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2 View: Emergency Medicine PAs & NPs - 39 - Water Beads, CRHK Pneumonia, STD Treatments, Malingering, and more! | The 2 View

39 - Water Beads, CRHK Pneumonia, STD Treatments, Malingering, and more! | The 2 View

10/06/24 • 67 min

2 View: Emergency Medicine PAs & NPs

Welcome to Episode 39 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!

Show Notes for Episode 38 of “The 2 View” – Water beads, CRHK Pneumonia, STD treatments, malingering, and more.

Segment 1 - Water Beads

Joynes HJ, Kistamgari S, Casavant MJ, Smith GA. Pediatric water bead-related visits to United States emergency departments. Am J Emerg Med. ScienceDirect. Published October 2024. https://www.sciencedirect.com/science/article/pii/S0735675724003711?via%3Dihub

Warning: Popular water beads may cause intestinal blockages in kids. News. UC Davis Health. Children’s Health. Published December 13, 2022. https://health.ucdavis.edu/news/headlines/a-warning-this-sensory-toy-is-life-threatening-if-swallowed/2022/12

Water Beads. United States Consumer Product Safety Commission.
Cpsc.gov. https://www.cpsc.gov/Safety-Education/Safety-Education-Centers/Water-Beads-Information-Center

Segment 2 - WHO Warns of Carbapenem-Resistant Hypervirulent Klebsiella pneumonia

Antimicrobial Resistance, Hypervirulent Klebsiella pneumoniae - Global situation. Who.int. World Health Organization. Disease Outbreak News. Published July 31, 2024. https://www.who.int/emergencies/disease-outbreak-news/item/2024-DON527

Choby JE, Howard-Anderson J, Weiss DS. Hypervirulent Klebsiella pneumoniae – clinical and molecular perspectives. J Intern Med. WILEY Online Library. Published November 2, 2019. https://onlinelibrary.wiley.com/doi/10.1111/joim.13007

Segment 3 - STD Treatments

Apato A, Cruz SN, Desai D, Slocum GW. Doxycycline adherence for the management of Chlamydia trachomatis infections. Am J Emerg Med. ScienceDirect. Published July 2024. https://www.sciencedirect.com/science/article/abs/pii/S0735675724002250?via%3Dihub

The Center for Medical Education. The 2 View: Episode 9. 2 View: Emergency Medicine PAs & NPs. Published September 17, 2021. https://2view.fireside.fm/9

Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. Recommendations and Reports. CDC. Published July 23, 2021. https://www.cdc.gov/mmwr/volumes/70/rr/rr7004a1.htm#chlamydialinfections

Segment 4 - Full-dose challenge of moderate, severe, and unknown beta-lactam allergies in the emergency department

Anderson AM, Coallier S, Mitchell RE, Dumkow LE, Wolf LM. Full‐dose challenge of moderate, severe, and unknown beta‐lactam allergies in the emergency department. Acad Emerg Med. Wiley Online Library. Published August 2024. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14893

Meghan Jeffres, et al. University of Colorado. Hypersensitivity Type. Beta-lactam allergy tip sheet. Unmc.edu. https://www.unmc.edu/intmed/_documents/id/asp/clinicpath-beta-lactam-cross-reaction-tip-sheet.pdf

Milne K. SGEM#452: I’m Still Standing – After The Allergy Challenge. The Skeptics Guide to Emergency Medicine - Meet ’em, greet ’em, treat ’em and street ’em. Published September 14, 2024. https://thesgem.com/2024/09/sgem452-im-still-standing-after-the-allergy-challenge/

Segment 5 - Malingering

Alozai UU, McPherson PK. Malingering. In: StatPearls. StatPearls Publishing. NIH. National Library of Medicine. National Center for Biotechnology Information. Last updated June 12, 2023. https://www.ncbi.nlm.nih.gov/books/NBK507837/

Forrest JS. Rapid Review Quiz: Recognizing Malingering. Medscape. Published August 21, 2024. https://reference.medscape.com/viewarticle/1001346?ecd=WNL_rrq_240912_MSCPEDIT...

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Welcome to Episode 39 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!

Show Notes for Episode 38 of “The 2 View” – Water beads, CRHK Pneumonia, STD treatments, malingering, and more.

