Episode 38 – May 15, 2017 AFP: American Family Physician

AFP: American Family Physician Podcast

American Academy of Family Physicians

Medicine, Americanfamilyphysician, Afppodcast, Familymedicinepodcast, Afp, Clinicalpodcast, Aafp, Health & Fitness, Primarycarepodcast, Medicinepodcast, Aafppodcast

2.4 • 649 Ratings

🗓️ 19 May 2017

⏱️ 20 minutes

🔗️ Recording | iTunes | RSS

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Summary

Laceration repair (1:30), chronic insomnia (3:20), migraine prophylaxis in children (5:30), the European risk score for cardiovascular disease (6:30), perioperative cardiovascular medication management (8:10), venous leg ulcers (12:20), and colon cancer screening (15:00).

Transcript

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0:00.0	Welcome to the American Family Physician Podcast for the May 15th, 2017 issue,
0:08.5	a.k.a. Resident Takeover Edition. I'm Kalina. I'm Brett. And I'm Evan.
0:14.1	We are residents and faculty, all residents this time, from the University of Arizona
0:17.9	College of Medicine, Phoenix Family Medicine residency. This time on the podcast, we're going to discuss laceration repair, an ACP guideline on chronic insomnia,
0:28.5	two poems, the first on migraine prophylaxis in children, the second on the European risk score for
0:34.1	cardiovascular disease. We'll talk about perioperative cardiovascular medication
0:39.4	management, venous leg ulcers, and finish up with some opinions on colon cancer screening.
0:45.6	The opinions expressed in the podcast are our own and do not represent the opinions of the American
0:48.9	Academy of Family Physicians, the editor of American Family Physician or Banner Health. Do not
0:52.9	use this podcast for medical advice.
0:54.5	Instead, see your own family doctor for medical care.
1:17.2	Also on this episode of the podcast, we'd like to welcome one of our co-hosts for next year shari everybody welcome shari give us a hello shari hi guys so is it just me or do you guys feel like we kind of have
1:24.3	the keys to our parents car right now and we're going for a little joy ride. Yeah. Yeah, I like it. Okay. The first segment is laceration repair, a practical
1:33.9	approach from doctors forage, little, and Williams out of the University of Michigan Medical
1:39.1	School in Ann Arbor, Michigan. Buckle up for some lightning facts. So first up, it's important to irrigate wounds
1:45.7	prior to closure, but there's no difference between using potable water and sterile saline.
1:51.7	Don't forget to glove up, but if you want, you can skip the sterile gloves and use clean exam
1:55.8	gloves as there's no increased risk of infection. You can close wounds from clean objects
2:00.3	up to 18 hours after injury.
2:02.5	Head wounds are actually okay to close even up to 24 hours later. Epi is in. There's good evidence
2:08.5	that use of local anesthetic with epinephrine in a concentration of up to 1 to 100,000 on digits is
2:14.4	safe for lack repair and digital block. You can even use local anesthetic with
	...

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