EM Quick Hits 67 Tick Borne Illness Update, Pediatric ECG Interpretation, Nailbed Repair, Closed Loop Communication, ESRD, Leaders in EM Dr. Catherine Varner
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Aug 26, 2025 Guest
Victoria Myers
Guest
Catherine Varner
Guest
Brit Long
Guest
Matthew McArther
Guest
Kathleen Stephanos
Guest
Issac Bogoch
Dr. Issac Bogoch updates listeners on the rising threat of tick-borne illnesses, stressing the need for better awareness and diagnostics. Dr. Kathleen Stephanos shares insights on pediatric ECG interpretation, highlighting crucial differences between children and adults. Nail bed repair techniques are discussed by Dr. Matthew McArther, emphasizing best practices for injury management. Dr. Brit Long simplifies end-stage renal disease complexities. Finally, Dr. Catherine Varner shares her leadership journey, focusing on the importance of resilience and teamwork in emergency medicine.
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Babesia Is Essentially Malaria Of The Blood
- Babesia behaves like malaria: protozoal infection with similar diagnostics and antimalarial treatments.
- Treatment differs from doxycycline-based regimens used for Lyme/anaplasma.
Use Glue And Consider Discarding The Nail
- For simple nailbed injuries, consider skin glue instead of sutures to save time without worse outcomes.
- After repair, discarding the nail is acceptable rather than suturing it back in place.
When To Remove The Nail For Exploration
- Remove the nail to explore nailbed repair when margins are disrupted, nail is mobile/lifted/split, or there's a displaced phalanx fracture.
- If margins are intact, avoid removing the nail.