Welcome to Episode 5 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants!

Full show notes for Episode 5 of “The 2 View” can also be found here:

Needle Sticks

Needlestick Helpline: If you have questions about appropriate medical treatment for occupational exposures, assistance is available from the Clinicians’ Post Exposure Prophylaxis (PEP) Line at 1-888-448-4911.

National Clinician Consultation Center. Ucsf.edu. Accessed April 22, 2021. https://nccc.ucsf.edu/

Moayedi, Siamak MD, Torres, Mercedes MD. HIV Post-Exposure Prophylaxis. EM:RAP CorePendium. Emrap.org. Updated October 5, 2020. Accessed April 22, 2021. https://www.emrap.org/corependium/chapter/rech6mbrZTyKtAIqw/HIV-Post-Exposure-Prophylaxis

Roberts, Martha ACNP, CEN. Viewpoint: A Needle Stick and a Life Lesson. Emergency Medicine News. Lww.com. Updated December 2015. Accessed April 22, 2021. https://journals.lww.com/em-news/Fulltext/2015/12000/Viewpoint__A_Needle_Stick_and_a_Life_Lesson.19.aspx

Announcement: Updated Guidelines for Antiretroviral Postexposure Prophylaxis after Sexual, Injection-Drug Use, or Other Nonoccupational Exposure to HIV — United States, 2016. Morbidity and Mortality Weekly Report (MMWR). Cdc.gov. Updated May 6, 2016. Accessed April 22, 2021. https://www.cdc.gov/mmwr/volumes/65/wr/mm6517a5.htm

U.S. Public Health Service. Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis. MMWR Recomm Rep. 2001;50(RR-11):1-52. Cdc.gov. Updated June 29, 2001. Accessed April 22, 2021. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a1.htm

Dominguez KL, Smith DK, Thomas V, et al. Updated guidelines for antiretroviral postexposure prophylaxis after sexual, injection drug use, or other nonoccupational exposure to HIV—United States, 2016. Cdc.gov. Updated May 23, 2018. Accessed April 22, 2021. https://stacks.cdc.gov/view/cdc/38856

CDC - Bloodborne Infectious Diseases: HIV/AIDS, Hepatitis B, Hepatitis C - Emergency Needlestick Information - NIOSH Workplace Safety and Health Topic. Cdc.gov. Published November 21, 2018. Accessed April 22, 2021. https://www.cdc.gov/niosh/topics/bbp/emergnedl.html

Hepatitis C Questions and Answers for Health Professionals. Cdc.gov. Published April 9, 2021. Accessed April 22, 2021. https://www.cdc.gov/hepatitis/hcv/hcvfaq.htm

Hepatitis B Foundation: Understanding Your Hepatitis B Test Results. Hepb.org. Accessed April 22, 2021. https://www.hepb.org/prevention-and-diagnosis/diagnosis/understanding-your-test-results/

Procedures: The Top Ten in EM Right Now

Roberts M, Roberts JR. The Proceduralist. Accessed April 22, 2021. https://www.theproceduralist.org/

The Proceduralist. Youtube.com. Accessed April 22, 2021. https://www.youtube.com/channel/UCQtZPVvIl2tCJdNrslXcCww

Back Pain Featuring W. Richard Bukata, M.D.

Della-Giustina D. Evaluation and treatment of acute back pain in the emergency department. Emerg Med Clin North Am. 2015;33(2):311-326. Published May 2015. Accessed April 22, 2021. https://pubmed.ncbi.nlm.nih.gov/25892724/

Edlow JA. Managing Nontraumatic Acute Back Pain. Ann Emerg Med. 2015;66(2):148-153. 2015. Accessed April 22, 2021. https://www.annemergmed.com/article/S0196-0644(14)01509-1/pdf

Recurring Sources

Center for Medical Education. Ccme.org. Accessed April 22, 2021. http://ccme.org

The Skeptics Guide to Emergency Medicine. Thesgem.com. Accessed April 22, 2021. http://www.thesgem.com

The Proceduralist. Theproceduralist.org. Accessed April 22, 2021. http://www.theproceduralist.org

The Procedural Pause. Emergency Medicine News. Lww.com. Accessed April 22, 2021. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx

*Here are just a few links we mentioned in the podcast. This is a small taste of the 100's of videos and blogs we have on procedures. Be sure to check out the FULL library of videos and blogs on the blog site, The Procedural Pause. For new blogs and more, you can check out our new site, The Proceduralist!

Procedure: Slit Lamp Exam - https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=89

Procedure: Cerumen Impaction - https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=109

Procedures: Ear Wicks - https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=105

Procedure: Some lower leg splinting - https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=73

Procedure: Tonometry - https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=86

Procedure: TXA / Epistaxis - https://www.youtube.com/watch?v=vx0nPnkJK44

Procedure: Lumbar Puncture (Part I in a series) - https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=20

Procedure: Central Line Tie Down - https://www.youtube.com/watch?v=JyDjU3O_bNA

Trivia Question: Send answers to [email protected]

Last month we asked you a trivia question regarding sickle cell disease – we know why it’s called sickle cell disease, but who were the two people who discovered why the red blood cells become a sickled shape? Desi Spellings, FNP-C from Memphis, Tennessee gave us the correct answer of E. Vernon Hahn and Elizabeth Gillespie. Be sure to cash in your prize – you can email [email protected] to get your course at 20% off.

Please note that for this month, if you get the trivia question correct, you will win 20% off any CCME course you want. That’s right, ANY CCME course you want, including live courses. You can buy it for yourself or give it to a friend - it’s your 20% off. So, download and listen to the episode for the question!

Please email us your guesses at [email protected] and tell us who you want to give a shout-out to.