Occupational Exposures

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Education, Science, Life Sciences, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 17 June 2018

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

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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

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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
	...

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