Segment 1 - Water Beads

Joynes HJ, Kistamgari S, Casavant MJ, Smith GA. Pediatric water bead-related visits to United States emergency departments. Am J Emerg Med. ScienceDirect. Published October 2024. https://www.sciencedirect.com/science/article/pii/S0735675724003711?via%3Dihub

Warning: Popular water beads may cause intestinal blockages in kids. News. UC Davis Health. Children’s Health. Published December 13, 2022. https://health.ucdavis.edu/news/headlines/a-warning-this-sensory-toy-is-life-threatening-if-swallowed/2022/12

Water Beads. United States Consumer Product Safety Commission.
Cpsc.gov. https://www.cpsc.gov/Safety-Education/Safety-Education-Centers/Water-Beads-Information-Center

Segment 2 - WHO Warns of Carbapenem-Resistant Hypervirulent Klebsiella pneumonia

Antimicrobial Resistance, Hypervirulent Klebsiella pneumoniae - Global situation. Who.int. World Health Organization. Disease Outbreak News. Published July 31, 2024. https://www.who.int/emergencies/disease-outbreak-news/item/2024-DON527

Choby JE, Howard-Anderson J, Weiss DS. Hypervirulent Klebsiella pneumoniae – clinical and molecular perspectives. J Intern Med. WILEY Online Library. Published November 2, 2019. https://onlinelibrary.wiley.com/doi/10.1111/joim.13007

Segment 3 - STD Treatments

Apato A, Cruz SN, Desai D, Slocum GW. Doxycycline adherence for the management of Chlamydia trachomatis infections. Am J Emerg Med. ScienceDirect. Published July 2024. https://www.sciencedirect.com/science/article/abs/pii/S0735675724002250?via%3Dihub

The Center for Medical Education. The 2 View: Episode 9. 2 View: Emergency Medicine PAs & NPs. Published September 17, 2021. https://2view.fireside.fm/9

Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. Recommendations and Reports. CDC. Published July 23, 2021. https://www.cdc.gov/mmwr/volumes/70/rr/rr7004a1.htm#chlamydialinfections

Segment 4 - Full-dose challenge of moderate, severe, and unknown beta-lactam allergies in the emergency department

Anderson AM, Coallier S, Mitchell RE, Dumkow LE, Wolf LM. Full‐dose challenge of moderate, severe, and unknown beta‐lactam allergies in the emergency department. Acad Emerg Med. Wiley Online Library. Published August 2024. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14893

Meghan Jeffres, et al. University of Colorado. Hypersensitivity Type. Beta-lactam allergy tip sheet. Unmc.edu. https://www.unmc.edu/intmed/_documents/id/asp/clinicpath-beta-lactam-cross-reaction-tip-sheet.pdf

Milne K. SGEM#452: I’m Still Standing – After The Allergy Challenge. The Skeptics Guide to Emergency Medicine - Meet ’em, greet ’em, treat ’em and street ’em. Published September 14, 2024. https://thesgem.com/2024/09/sgem452-im-still-standing-after-the-allergy-challenge/

Segment 5 - Malingering

Alozai UU, McPherson PK. Malingering. In: StatPearls. StatPearls Publishing. NIH. National Library of Medicine. National Center for Biotechnology Information. Last updated June 12, 2023. https://www.ncbi.nlm.nih.gov/books/NBK507837/

Forrest JS. Rapid Review Quiz: Recognizing Malingering. Medscape. Published August 21, 2024. https://reference.medscape.com/viewarticle/1001346?ecd=WNL_rrq_240912_MSCPEDIT...

Previous Episode

undefined - 38 - Retinal Artery Occlusion, Femoral Artery, and a guest appearance by Carl Lange, PA | The 2 View

38 - Retinal Artery Occlusion, Femoral Artery, and a guest appearance by Carl Lange, PA | The 2 View

Welcome to Episode 38 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!

Show Notes for Episode 38 of “The 2 View” – Retinal Artery Occlusion, Femoral Artery, and a guest appearance by Carl Lange, PA.

