understand the material in this episode, because you will only have 90 minutes to run through the algorithm when this EKG gets handed to you during your clerkship.

Altered Mental Status

AEIOU TIPS. This is easily one of the most important mnemonics of emergency medicine because it represents the differential diagnosis for altered mental status. Obviously, this is not meant to be an exhaustive list, but it certainly provides a good framework to start with. Even as a resident, I still will write out this differential when I’m placing orders on a complicated, altered mental status patient. It keeps me from  missing something obvious, and it’s crucial for your training as a medical student.

Toxicology

Welcome to clerkship season!

Over the next few months we will be going through the biggest, hugest, most important topics in emergency medicine. And today, we will be starting off with toxicology. After covering the general approach to a toxicology case, we will also be overviewing the “Big 5” toxidromes of emergency medicine: anticholinergic, cholinergic, opioid, sedative, and sympathomimetic.  And the one thing I want you to remember is… Vitals, Pupils, Skin.

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