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Emergency Medical Minute

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Our near daily podcasts move quickly to reflect current events, are inspired by real patient care, and speak to the true nature of what it’s like to work in the Emergency Room or Pre-Hospital Setting. Each medical minute is recorded in a real emergency department, by the emergency physician or clinical pharmacist on duty – the ER is our studio and everything is live.

Our near daily podcasts move quickly to reflect current events, are inspired by real patient care, and speak to the true nature of what it’s like to work in the Emergency Room or Pre-Hospital Setting. Each medical minute is recorded in a real emergency department, by the emergency physician or clinical pharmacist on duty – the ER is our studio and everything is live.
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Location:

United States

Description:

Our near daily podcasts move quickly to reflect current events, are inspired by real patient care, and speak to the true nature of what it’s like to work in the Emergency Room or Pre-Hospital Setting. Each medical minute is recorded in a real emergency department, by the emergency physician or clinical pharmacist on duty – the ER is our studio and everything is live.

Language:

English


Episodes

Podcast 511: Ebola Treatment

10/17/2019
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Author: Rachel Beham, PharmD Educational Pearls: There are currently many Ebola vaccines that are being studied, and one (recombinant VZV-Ebola vaccine) is currently being used in Africa. This vaccine has so far shown good efficacy in reducing Ebola infections and mortality from Ebola in those who do become infected. There are antibody-based treatments that are currently under investigation for the treatment of Ebola. They have been well tolerated in phase 1 trials and show some promise of...

Duration:00:04:29

Podcast # 510: Ebola

10/16/2019
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Author: John Winkler, MD Educational Pearls: There is a new outbreak of Ebola in The Congo. This is likely due to civil war and rebel attacks on healthcare workers in the area. Ebola is now spreading from the Congo into neighboring Uganda, but vaccination efforts are staving off the spread across the border Early symptoms of Ebola are similar to the fluSpread occurs through close contact with bodily fluids. Proper PPE is required when treating patients with suspected ebola ...

Duration:00:03:51

Podcast 509: Circadian Rhythm and Shift Work, From Z to Z

10/12/2019
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Contributor: Jared Scott, MD Educational Pearls: Sleep deprivation and disturbed sleep cycles increases the risk of many acute and chronic medical issues such as motor vehicle accidents, diabetes, cardiovascular disease, psychiatric disease, and shift work sleep disorder (difficulty sleeping, fatigue, interference with daily activities)Stages of sleep Stage 1: 5-10 minutes (light sleep, may not recognize). Stage 2: Spindle waves, mostly unstudied Stage 3: Restorative sleepStage 4 (REM):...

Duration:00:15:57

Podcast 508: Are you with child?

10/10/2019
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Contributor: Chris Holmes, MD Educational Pearls: In ancient Egypt, pregnant women would urinate over barley and wheat seeds to help determine the sex of thier fetus, as well as if they were pregnant. Amazingly, this has 70% accuracy (!!) for determining pregnancy (not sex).Piss Prophets in the middle ages would examine urine for changes in color to determine if a woman was pregnant or not. In the early 1900’s, after discovering progesterone, and it’s associated with pregnancy, the A-Z...

Duration:00:04:39

Podcast 507: Who gonna crump?

10/7/2019
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Contributor: Nick Tsipis, MD Educational Pearls: Communication proves time and time again to be most helpful in preventing surprises after patient admissionFrequent re-evaluations and repeat vital signs can be important to evaluating a patient’s risk for deterioration once admitted as well as selecting the proper level of care at admissionBroad categories of patients who most commonly have a change in condition after admission are septic patients and those admitted for respiratory...

Duration:00:05:54

UnfilterED #1: Dr. Michael Hunt

10/6/2019
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On the first installment of this new series, Dr. Michael Hunt shares stories, lessons and advice as he reflects on his 35 year career as an emergency physician. Intro Music: Backbay Lounge Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/

Duration:01:00:01

Podcast 506: Seymour Fracture

10/3/2019
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Contributor: Don Stader, MD Educational Pearls: Seymour fracture is an eponym for a Salter-Harris I/II fracture of the distal phalanx of the finger or toe in children, associated with a nailbed inuryThese may present and subtle as a subungal hematoma with a fracture on x-ray but carry a significant risk of complicationsWhile in adults a hammer-finger deformity indicates an avulsion injury of the extensor tendon, in children it can indicate disruption of the growth plate. This is coupled...

Duration:00:02:23

Podcast 505: Sleep on Strep Throat

10/1/2019
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Contributor: Don Stader, MD Educational Pearls: Only 10% of patients receiving antibiotics for strep throat actually have the dieseaseTreatment of strep with antibiotics only slightly reduces the duration of illness. Most studies say the reduction is between 16 and 24 hoursAntibiotic treatment may reduce complications such as peritonsilar abscess and otitis media but antibiotics also increase the risk of diarrhea and yeast infectionRheumatic fever is caused by a specific serotype of strep...

Duration:00:03:41

PREVIEW: UnfilterED

9/28/2019
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...coming October 2019 Music: emotional by Barradeen | https://soundcloud.com/barradeen Music promoted by https://www.free-stock-music.com Creative Commons Attribution-ShareAlike 3.0 Unported https://creativecommons.org/licenses/by-sa/3.0/deed.en_US

Duration:00:03:23

Podcast 504: Ocular Compartment Syndrome

9/26/2019
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Contributor: Don Stader, MD Educational Pearls: The eye is surrounded by relatively inflexible tissues such as the bone of the orbit and the fibrous tissue of the eye. This makes it relatively susceptible to damage from outside compression, which is most common from trauma. This phenomenon is called ocular compartment syndrome (OCS) Look for OCS when patients have face, head or direct eye trauma OCS will present with a swollen, bulging eye associated with pain and blurry vision. Typically...