Segment 1

Yaghoubi G.H., Heidari B. and B. Heidari. Case report: Central retinal artery occlusion in a 28-year-old man after 10 days of smoking cessation. World Health Organization - Regional Office for the Eastern Mediterranean. Accessed September 20, 2024. https://www.emro.who.int/emhj-volume-14-2008/volume-14-issue-5/case-report-central-retinal-artery-occlusion-in-a-28-year-old-man-after-10-days-of-smoking-cessation.html

Segment 2

Howden W. Femoral artery. Radiopaedia.org. Revised March 24, 2023. Accessed September 20, 2024. https://radiopaedia.org/articles/femoral-artery?lang=us

Ultrasound – Doppler Pseudoaneurysm Evaluation. UT southwestern department of radiology. Utsouthwestern.edu. Revised October 2, 2018. Accessed September 20, 2024. https://www.utsouthwestern.edu/education/medical-school/departments/radiology/protocols/assets/US%20Pseudoaneurysm.pdf

Webb S, Madia C. Postcatheterization Femoral Pseudoaneurysms. American College of Cardiology. Published June 4, 2019. Accessed September 20, 2024. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/06/04/10/26/Postcatheterization-Femoral-Pseudoaneurysms

Zeman J, Kompella R, Lee J, Kim AS. Case report: Non-thrombotic iliac vein lesion: an unusual cause of unilateral leg swelling in a patient with endometrial carcinoma. Front Cardiovasc Med. PMC PubMed Central. Published online May 2, 2023. Accessed September 20, 2024. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185828/

Segment 3

California Board of Registered Nursing. Recruiting Expert Practice Consultants. Rn.ca.gov. Accessed September 20, 2024. https://www.rn.ca.gov/enforcement/expwit.shtml

The Academy of Physician Associates in Legal Medicine. APALM. Published March 5, 2024. Updated June 7, 2024. Accessed September 20, 2024. https://www.apalm.net/

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

Trivia Question: Send answers to [email protected]

Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Don’t miss our upcoming EM Boot Camp this December in Las Vegas: https://courses.ccme.org/course/embootcamp/about

Next Episode

undefined - 40 - ST-segment Elevation to Occlusion MI, Stercoral Colitis, and KEN MILNE! | The 2 View

40 - ST-segment Elevation to Occlusion MI, Stercoral Colitis, and KEN MILNE! | The 2 View

Welcome to Episode 40 – the BIG 4-0!! – of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!

Show Notes for Episode 40 of “The 2 View” – ST-segment elevation MI to occlusion MI, recurrent uncomplicated UTIs in Women, stercoral colitis in the emergency department, an interview with Dr. Ken Milne, and more.

Segment 1 – ST-segment elevation MI to occlusion MI, corneal abrasions, and recurrent uncomplicated UTIs in women

Green SM, Tomaszewski C, Valente JH, Lo B, Milne K. Use of Topical Anesthetics in the Management of Patients With Simple Corneal Abrasions: Consensus Guidelines From the American College of Emergency Physicians. Ann Emerg Med. Annals of Emergency Medicine: An International Journal. Published May 2024.
https://www.annemergmed.com/article/S0196-0644(24)00004-0/fulltext

McLaren J, de Alencar JN, Aslanger EK, Meyers HP, Smith SW. From
ST-Segment Elevation MI to Occlusion MI: The New Paradigm Shift in Acute Myocardial Infarction. JACC Adv. JACC Journals. Published November 2024.
https://www.jacc.org/doi/10.1016/j.jacadv.2024.101314

Morgenstern J. More medical dogma: The “golden period” for laceration repair. First10EM. Published October 24, 2022.
https://first10em.com/more-medical-dogma-the-golden-period-for-laceration-repair/

Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2022) - American urological association. Auanet.org. Published 2019, Reviewed and Validity Confirmed 2022.
https://www.auanet.org/guidelines-and-quality/guidelines/recurrent-uti

Segment 2 – Stercoral colitis in the emergency department

Bae E, Tran J, Shah K. Stercoral colitis in the emergency department: a review of the literature. Int J Emerg Med. Published January 2 2024.
https://intjem.biomedcentral.com/articles/10.1186/s12245-023-00578-x

Hoverstadt MDP. International journal of emergency medicine. Wilderness & Environmental Medicine.
https://intjem.biomedcentral.com/

International Journal of Emergency Medicine. BioMed Central.
https://intjem.biomedcentral.com/

Keim AA, Campbell RL, Mullan AF, et al. Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Ann Emerg Med. Annals of Emergency Medicine: An International Journal. Published July 2023.
https://www.annemergmed.com/article/S0196-0644(23)00098-7/abstract

Segment 3 – Interview with Dr. Ken Milne

Milne K. SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain? The Skeptics Guide to Emergency Medicine - Meet ’em, greet ’em, treat ’em and street ’em. Published October 19, 2024.
https://thesgem.com/2024/10/sgem457-inhale-nebulized-or-iv-ketamine-for-acute-pain/

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

Trivia Question: Send answers to [email protected]

Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at [email protected] and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

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