The 2 View: Episode 5

05/13/21 • 78 min

Welcome to Episode 5 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!

Full show notes for Episode 5 of “The 2 View” can also be found here:
https://docs.google.com/document/d/1zcY2AKac2_5xxSwwubIgkypWkRI-uRit9zuIvqDpPLY/edit?usp=sharing

Needle Sticks

Needlestick Helpline: If you have questions about appropriate medical treatment for occupational exposures, assistance is available from the Clinicians’ Post Exposure Prophylaxis (PEP) Line at 1-888-448-4911.

National Clinician Consultation Center. Ucsf.edu. Accessed April 22, 2021. https://nccc.ucsf.edu/

Moayedi, Siamak MD, Torres, Mercedes MD. HIV Post-Exposure Prophylaxis. EM:RAP CorePendium. Emrap.org. Updated October 5, 2020. Accessed April 22, 2021. https://www.emrap.org/corependium/chapter/rech6mbrZTyKtAIqw/HIV-Post-Exposure-Prophylaxis

Roberts, Martha ACNP, CEN. Viewpoint: A Needle Stick and a Life Lesson. Emergency Medicine News. Lww.com. Updated December 2015. Accessed April 22, 2021. https://journals.lww.com/em-news/Fulltext/2015/12000/Viewpoint__A_Needle_Stick_and_a_Life_Lesson.19.aspx

Announcement: Updated Guidelines for Antiretroviral Postexposure Prophylaxis after Sexual, Injection-Drug Use, or Other Nonoccupational Exposure to HIV — United States, 2016. Morbidity and Mortality Weekly Report (MMWR). Cdc.gov. Updated May 6, 2016. Accessed April 22, 2021. https://www.cdc.gov/mmwr/volumes/65/wr/mm6517a5.htm

U.S. Public Health Service. Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis. MMWR Recomm Rep. 2001;50(RR-11):1-52. Cdc.gov. Updated June 29, 2001. Accessed April 22, 2021. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a1.htm

Dominguez KL, Smith DK, Thomas V, et al. Updated guidelines for antiretroviral postexposure prophylaxis after sexual, injection drug use, or other nonoccupational exposure to HIV—United States, 2016. Cdc.gov. Updated May 23, 2018. Accessed April 22, 2021. https://stacks.cdc.gov/view/cdc/38856
Schillie S, Vellozzi C, Reingold A, et al. Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices. MMWR Recomm Rep. 2018;67(1):1-31. Cdc.gov. Updated January 12, 2018. Accessed April 22, 2021. https://www.cdc.gov/mmwr/volumes/67/rr/rr6701a1.htm

CDC - Bloodborne Infectious Diseases: HIV/AIDS, Hepatitis B, Hepatitis C - Emergency Needlestick Information - NIOSH Workplace Safety and Health Topic. Cdc.gov. Published November 21, 2018. Accessed April 22, 2021. https://www.cdc.gov/niosh/topics/bbp/emergnedl.html

Hepatitis C Questions and Answers for Health Professionals. Cdc.gov. Published April 9, 2021. Accessed April 22, 2021. https://www.cdc.gov/hepatitis/hcv/hcvfaq.htm

Hepatitis B Foundation: Understanding Your Hepatitis B Test Results. Hepb.org. Accessed April 22, 2021. https://www.hepb.org/prevention-and-diagnosis/diagnosis/understanding-your-test-results/

Procedures: The Top Ten in EM Right Now

Roberts M, Roberts JR. The Proceduralist. Accessed April 22, 2021. https://www.theproceduralist.org/

The Proceduralist. Youtube.com. Accessed April 22, 2021. https://www.youtube.com/channel/UCQtZPVvIl2tCJdNrslXcCww

Back Pain Featuring W. Richard Bukata, M.D.
Motov, Sergey. Faculty Forum: A Practical Approach to Pain Management. YouTube. https://www.youtube.com/watch?v=lJSioPsGw3A. The Center for Medical Education. Published December 2, 2020. Accessed April 22, 2021.
@painfreeED
LaFollette R. Back to Basics: Treatment of Acute Low Back Pain in the ED — Tamin...

