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EM Basic

Measles

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6665 Ratings

🗓️ 3 August 2015

⏱️ 32 minutes

🧾️ Download transcript

Summary

Today's episode is another installment of the EM Basic Project.  Dr. Sheyna Gifford and Dr. Chrisanna Mink will talk about measles.  This is a disease that we thought we had stamped out long ago with vaccination but the rise of the anti-vaccine movement has caused several small outbreaks so we need to be ready and on the lookout.  They will discuss how to recgonize measles, how to order the right testing and treatment, how to properly disposition these patients and the importance of getting your public health colleagues involved.

Transcript

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0:00.0

Hey, everybody. This is Steve Carroll, and you're listening to the Embasey podcast. Today we have

0:05.6

another installment of the InBasic Project from Dr. Shana Gifford. For this episode, she will be

0:10.5

interviewing Dr. Cresana Mink, an infectious disease doctor from UCLA Harbor on the topic of measles.

0:17.2

We thought we'd eliminated this disease threat years ago with vaccination, but the recent outbreaks from Disneyland and other places have shown us that the misinformed and vocal anti-vaccine movement has made it possible for his disease to re-emerge as an occasional threat.

0:31.6

In this episode, they will talk about how to recognize measles in the undifferentiated ED patient, how to order the right

0:38.0

tests, the importance of speaking with your public health colleagues, and how to provide

0:42.3

the best care and treatment for these patients. As always, this podcast is a representative

0:45.9

of the defense, the US Army, the Shostekegee emergency program. With that done, here's Dr.

0:50.7

Shana Gifford and Dr. Cressana Mink on measles. This is Dr. Shana Gifford and Dr. Cressanna Mink on measles.

0:55.9

This is Dr. Shana Gifford.

1:02.2

I'm very pleased to be joined today by pediatric infectious disease expert, Dr. Cresna Mink from UCLA Harbor.

1:03.8

Dr. Mick, thank you for coming.

1:06.1

Shana, thank you very much for having me.

1:15.5

Dr. Mink has no conflicts of interest to disclose, nor do I. And we'd like to say that this podcast reflects our own opinions, not that of USC, where it's being recorded, or UCLA Harbor.

1:26.2

Los Angeles, being a hotbed of reemerging infectious disease, this seemed like the perfect place to come to catch measles and other reemerging infectious diseases in the act.

1:32.0

So we're going to focus today specifically on the measles portion of the reemergence.

1:35.3

We're not going to discuss why this is happening right now.

1:38.3

If you want to know why, Dr. McGrode a great column about it.

1:40.6

That's on the USC science desk, and you can read it.

1:45.2

What we're going to talk about today is more how to know if what you're looking at is measles and what to do if what you turn out to be looking at is measles.

1:50.4

So before we even go into that, though, I'd like to ask, when in the history and physical,

1:55.9

Dr. Mink, should we be asking about vaccination status? I personally like to ask, right? Pretty much from the beginning.

...

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