Episode Chapters
- Gamekeepers Thumb11:37What Would I Do Next? | Sinusitis Abscess16:19Paper Chase #1 | Topical Anesthetic for Corneal Abrasions5:14Rattlesnake Bites, Part 1Free Chapter16:42Imposter SyndromeFree Chapter14:30Paper Chase #2 | Is Cephalexin Alone Sufficient for Cellulitis?3:57COPD Basics21:41Paper Chase #3 | Does Spinal Manipulative Therapy Work For LBP?3:07Rattlesnake Bites, Part 211:51Pseudotumor16:07Paper Chase #4 | Culture Negative, Dysuric Patients Likely Have Bacterial UTIs4:47Asymptomatic Hypertension28:26Paper Chase #5 | Guidelines Reduce The Number Of Opioids Prescriptions Given4:22The Summary24:04
COPD is a common chronic lung disease that is frought with complications. Mike and Miz sit with Haney Mallemet MD (IM and EM) to discuss COPD managemement updates, discuss complications of this disease process and what workup/treatment is mandated when caring for patients with a COPD exacerbation.
Game of Imposters Full episode audio for MD edition 181:59 min - 85 MB - M4AHippo Urgent Care RAP - August 2017 Written Summary 290 KB - PDF
Ian L., Dr - August 3, 2017 2:25 PM
Degree of Dyspnoe as indicated by level of distress Respiratory Rate 20 plus and Pulse oximetry is vital.
Immediate treatment Oxygen to reduce distressto better level by mask or nasal cannula is humane and medically necessary .
Going by Distress with Pulse O2 as back up .
Salbutamol and ipratropium by nebulisation with the Nasal or Mask O2 watching Conscious State Dyspnoe and P02 is the Urgent Treatment .
Over 65 acute bronchitis on COPD is not like exacerbation of asthma in children far more often bacterial and Augmentin or Cephalosporin indicated
Oral Cortisone life saving plus O2 tank 2L O2 nasal with nebuliser for salbutamol and ipratropium supplied .
If discharge check in one hour definetly same day .
Home Visit if in safe area better .