Welcome to Episode 5 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!

Full show notes for Episode 5 of “The 2 View” can also be found here:
https://docs.google.com/document/d/1zcY2AKac2_5xxSwwubIgkypWkRI-uRit9zuIvqDpPLY/edit?usp=sharing

Needle Sticks

National Clinician Consultation Center. Ucsf.edu. Accessed April 22, 2021. https://nccc.ucsf.edu/

Hepatitis C Questions and Answers for Health Professionals. Cdc.gov. Published April 9, 2021. Accessed April 22, 2021. https://www.cdc.gov/hepatitis/hcv/hcvfaq.htm

Hepatitis B Foundation: Understanding Your Hepatitis B Test Results. Hepb.org. Accessed April 22, 2021. https://www.hepb.org/prevention-and-diagnosis/diagnosis/understanding-your-test-results/

Procedures: The Top Ten in EM Right Now

Roberts M, Roberts JR. The Proceduralist. Accessed April 22, 2021. https://www.theproceduralist.org/

The Proceduralist. Youtube.com. Accessed April 22, 2021. https://www.youtube.com/channel/UCQtZPVvIl2tCJdNrslXcCww

Previous Episode

The 2 View: Episode 4

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

Full show Notes for Episode 4 of “The 2 View” can be found here: https://docs.google.com/document/d/1Awc9VPm2igzhKwNoDO07eq269bZTgrPtfSCJVVCvu6U/edit?usp=sharing

Sickle Cell

Brandow AM, Carroll CP, Creary S, et al. American Society of Hematology 2020 guidelines for sickle cell disease: management of acute and chronic pain. Blood Adv. 2020;4(12):2656-2701. Accessed April 5, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322963/

Della-Moretta S, Delatore L, Purcell M, et al. The Effect of Use of Individualized Pain Plans in Sickle Cell Patients Presenting to the Emergency Department. Ann Emerg Med.
Published September 2020. Accessed March 17, 2021. https://www.sciencedirect.com/science/article/pii/S019606442030648X

Table from Cisewski D. ED Management of Sickle Cell Vaso-occlusive Crises: Myths, Facts, and A Novel Approach to Acute Pain Management. emDocs. Updated April 15, 2019. Accessed April 5, 2021. https://www.emdocs.net/ed-management-of-sickle-cell-vaso-occlusive-crises-myths-facts-and-a-novel-approach-to-acute-pain-management/
A Practical Approach to Pain Management in the Acute Care Setting with Dr. Sergey Motov, MD / EM Boot Camp Faculty Forum #2. Updated December 2, 2020. Accessed April 5, 2021. https://youtu.be/lJSioPsGw3A

Sickle Cell Disease. CorePendium. EM:RAP.org, 2020. Updated December 7, 2020. Accessed April 5, 2021. https://www.emrap.org/corependium/chapter/recZWicqx0K20uwsz/Sickle-Cell-Disease

Procedure IM Shots

Roberts M, Roberts JR. Intramuscular Injections: 101 — The Proceduralist. The Proceduralist. Accessed March 17, 2021. https://www.theproceduralist.org/thecases/intramusclar-injections-101

You Call the Shots – Vaccine Administration: Intramuscular (IM) Injection Adults 19 years of age and older. Cdc.gov. Published November 16, 2020. Accessed March 17, 2021. https://www.cdc.gov/vaccines/hcp/admin/downloads/IM-Injection-adult.pdf

Documentation

Henry, Greg, MD. What You Must Know to Avoid Being Sued. Original Emergency Medicine Boot Camp. December 2019. Las Vegas. Accessed March 17, 2021.

Risk Management Monthly. The Center for Medical Education. Accessed March 17, 2021. https://www.ccme.org/riskmgmt/

Weinstock MB; Longstreth R; Henry GL. Bouncebacks! Emergency Department Cases: ED Returns. 2nd ed. Anadem; 2018.

