Episode Archives - Page 2 of 98 - The Emergency Medical Minute

Episode Archives

Podcast 573:  Arsenic Toxicity

Contributor: Nick Tsipis, MD Educational Pearls: Arsenic is a heavy metal that binds to multiple cellular enzymes and inhibits aerobic metabolism It is primarily absorbed through the skin, respiratory and GI tract. The classic symptoms of heavy metal exposure are GI irritation (watery diarrhea, vomiting and abdominal pain) with multisystem organ failure.  Neuropathy can present…

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Preview: The Black Doctors Podcast

In addition to producing our own content, we believe in using our platform to amplify other voices and perspectives in medicine. With that in mind, check out ‘The Black Doctor Podcast’ from Dr. Steven Bradley which features interviews with leading minority professionals of the current generation as well as stories of how they overcame adversity…

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Podcast 572:  Locked In Syndrome

Contributor: Aaron Lessen, MD Educational Pearls: Locked in syndrome results typically from an infarct of the basilar artery leading to infarction of the brainstem but typically preservation of the higher structures The result is complete paralysis with preserved cognitive function, hence the name Because of their location within the brainstem, ocular movements are sometimes preserved,…

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Podcast 571:  Digital Blocks

Contributor: Jared Scott, MD Educational Pearls: Traditional digital block involves dorsal approach on either side of the digit, injecting local anesthetic along each side to numb all four nerves of the digit Newer approach involves a single injection along the palmar surface at MCP joint Recent study further compared a proximal vs distal single palmar…

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Podcast 570: Oh no no no to O2

Contributor: Aaron Lessen, MD Educational Pearls: Supplemental oxygen is not a completely benign intervention.  A recent meta-analysis found that O2 saturations above 96% while on supplemental O2 were associated with worse outcomes. Only start a patient on supplemental oxygen if absolutely necessary and aim for a goal of no higher than 96%. References Derek K…

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Podcast 569:  The eFAST Exam

Contributor: Aaron Lessen, MD Educational Pearls:.   Focused assessment with Sonography for Trauma (FAST) exam and the extended-FAST (eFAST) are essential components of current trauma care and evaluation There has been an accumulation of research to provide an estimate of effectiveness of identifying certain injuries with ultrasound: For identifying a pneumothorax, the sensitivity ~70% and specificity…

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Coronavirus Testing

Coronavirus Testing Chief Complaint: SOB HPI: 43 year-old male anesthesiologist presents to the ED with increasing shortness of breath, tachycardia and lethargy. Patient reports alternating positive and negative COVID tests since early March, job related exposure, as well as travel to Belize and twice to Summit County (considered a hotspot for COVID) since early March….

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Podcast 568: Shock ‘em! 

Contributor: John Winkler, MD Educational Pearls: Unstable ventricular tachycardia (VT) typically manifests with syncope, shortness of breath, diaphoresis and/or chest pain with hemodynamic instability Electrical cardioversion of unstable ventricular tachycardia is first line treatment Starting with a higher energy level (or just using the maximum) when performing cardioversion may set you up for better success…

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Podcast 567: Mechanical CPR….Not So Fast

Contributor: Aaron Lessen, MD Educational Pearls: Mechanical CPR (machine assisted compression devices) remains a hot topic of debate in emergency medicine Machine assisted CPR has been advocated to provide more consistent compressions in cardiac arrest and free up staff for other tasks. However, multiple studies have shown mechanical CPR provides no significant survival benefit yet…

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Selected Audio from ‘UnfilterED #7: Russell J. Ledet, Ph.D.’

“Go unafraid! And also know that you got to reach out to the right people and hold on to those people no matter what they look like, no matter what background they come from…Find people who are positive in your life who can help you. If I’m one of those people, reach out to me.”…

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