Episode Chapters
- Ear Barotrauma18:29Paper Chase #1 | Traditional Flu Tests Are Inaccurate4:20What Would I Do Next? | Pneumothorax17:00Ectopic Pregnancy20:59Paper Chase #2 | Rapid Strep Testing Works3:41Intramuscular Medications17:08IVDU Complications25:35Paper Chase #3 | PERC Negative Patients Receive Excessive Testing3:51TXA in the Urgent CareFree Chapter21:52Asymptomatic Hypertension20:00Paper Chase #4 | Penicillin “Allergies” Are Often Not Allergies At All3:32Living with CF with Claire Wineland, Part 215:45Excellence in the Physical Exam Series | Male GU Exam11:44Paper Chase #5 | NG Tubes Don’t Improve Outcomes for SBO4:35The Summary23:06
A wide variety of Intramuscular injections are often used in the UC setting. Often these injections have little evidence to support their use and do not reliably outperform oral formulations. Matthew takes a look at the data behind our use of IM injections.
Alphabet Soup: TXA & IVDA Full episode audio for MD edition 210:46 min - 99 MB - M4AHippo Urgent Care RAP - January 2018 Summary 343 KB - PDF
Ian L., Dr - January 6, 2018 7:21 PM
There is value in intramuscular injections in the house calls cohort especially to special accomodation homes for the elderly and nursing homes .
In Australia many doctors do house visits for ill patients after hours both in the community and for the elderly .
Here IM medications such as maxolon for gastroenteritis in patients older than twelve often works .
IM ceftriaxone One Gram
for elderly in special accomodation where the ceftriaxone powder is mixed with 1% or 2% xylocaine finds favour for pneumonia suspected urinary infection and cellulitis particularly at night if clinically safe to avoid transfer to Emergency and hospital.
IM adrenalin is the route of first choice for anaphylaxis and severe asthma provided the patients are not anywhere near extremis by clinical judgement .
Mike W., MD - January 7, 2018 5:44 AM
Good points, thx Ian!