Episode Archives - Page 6 of 99 - The Emergency Medical Minute

Episode Archives

COVID-19 Digest: Strokes in Young People with COVID

Host: Elizabeth Esty, MD Last week we looked at neurologic presentations of COVID-19; this week we’ll look more closely at strokes in young people with COVID. A letter published 2 days ago in the NEJM with lead author Thomas Oxley, the Neuro ICU director at Mt Sinai, presents five case studies of relatively young patients…

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Podcast 557: COVID-19 Lab Trends

Contributor: Don Stader, MD Educational Pearls: COVID-19 is diagnosed with a nasopharyngeal swab (q-tip). This unfortunately can be painful, but if the swab doesn’t go deep into the nasal cavity the sample can be inadequate leading to false negatives (missed infections). The sensitivity of the COVID-19 RT PCR test is low, ranging from 66-80% in…

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Podcast 556:  CSF – What is it good for?

Contributor: Eric Miller, MD Educational Pearls: A cell count is performed on tubes 1 and 4 to account for changes that may occur from blood entering the first sample from the needle insertion Tube 2 and 3 are usually used for the other studies like protein levels, glucose levels and gram staining¬† Protein levels are…

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Podcast #555:  Anticoagulation vs. Antiplatelet

Contributor: Don Stader, MD Educational Pearls: When do we give antiplatelet drugs or anti-coagulation drugs? Arterial issues get antiplatelet therapy Venous issues, or slow flow states, get anticoagulation therapy. High flow areas (arteries) are more prone to platelet clotting while the venous system is more prone to allowing blockages caused by coagulation factors. The main…

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COVID-19 Digest: Neurological Manifestations of COVID-19

Host: Elizabeth Esty, MD Accumulating clinical evidence suggests that many patients with COVID have neurological symptoms and that some may even present with neurologic manifestations of the disease. Most COVID patients have a cough, respiratory distress, and while clinicians often speak about how similar the presentations of patients with respiratory COVID are, it’s worth looking…

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UnfilterED #6: Dr. Anton Helman

In this organic conversation, Nick and Dr. Helman establish a warm rapport early on as they discuss musical beginnings, life-changing mentors and the origins of Emergency Medicine Cases. Their banter includes Dr. Helman’s views on FOAMed and multimodal learning and treatment hacks learned on the frontlines of COVID-19.   Intro Music: Backbay Lounge Kevin MacLeod…

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A Typical Case of the Pandemic

a typical case of the pandemic Chief Complaint: Altered Mental Status HPI: 69-year-old male with history of diabetes brought in by his son to the emergency department with altered mental status. Patient is unresponsive and all history is from his son and chart review. Son reports that he had increasing shortness of breath and confusion…

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Naloxone Use to Reverse Opioid Overdose

Background Believe it or not, opioid overdose is the leading cause of death in Americans under the age of 50. That is a staggering statistic, but Naloxone (Narcan) is a drug that can reverse the effects of opioid overdose. The mechanism of Naloxone in vivo is believed to work by competitive antagonist activity at several…

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COVID-19 Digest: Airborne Transmission / Remdesivir (Recorded 4/14/20)

Hosts: Elizabeth Esty, MD & Dylan Luyten, MD In this episode of the COVID-19 Digest, we revisit the airborne vs droplet transmission debate and analyze a highly publicized study on Remdesivir from the New England Journal of Medicine. Research By: Tanisha Crosby-Attipoe & Nathan Novotny Sound Editing By: Stephen Bahmani Time Stamps: 0:00 – Numbers…

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On the Streets #4: Posterior Circulation Strokes

In part 2 of our interview with Dr. Adam Graham, Jordan takes a deep dive into posterior circulation strokes and how to identify them in the field.

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