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with Remdesivir and Hydroxychloroquine*Editor's note: As of June 4, 2020, The Lancet article by Mehra MR et al has been retracted.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
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
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
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
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
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
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
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
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
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
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
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
Medical management of ADHD
From August 2019, Disabilities MatterPatients with ADHD are often prescribed medications, but there is a high potential for abuse and diversion as well as weight loss, insomnia, and rebound. Management should be monitored by a health care provider with experience in prescribing these medications and parents should supervise adherence …
16min 50Bryan Hayes, PharmD and Mike Weinstock, MD
Pharyngitis
From June 2019, ID KillersRick and Matt tackle the surprisingly complex topic of pharyngitis and take a deep dive on the microbiology and considerations of antibiotic treatment.
18min 17Matthew DeLaney, MD and Rick Pescatore, DO
Gout Management
From May 2019, Difficult patient vs. personality disorder?Bryan and Mike discuss the pathophysiology of gout, what chronic gout medications patients might be taking, and acute pain management strategies with a focus on NSAIDS, glucocorticoids, and colchicine. They also present a pathway for when to refer the patient for outpatient follow up and possible …
18min 7Bryan Hayes, PharmD and Mike Weinstock, MD
Opiate Prescribing In The Urgent Care
From April 2019, April Showers, Syncope & SprainsThe opioid crisis is the most catastrophic and enduring public health crisis of our time. Recent legislative advances have provided more tools for clinicians to fight the epidemic.
14min 57Mike Weinstock, MD and Rick Pescatore, DO
Listener Feedback & Questions
From March 2019, Bun (Not) In The OvenPatients with compressive lesions in the lumbosacral spine below the level of the conus medullaris may present with signs and symptoms of cauda equina syndrome. Symptoms are due to compression of multiple nerve roots of the cauda equina and may include pain radiating into one or both legs …
15min 17Mike Weinstock, MD and Matthieu DeClerck, MD
Hyperkalemia
From February 2019, No...You Aren't Gonna Die!Bryan and Mike discuss the the presentation of acute hyperkalemia with a focus on ECG changes, medications available in urgent care to treat severe cases, and when to recommend outpatient follow up or arrange transfer to an emergency department.
16min 1Bryan Hayes, PharmD and Mike Weinstock, MD
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