Duration:00:03:22

Podcast 503: Magical Magnesium

9/23/2019
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Contributor: Dylan Luyten, MD Educational Pearls: Those that are hypokalemic are often hypomagnesemic, and should receive magnesium (Mg) supplementation if repleting potassiumMg levels are typically not necessary - if someone is suspect to have hypomagnesemia, just given them MgMg increases the AV node refractory period and therefore may be helpful as an adjunct to those in atrial fibrillation with a rapid ventricular responseMg is the preferred treatment for seizure prophylaxis in...

Duration:00:08:31

Podcast 502: EMS Psych Clearance

9/20/2019
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Contributor: Aaron Lessen, MD Educational Pearls: Patients with psychiatric complaints are often complicated to disposition from the main ED, and many will require inpatient psychiatric staysSome health systems have dedicated psychiatric ED’s that are specialized in taking care of these patientsFor example, in Oakland, CA, EMS are permitted to “clear” a patient for transport to a psych-only facility.5-year retrospective study of this system showed 40% of psych patients were cleared by EMS...

Duration:00:02:41

Podcast # 501: Take Down Potions

9/16/2019
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Author: Jared Scott, MD Educational Pearls: Study from Hennepin County EM studied the efficacy of different drugs for agitation, which included 737 patientsMost patients in this study were male and *surprise* drunkCompared doses of common sedatives with primary outcome of sedation at 15 minutes (all intramuscular)haloperidol 5 mgziprasidone 20 mgolanzapine 10 mgmidazolam 5 mghaloperidol 10 mgwith the main outcome of agitation at 15 minutesIntramuscular midazolam resulted in the lowest...

Duration:00:03:20

Colorado MAT Part 4: Buprenorphine in the Emergency Department

8/26/2019
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Treatment with buprenorphine is easier, less time consuming and far more effective for management of opioid withdrawal and OUD than standard care with clonidine, IVF, haldol and other symptomatic therapies. Induction with buprenorphine is easy, requires no IV or labs, and is usually accomplished in 1-2 hours. It requires a chair, not a hospital bed. To identify patients who are candidates, be sure they’re in sufficient opioid withdrawal using clinical impression or the COWS scale, obtain a...

Colorado MAT Part 3: Medications for MAT in the ED

8/26/2019
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There are three MAT drugs available to treat addiction: naltrexone (brand name Vivitrol), methadone (brand names Dolophine or Methadose) & buprenorphine (brand name Suboxone, Subutex, and Sublicade). The only MAT drug appropriate for initiation in the ED is buprenorphine.Buprenorphine is a semi-synthetic opioid which acts as partial agonist at the mu receptor. Buprenorphine does not produce as much euphoria or as much of the respiratory depression seen with other opioids. It has a quick...

Duration:00:27:01

Colorado MAT Part 2: Medication Assisted Treatment

8/26/2019
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Medication Assisted Treatment or (Medication for Addiction Treatment) is an important frontier in ED care of patients with Opioid Use Disorder. Naltrexone, methadone and buprenorphine are the medications approved for the treatment of OUD.Addiction is a disease that is widely misunderstood and rarely taught in medical school. It is a dangerous myth that the best treatment of all addictions is simply abstinence. The evolving consensus around OUD is that is best treated with medication. An...

Duration:00:28:02

Colorado MAT Part 1: Understanding Addiction & Opioid Use Disorder

8/26/2019
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Addiction is widely misunderstood by the public and by many healthcare providers. It is not taught in most medical schools. Combating the opioid epidemic will require providers to understand Opioid Use Disorder (OUD) and its treatment.Addiction is a chronic, relapsing disease with extraordinarily high morbidity and mortality.It is the transition from controlled to impulsive and compulsive drug intake.Physiologic dependence is just one aspect of addiction. The behavioral and social...

Duration:00:39:24

Podcast #500: 2018-19 Rapid Fire EM Literature Review

8/24/2019
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Author: Dave Saintsing Educational Pearls: Poor sleep is an independent risk factor for development of health problems such as type 2 diabetes. A 2019 study, randomized participants to 3 groups: 9 hours of sleep, 5 hours of sleep with weekend catch-up sleep, and 5 hours of sleep without catch-up sleep. In the sleep deprived (5 hour) groups, there was significantly more insulin resistance, calorie intake, and weight gain regardless of catch-up sleep. Tramadol is prescribed 25 million times...

Duration:00:14:21

Podcast #499: Posterior Circulation Ischemia

8/22/2019
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Podcast # 499: Posterior Circulation Strokes Contributor: Neal O’Connor, MD Educational Pearls: Dizziness is a very common complaint in the emergency department, but how can we find patients with a dangerous cause of their symptoms, namely a posterior circulation stroke?Consider a posterior circulation stroke in those with an abrupt onset of headache with neck pain, balance problem, blurred vision, or dysphagia Thorough cranial nerve exam can be important to screen for posterior...

Duration:00:12:13

Podcast # 498: Ortho Tips

8/19/2019
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Author: Susan Ryan, DO Educational Pearls: General orthopedic principles:Examine above and below the injuryDocument neurovascular statusX-ray imaging typically requires three different viewsFracture description should include name the bone, location of fracture, degree of displacement, and if it is closed or openOsgood-Schlatter (tibia) and Sever’s (calcaneus) disease are apophyseal injuries caused by ligaments that are “stronger” than the bones they attach to When looking for scaphoid...

Duration:00:12:42