PE Basics: Meth
From May 2021, Apposition So You Can DispositionMike 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 Effects
From March 2021, Pain in the NeckBryan 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 1
From February 2021, Rice Rice BabyCannabis 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 2
From February 2021, Rice Rice BabyCannabis 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 BabyThe 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 Changer
From January 2021, The Game ChangerThough 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 Supplements
From October 2020, The Game BagLaura 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 Hydroxychloroquine
From May 2020, *UPDATED*Bonus Short - 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
Bonus Short - COVID-19 Pharmacology
From April 2020, COVID-19 PharmacologyMizuho 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 Alternatives
From 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 Bites
From 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 updatesMatthew 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 updatesMatthew 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 updatesBryan 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 101
From February 2020, Clear as Mud...IDSA Guideline Pneumonia updatesJeff 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
PCN Allergy
From January 2020, Mainlining MadnessBryan and Mike discuss the incidence and repercussions of penicillin and cephalosporin allergy histories, the true nature of cross-reactivity, and the approach to evaluation and management in the urgent care setting.
15min 43Bryan Hayes, PharmD and Mike Weinstock, MD
Legal Lessons: Risks of Medications
From December 2019, Medication MishapsPatients who have cellulitis should have antibiotics selected based on potential for treatment of the cellulitis as well as risks of side effects of the antibiotic.
19min 5Matthew DeLaney, MD and Mike Weinstock, MD
No Antibiotics for You!
From December 2019, Medication MishapsBeing pressured to provide antibiotics when its not indicated is a common phenomenon. Miz chats with EM-Over-Easy guys Andy Little and Drew Kalnow on ways to approach this ask, and ways to educate our patients in a constructive way.
17min 29Andy Little, DO, Drew Kalnow, DO, and Mizuho Morrison, DO
What Do I Do Next? - Local Anesthetic Systemic Toxicity
From October 2019, SVT?! REVERT Me!Local anesthetics are widely used and generally have a favorable safety profile. Despite their widespread use clinicians need to understand the safe dosage range of these medications for every patient.
16min 6Charles Khoury, MD, Matthew DeLaney, MD, and Doug Wallace, MD
Excellence In Physical Exam Series | ACE Inhibitor Angioedema
From October 2019, SVT?! REVERT Me!ACE inhibitor angioedema has a range of presentations from mild lip swelling to airway closure – an exam starts with observing the patient for signs of respiratory distress and then obtaining a good view of the posterior pharynx looking for glottal edema and posterior pharyngeal edema.
11min 20Jesse Nichos, DO and Mike Weinstock, MD
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