Drugs to Avoid in the ElderlyFrom August 2021, My Pee Pipe is Clogged
Mike and Vu sit down to discuss the top 10 drugs to avoid in the elderly including muscle relaxants, NSAIDS, sulfonylureas, and trimethoprim sulfamethoxazole.18min 44Vu Kiet Tran MD, FCFP(EM), MHSc, MBA, CHE and Mike Weinstock, MD
ATB Alternatives Part 2From June 2021, Play Ball!
Bryan and Mike discuss appropriate antibiotics for common conditions such as cellulitis, pneumonia, sinusitis, urinary tract infections, and otitis media in unique patient populations (pregnancy, children, older adults, and allergies).11min 45Bryan Hayes, PharmD and Mike Weinstock, MD
ATB Alternatives Part 1From June 2021, Play Ball!
Bryan and Mike discuss appropriate antibiotics for common conditions such as cellulitis, pneumonia, sinusitis, urinary tract infections, and otitis media in unique patient populations (pregnancy, children, older adults, and allergies).17min 30Bryan Hayes, PharmD and Mike Weinstock, MD
Tox Time: Dirty DrugsFrom June 2021, Play Ball!
Laura and Mike define what it means for a drug to be “dirty”, and how urgent care providers can help prevent adverse drug reactions (ADRs) by not prescribing dirty drugs.21min 58Laura Roper MD and Mike Weinstock, MD
Pain Meds for FracturesFrom June 2021, Play Ball!
Providing adequate pain control for patients with acute injuries while also balancing medication side effects can be tricky as a clinician. Evidence against using NSAIDS for pain control in patients with acute fractures is limited, while there are known negative side effects of opiates. As with …11min 40Matthieu DeClerck, MD and Jenny Beck-Esmay, MD
PE Basics: MethFrom May 2021, Apposition So You Can Disposition
Mike and Heath discuss serious physical exam findings in patients who are chronic methamphetamine users including meth mouth, skin ulcerations, heart murmur from endocarditis, and acute psychosis during current use of meth.18min 53Heath Jolliff, DO and Mike Weinstock, MD
Antihypertensive Side EffectsFrom March 2021, Pain in the Neck
Bryan and Mike discuss common antihypertensive medications such as ACE-Inhibitors, beta-blockers, calcium channel blockers, and diuretics. They highlight important side effects which may cause patients to present to urgent care and identify ways to minimize these effects, when applicable.16min 31Mike Weinstock, MD and Bryan Hayes, PharmD
Cannabis Roundtable: Part 1From February 2021, Rice Rice Baby
Cannabis is now legal for medical and or recreational use in over half the states in the country. Despite this, widespread use of cannabis for medical indications remains controversial.15min 52Luke Wood, DO and Matthieu DeClerck, MD
Cannabis Roundtable: Part 2From February 2021, Rice Rice Baby
Cannabis is now legal for medical and or recreational use in over half the states in the country. Despite this, widespread use of cannabis for medical indications remains controversial.10min 16Luke Wood, DO and Matthew DeLaney, MD
Droperidol is back: Can we use it in the UC?From February 2021, Rice Rice Baby
The safety of droperidol was called into question in 2001 when the FDA placed a black box warning on the medication due to the risk of QT prolongation and arrhythmias. Since then, dozens of published studies attest to the safety of droperidol when used for a variety of indications. In this …14min 11Reuben Strayer, MD, Matthieu DeClerck, MD, and Mizuho Morrison, DO
The Game ChangerFrom January 2021, The Game Changer
Though there are serious life-threatening causes of unilateral pupil dilation, a common cause is a topical exposure to anticholinergic medications. Other causes may include a brain mass or bleed.19min 40Mike Weinstock, MD and Mizuho Morrison, DO
TOX TIME: Dietary SupplementsFrom October 2020, The Game Bag
Laura and Mike discuss the potential dangers of trending dietary supplements that urgent care providers must be aware of both for acute symptoms and anticipatory guidance to prevent injury and death.12min 52Laura Roper MD and Mike Weinstock, MD
*UPDATED* The Saga Continues with Remdesivir and HydroxychloroquineFrom May 2020, *UPDATED* The Saga Continues with Remdesivir and Hydroxychloroquine
*Editor's note: As of June 4, 2020, The Lancet article by Mehra MR et al has been retracted. (https://www.thelancet.com/lancet/article/s0140673620313246) • In this Hippo Education short, Dr.Salim Rezaie from REBEL EM and Lit Matters critically appraises two papers published on Friday May 22nd …9min 19Salim Rezaie, MD
COVID-19 PharmacologyFrom April 2020, COVID-19 Pharmacology
Mizuho sits down with emergency medicine pharmacist/toxicologist Bryan Hayes, PharmD to answer some pertinent questions and myth-bust clarifications about pharmaceutical options in COIVD-19 treatment.17min 44Mizuho Morrison, DO and Bryan Hayes, PharmD
Less Expensive Medication AlternativesFrom March 2020, Fight Bites & Cup O' Noodles...Pain, No Gain!
Bryan and Mike talk through different options to treat various conditions seen in urgent care while balancing the cost of the medication and the patients needs. •18min 1Bryan Hayes, PharmD and Mike Weinstock, MD
Legal Lessons - Fight BitesFrom March 2020, Fight Bites & Cup O' Noodles...Pain, No Gain!
Patients who have cellulitis should have antibiotics selected based on the likely organism, and if a human bite wound, the patient should receive instructions that account for progression of disease. •15min 43Mike Weinstock, MD and Matthew DeLaney, MD
Pneumonia Updates - Diagnostics (Part I)From February 2020, Clear as Mud...IDSA Guideline Pneumonia updates
Matthew and Rick discuss the new IDSA updates regarding the diagnosis, disposition and treatment of patients with possible community acquired pneumonia. •17min 29Matthew DeLaney, MD and Rick Pescatore, DO
Pneumonia Treatment Updates - Treatment (Part II)From February 2020, Clear as Mud...IDSA Guideline Pneumonia updates
Matthew and Rick discuss the new IDSA updates regarding the diagnosis, disposition and treatment of patients with possible community acquired pneumonia. •16min 35Matthew DeLaney, MD and Rick Pescatore, DO
Who Benefits from Steroids?From February 2020, Clear as Mud...IDSA Guideline Pneumonia updates
Bryan and Mike discuss the myriad indications for steroids in the urgent care setting to determine when to give and when not to give. Both adult and pediatric patients are highlighted with a focus on dose and duration, when appropriate.17min 58Bryan Hayes, PharmD and Mike Weinstock, MD
Toxicology 101From February 2020, Clear as Mud...IDSA Guideline Pneumonia updates
Jeff and Matt review a case of a young female presenting to the urgent care with an unknown ingestion of a prescription medication. They walk through what critical actions are required to help narrow the diagnosis, stabilize the patient, and make appropriate disposition decisions. They also discuss …24min 21Jeff Lapoint, MD and Matthieu DeClerck, MD
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