69 results
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
Pearls for Treatment ... include abdominal pain ... #UseDisorder #Management ... #Treatment #AUD ... Therapies #Screening #Addiction
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Buprenorphine-Naloxone and treatment ... opioid >12hr (short ... Withdrawal #Algorithm #Management ... #Addiction #Prescribing
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... In short, best outcomes ... The longer the seizure ... #Management #Neurology ... #CriticalCare #
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... medication assisted treatment ... Buprenorphine #Comparison #Pain ... #Management #Opioid ... #UseDisorder #Addiction
Rich Levitan teaches the VAPORS pneumonic: a quick run-through of the main issues to sort prior
run-through of the main ... issues to sort ... from Scotland #Management ... #CriticalCare #
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Mechanisms of Pain ... Well-localized, sharp, short ... well-localized, dull, longer ... Complex regional pain ... Mechanisms #Neurology #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Dehydration Shock Treatment ... #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... dorsal wrist, pain ... injury • ED Management ... : Pain control, ... #Orthopedics #Sports
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 • Birds are the primary reservoir
 •
non-productive cough, chest pain ... is discouraged (danger ... of aerosol) Treatment ... first line of treatment ... microbiology #diagnosis #management
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
• Weakness: Starts ... Hands or feet • Pain ... Treatment: • Plasmapheresis ... Syndrome #diagnosis #management ... #treatment #neurology