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Emergency Medicine Cases
EM Quick Hits 51 – Methylene Blue in Septic Shock, TMJ Dislocation, Crohn’s Disease, Analgesia for Renal Colic, Inhaled Steroids for Asthma, Hypocalcemia in Bleeding Trauma Patients
Sep 12, 2023
45:10
Snipd AI
Topics discussed on this podcast include the role of methylene blue in septic shock, techniques for reducing TMJ dislocations, a phenotypic approach to Crohn's disease emergencies, evidence-based analgesics in renal colic, the importance of inhaled steroids for asthma treatment, and the current state of hypocalcemia in bleeding trauma patients.
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Quick takeaways
- Methylene blue may be an effective intervention for septic shock by reducing the need for vasoactive agents.
- There are two techniques for reducing TMJ dislocations: applying pressure on the coronoid process or using a syringe between the molars.
Deep dives
Methylene blue for septic shock
Methylene blue is being investigated as a potential intervention for septic shock. It inhibits inducible nitric oxide synthase and restores vaso-regulation, leading to a reduction in the amount and duration of vasoactive agents needed to maintain systemic perfusion. However, the evidence for its use is limited, and larger randomized trials are needed.
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