First Time Seizures

Epilepsy. American Association of Neurological Surgeons. Accessed March 17, 2021. https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Epilepsy

Types of Seizures. Johns Hopkins Medicine. Accessed March 17, 2021. https://www.hopkinsmedicine.org/health/conditions-and-diseases/epilepsy/types-of-seizures

Billet, M MD, Khouja, D MBBS. Seizures in Adults. EM:RAP CorePendium. Emrap.org. Updated September 15, 2020. Accessed March 17, 2021. https://www.emrap.org/corependium/chapter/recLTpXKGatE7jq2r/Seizures-in-Adults

Pohlmann-Eden B, Beghi E, Camfield C, Camfield P. The first seizure and its management in adults and children. BMJ. Published February 11, 2006. Accessed March 17, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1363913/

Adamolekun, B MD. Seizure Disorders. Merck Manuals. Content last modified July 2020. Accessed March 17, 2021. https://www.merckmanuals.com/professional/neurologic-disorders/seizure-disorders/seizure-disorders

Neurology. Ame...

Next Episode

The 2 View: Episode 6

Welcome to Episode 6 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!

Show Notes for Episode 6 of “The 2 View”

Lyme Disease

Arumugam S, Nayak S, Williams T, et al. A Multiplexed Serologic Test for Diagnosis of Lyme Disease for Point-of-Care Use. J Clin Microbiol. Published November 22, 2019. Accessed June 1, 2021. https://journals.asm.org/doi/full/10.1128/JCM.01142-19

Gastroparesis

Camilleri, M. MD. Gastroparesis: Etiology, Clinical Manifestations, and Diagnosis. Uptodate.com. Updated September 30, 2020. Accessed June 1, 2021. https://www.uptodate.com/contents/gastroparesis-etiology-clinical-manifestations-and-diagnosis?search=gastroparesis&sectionRank=1&usage_type=default&anchor=H859989&source=machineLearning&selectedTitle=2~150&display_rank=2

Center for Drug Evaluation, Research. How to Request Domperidone for Expanded Access Use. Fda.gov. Published February 2, 2021. Accessed June 1, 2021. https://www.fda.gov/drugs/investigational-new-drug-ind-application/how-request-domperidone-expanded-access-use

Gastroparesis. American College of Gastroenterology. Updated December 2012. Accessed June 1, 2021. https://gi.org/topics/gastroparesis/

Gastroparesis - NORD (national organization for rare disorders). Rarediseases.org. Published February 11, 2015. Accessed June 1, 2021. https://rarediseases.org/rare-diseases/gastroparesis/

Spiked Helmet EKG Sign:
See full show notes here: https://bit.ly/3xaCoga

Career Advancements: Side Gigs & Moving Up in the Workforce

Passive Income. The List of Physician Side Hustles. Passiveincomemd.com. Published February 4, 2020. Accessed June 1, 2021. https://passiveincomemd.com/list-physician-side-hustles/

Shemmassian. 14 Physician Side Gigs to Accelerate Your Income — Shemmassian Academic Consulting. Shemmassianconsulting.com. Published March 26, 2020. Accessed June 1, 2021. https://www.shemmassianconsulting.com/blog/physician-side-gigs

Sitar, D. 11 Side Gigs You Can Do Entirely from Home. Thepennyhoarder.com. Published July 7, 2020. Accessed June 1, 2021. https://www.thepennyhoarder.com/make-money/side-gigs/work-from-home-coronavirus/

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]

Last month we asked you a trivia question regarding needlestick safety and prevention – who was the President of the United States that signed the Needlestick Safety and Prevention Act into law and who was the Massachusetts nurse whose advocacy for sharps injury safety helped the act pass and who later became president of the American Nurses Association? The correct answer was President Bill Clinton and Karen Daley, PhD, MPH, RN, FAAN.

Please note that for this month, if you get the trivia question correct, you will win your course registration to one of our LIVE EM Boot Camp Courses, available in July and November of this year! It’s a great course so be sure to download and listen to the episode for the question!
Please email us your guesses at [email protected] and tell us who you want to give a shout-out to.