16 - Subarachnoid Hemorrhage, Pediatric Hepatitis Outbreak, Medical Errors, and More
05/11/22 • 87 min
Welcome to Episode 16 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 16 of “The 2 View” – SAH: revisited, pediatric hepatitis outbreak, medical errors, and AHA/ACC heart failure guidelines.
SAH - Revisited
Headache. American College of Emergency Physicians. Acep.org. Published June 2019. Accessed April 27, 2022. https://www.acep.org/patient-care/clinical-policies/headache/
Ibrahim YA, Mironov O, Deif A, Mangla R, Almast J. Idiopathic Intracranial Hypertension: Diagnostic Accuracy of the Transverse Dural Venous Sinus Attenuation on CT scans. Neuroradiol J. PubMed Central. National Library of Medicine: National Center for Biotechnology Information. Published December 2014. Accessed April 27, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291803/
Spadaro A, Scott KR, Koyfman A, Long B. Reversible cerebral vasoconstriction syndrome: A narrative review for emergency clinicians. Am J Emerg Med. PubMed.gov. National Library of Medicine: National Center for Biotechnology Information. Published October 4, 2021. Accessed April 27, 2022. https://pubmed.ncbi.nlm.nih.gov/34879501/
Pediatric Hepatitis Outbreak
Jetelina K. Severe hepatitis outbreak among children. Your Local Epidemiologist. Published April 26, 2022. Accessed April 27, 2022. https://yourlocalepidemiologist.substack.com/p/severe-hepatitis-outbreak-among-children
Multi-Country – Acute, severe hepatitis of unknown origin in children. Who.int. Published April 23, 2022. Accessed April 27, 2022. https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON376
Recommendations for Adenovirus Testing and Reporting of Children with Acute Hepatitis of Unknown Etiology. HAN archive - 00462. Cdc.gov. Published April 21, 2022. Accessed April 27, 2022. https://emergency.cdc.gov/han/2022/han00462.asp
Medical Errors
Dihydroergotamine (DHE) for Migraine Treatment. American Migraine Foundation. Published January 28, 2021. Accessed April 27, 2022. https://americanmigrainefoundation.org/resource-library/dhe-for-migraine/
Kelman B. Former nurse found guilty in accidental injection death of 75-year-old patient. NPR. Published March 25, 2022. Accessed April 27, 2022. https://www.npr.org/sections/health-shots/2022/03/25/1088902487/former-nurse-found-guilty-in-accidental-injection-death-of-75-year-old-patient.
Khan A. Medical Errors in the Emergency Department. SAJEM Editorial. Researchgate.net. Accessed April 27, 2022. https://www.researchgate.net/profile/Abdus-Khan/publication/336838935_Medical_Errors_in_the_Emergency_Department/links/5dbae7df4585151435d6e97f/Medical-Errors-in-the-Emergency-Department.pdf
Pasquini S. Healthcare Experience Required for PA School: The Ultimate Guide. The Physician Assistant Life. Published February 2, 2015. Accessed April 27, 2022. https://www.thepalife.com/hce-paschool/
AHA/ACC Heart Failure Guidelines
Emergency Heart Failure Mortality Risk Grade (EHMRG). MDCalc. Accessed April 27, 2022. https://www.mdcalc.com/emergency-heart-failure-mortality-risk-grade-ehmrg
Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. Published April 1, 2022. Accessed April 27, 2022. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001063
Ottawa Heart Failure Risk Scale (OHFRS). MDCalc. Accessed April 27, 2022.
Welcome to Episode 16 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 16 of “The 2 View” – SAH: revisited, pediatric hepatitis outbreak, medical errors, and AHA/ACC heart failure guidelines.
