Occupational Exposures

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 17 June 2018

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

The only chief complaint that you are guaranteed to eventually have to manage in a colleague Respiratory Exposures Meningococcus (meningococcemia, meningitis, etc) Give prophylaxis (ceftriaxone) if… Intubated a pt without a mask Suctioned a pt without a mask Performed mouth to mouth resuscitation Tuberculosis CDC recommends testing if exposed Treat if positive CDC recommends prophylaxis in.. […]

Transcript

Click on a timestamp to play from that location

0:00.0	Hello, med students.
0:03.8	My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.
0:12.6	Here's this week's case.
0:19.6	Okay, this is Mr. Whitaker. He's found on the street down and Pastorby called in.
0:25.6	He's ETOH admitted, ETOH, and he was a little bit low on the blood pressure. We did start
0:33.6	aligning. No medical history, no meds, no allergies, nothing really in the way of complaints.
0:40.9	As a side note, this is going to be a finger stick on me. So, yeah, we got bumped by a car where we
0:47.9	are on the side of the road. And yeah, I have a pretty good finger stick. It was an 18 gauge needle
0:52.8	right into my middle finger. So, so I'm pretty good finger stick. It was an 18-gauge needle right into my middle finger.
0:57.4	So I'm also your patient today.
1:01.8	And I have the infectious disease supervisor on the way.
1:03.2	Yeah.
1:04.9	You all me in one?
1:05.7	Okay.
1:07.3	Thank you.
1:10.1	All right.
1:11.8	So a natal stick.
1:12.8	These do happen. When patients have any sort of occupational exposure and we're going to focus on respiratory
1:21.0	needle sticks, mucus membrane and broken skin exposures today, they're going to come to the
1:26.6	emergency department. And you're not only going to come to the emergency department.
1:27.5	And you're not only going to have to follow the occupational exposure algorithm
1:33.4	protocol that we're going to go through, but you're also going to have to counsel another
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Zack Olson, MD and Michael Estephan, MD, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Zack Olson, MD and Michael Estephan, MD and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.