SAH - Revisited
Headache. American College of Emergency Physicians. Acep.org. Published June 2019. Accessed April 27, 2022. https://www.acep.org/patient-care/clinical-policies/headache/
Ibrahim YA, Mironov O, Deif A, Mangla R, Almast J. Idiopathic Intracranial Hypertension: Diagnostic Accuracy of the Transverse Dural Venous Sinus Attenuation on CT scans. Neuroradiol J. PubMed Central. National Library of Medicine: National Center for Biotechnology Information. Published December 2014. Accessed April 27, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291803/
Spadaro A, Scott KR, Koyfman A, Long B. Reversible cerebral vasoconstriction syndrome: A narrative review for emergency clinicians. Am J Emerg Med. PubMed.gov. National Library of Medicine: National Center for Biotechnology Information. Published October 4, 2021. Accessed April 27, 2022. https://pubmed.ncbi.nlm.nih.gov/34879501/
Pediatric Hepatitis Outbreak
Jetelina K. Severe hepatitis outbreak among children. Your Local Epidemiologist. Published April 26, 2022. Accessed April 27, 2022. https://yourlocalepidemiologist.substack.com/p/severe-hepatitis-outbreak-among-children
Multi-Country – Acute, severe hepatitis of unknown origin in children. Who.int. Published April 23, 2022. Accessed April 27, 2022. https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON376
Recommendations for Adenovirus Testing and Reporting of Children with Acute Hepatitis of Unknown Etiology. HAN archive - 00462. Cdc.gov. Published April 21, 2022. Accessed April 27, 2022. https://emergency.cdc.gov/han/2022/han00462.asp
Medical Errors
Dihydroergotamine (DHE) for Migraine Treatment. American Migraine Foundation. Published January 28, 2021. Accessed April 27, 2022. https://americanmigrainefoundation.org/resource-library/dhe-for-migraine/
Kelman B. Former nurse found guilty in accidental injection death of 75-year-old patient. NPR. Published March 25, 2022. Accessed April 27, 2022. https://www.npr.org/sections/health-shots/2022/03/25/1088902487/former-nurse-found-guilty-in-accidental-injection-death-of-75-year-old-patient.
Khan A. Medical Errors in the Emergency Department. SAJEM Editorial. Researchgate.net. Accessed April 27, 2022. https://www.researchgate.net/profile/Abdus-Khan/publication/336838935_Medical_Errors_in_the_Emergency_Department/links/5dbae7df4585151435d6e97f/Medical-Errors-in-the-Emergency-Department.pdf
Pasquini S. Healthcare Experience Required for PA School: The Ultimate Guide. The Physician Assistant Life. Published February 2, 2015. Accessed April 27, 2022. https://www.thepalife.com/hce-paschool/
AHA/ACC Heart Failure Guidelines
Emergency Heart Failure Mortality Risk Grade (EHMRG). MDCalc. Accessed April 27, 2022. https://www.mdcalc.com/emergency-heart-failure-mortality-risk-grade-ehmrg
Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. Published April 1, 2022. Accessed April 27, 2022. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001063
Ottawa Heart Failure Risk Scale (OHFRS). MDCalc. Accessed April 27, 2022.
Previous Episode
15 - 2021 AHA/ACC Guidelines, Non-Traumatic Shoulder Pain, Mushrooms and Psychedelics, and More
Welcome to Episode 15 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 15 of “The 2 View” – Guidelines for the evaluation and diagnosis of chest pain, non-traumatic shoulder pain in the ER, thoughts on recertification, and mushrooms & psychedelics.
2021 AHA/ACC/etc. Guideline for the Evaluation and Diagnosis of Chest Pain
Chest Pain Choice. care that fits. Published May 19, 2021. Accessed March 29, 2022. https://carethatfits.org/chest-pain-choice/
Grauer K. ECG Blog #292 — Why Did the Patient Die? Blogspot.com. Published March 21, 2022. Accessed March 29, 2022. https://ecg-interpretation.blogspot.com/2022/03/ecg-blog-292-why-did-patient-die.html
Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. Published October 28, 2021. Accessed March 29, 2022. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029
Non-Traumatic Shoulder Pain in the ER
Appropriate Use Criteria Program. CMS.gov. Last Modified December 1, 2021. Accessed March 29, 2022. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Appropriate-Use-Criteria-Program
Center For Medicare & Medicaid Implement New Rules for Shoulder Pain Diagnosis. Sonosite.com. Published January 22, 2020. Accessed March 29, 2022. https://www.sonosite.com/blog/center-medicare-medicaid-implement-new-rules-shoulder-pain-diagnosis
Elaassar MMN, Emadeldin A, Zidan DZ, Sakr HM, Abdelazim H. Chronic non-traumatic shoulder pain: evaluation with ultrasonography and conventional mr imaging. QJM. Oxford Academic. Published May 19, 2020. Accessed March 29, 2022. https://academic.oup.com/qjmed/article/113/Supplement_1/hcaa068.013/5829209?login=true
Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. National Library of Medicine: National Center for Biotechnology Information. Published November 12, 2005. Accessed March 29, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1283277/
Parker, et al. Musculoskeletal imaging: Medicare use, costs, and potential for cost substitution. Journal of American College of Radiology. 2008: 182:188.
PANRE-LA Option for PA Recertification - What Do We Think about Recertification?
Admin M. Home. Aaenp-natl.org. AAENP. Accessed March 29, 2022. https://www.aaenp-natl.org/
American Association of Nurse Practitioners. AANP. American Association of Nurse Practitioners. Published September 4, 2019. Accessed March 29, 2022. https://www.aanp.org/
American Nurses Credentialing Center. ANA. Accessed March 29, 2022. https://www.nursingworld.org/ancc/
Homepage. PNCB. Accessed March 29, 2022. https://www.pncb.org/
Maintain Certification. NCCPA. Published September 15, 2020. Accessed March 29, 2022. https://www.nccpa.net/maintain-certification/#panre-la-faqs
NCCPA Announces Permanent Alternative to PANRE, PANRE-LA. NCCPA. Published December 1, 2021. Accessed March 29, 2022. https://www.nccpa.net/news/panre-la/
Mushrooms and Psychedelics
Approach to Altered Mental Status. Default. CDEM. Accessed March 29, 2022. https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-education/m4-curriculum/group-m4-approach-to/approach-to-altered-mental-status
Garcia J, Costa VM, Carvalho A, et al. Amanita phalloides ...
Next Episode
17 - Monkeypox, Top Three Timesavers, Anaphylaxis, and More
Welcome to Episode 17 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!
Show Notes for Episode 17 of “The 2 View” – Monkeypox, A Typical NP/PA Day in the ER: Tips from the Heart, Timesavers, and Anaphylaxis.
Monkeypox
Lewis D. How PAs Can Avoid Malpractice: Go Back to Practice Basics. Medscape. Published May 23, 2022. Accessed May 30, 2022. https://www.medscape.com/viewarticle/974472
Monkeypox in Multiple Countries - Alert - Level 2, Practice Enhanced Precautions - Travel Health Notices. Centers for Disease Control and Prevention. Travelers’ Health. Cdc.gov. Accessed May 30, 2022. https://wwwnc.cdc.gov/travel/notices/alert/monkeypox
Monkeypox: public health advice for gay, bisexual and other men who have sex with men. World Health Organization. Who.int. Published May 25, 2022. Accessed May 30, 2022. https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men
Monkeypox Virus Infection in the United States and Other Non-endemic Countries – 2022. Centers for Disease Control and Prevention. HAN archive - 00466. Cdc.gov. Published May 20, 2022. Accessed May 30, 2022. https://emergency.cdc.gov/han/2022/han00466.asp
Morgenstern J. Monkeypox. First10EM. Published May 19, 2022. Accessed May 30, 2022. https://first10em.com/monkeypox/
Rezaie S. Monkeypox...the basics. REBEL EM - Emergency Medicine Blog. Published May 26, 2022. Accessed May 30, 2022. https://rebelem.com/monkeypoxthe-basics/
Top Three Timesavers
Heckerling PS, Tape TG, Wigton RS, et al. Clinical prediction rule for pulmonary infiltrates. Ann Intern Med. NIH National Library of Medicine: National Center for Biotechnology Information. PubMed.gov. Published November 1, 1990. Accessed May 30, 2022. https://pubmed.ncbi.nlm.nih.gov/2221647/
Mellick L. Ten Ways to Reduce a Dislocated Shoulder. Published August 13, 2015. Accessed May 30, 2022. https://www.youtube.com/watch?v=HtOnreM7heg
Mellick L. The Davos Method of Shoulder Dislocation Reduction. Published May 2, 2016. Accessed May 30, 2022. https://www.youtube.com/watch?v=u2MsnjVNoPM
UofSC Athletic Training. Spaso Technique for Glenohumeral Joint Reduction. Published October 11, 2020. Accessed May 30, 2022. https://www.youtube.com/watch?v=ei5Z62Whs1I
Anaphylaxis?
Roberts M, Sharma M. The 2 View. The Center for Medical Education. 14 - Urticaria, Foreign Bodies, and a Special Interview. 2 View: Emergency Medicine PAs & NPs. Published February 27, 2022. Accessed May 30, 2022. https://2view.fireside.fm/14
Tang AW. A Practical Guide to Anaphylaxis. Am Fam Physician. Published October 1, 2003. Accessed May 30, 2022. https://www.aafp.org/pubs/afp/issues/2003/1001/p1325.html
Something Sweet
Shoutouts to:
Dr. Brendon Carmondy, who is the Assistant Director of the Emergency Department at Suburban Hospital in Maryland, and his entire team.
Sierra Campus of the Hospitals of Providence in El Paso, TX, especially Dr. Madhu Achalla.
Recurring Sources
Center for Medical Education. Ccme.org. http://ccme.org
The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org
The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com
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