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PODCAST

Emergency Medical Minute

Emergency Medical Minute

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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All Episodes

12:29

COVID-19 Digest: Airborne Transmission / Remdesivir...

Emergency Medical Minute ·

2020/04/15

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. Host: Elizabeth Esty, MD & Dylan Luyten, MD Research By: Tanisha Crosby-Attipoe & Nathan Novotny Sound Editing By: Stephen Bahmani Time Stamps: 0:00 - Numbers 0:58 - "Transmission Potential of SARS-CoV-2 in Viral Shedding Observed at the University of Nebraska Medical Center" 6:53 - "Compassionate Use of

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17:39

On the Streets #4: Posterior Circulation Strokes

Emergency Medical Minute ·

2020/04/14

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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02:56

Podcast 554: Sleeping Away Alzheimer’s

Emergency Medical Minute ·

2020/04/13

Contributor: Dave Rosenberg, MD Educational Pearls: White noise is all the surrounding sound frequencies mixed together that your brain tunes down so you don’t get distracted while you're sleeping Pink noise, or deep soothing noises, is the accentuated bass sounds like falling rain or waves crashing your brain keys into while sleeping. Brain electrical waves during stage 4 sleep (the deepest of sleeps), cause sudden increases and decreases in cerebral blood flow allowing for CSF washing of the

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22:38

COVID-19: Behind the Masks

Emergency Medical Minute ·

2020/04/09

The circumstances that led to the national shortage in PPE for healthcare workers, the inspiring work of New Orleans med students to equip medical providers with PPE and the science behind personal use of cloth masks are all topics covered in this special edition of the Emergency Medical Minute. Host: Elizabeth Esty, MD Research By: Julia Luyten Sound Editing By: Stephen Bahmani Time Stamps: 0:00 - The scope of the mask shortage 1:04 - What led to the shortage 5:01 - Interview with Taylor Hopper,

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08:39

Podcast 553: Airway Management in the Hypoxic...

Emergency Medical Minute ·

2020/04/06

Contributor: Dylan Luyten, MD Educational pearls: Clinical management of COVID-19 is rapidly evolving, relying on case reports and clinical experience In just a month, the consensus around management of COVID patients with severe hypoxia has shifted from an early intubation strategy to other, non-invasive means Intubating early can quickly consume ventilator resources, require increased intensive care monitoring, and likely leads to longer hospital stays and once COVID patients are intubated,

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09:02

COVID-19 Digest: Hydroxychloroquine Update (Recorded...

Emergency Medical Minute ·

2020/04/04

In our coverage of COVID-19 this week, we’ve investigated the shakey evidence for NSAID use making COVID worse, heard first-hand accounts from ED clinicians with COVID, and looked at the status of testing in the United States. Before capping our week of coverage off, we wanted to analyze some of the most recent literature on clinical interventions for COVID, particularly the recently FDA approved hydroxychloroquine. Host: Elizabeth Esty, MD Research By: Elizabeth Esty and Nathan Novotny Sound

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10:04

COVID-19 in the United States: Where are the tests?

Emergency Medical Minute ·

2020/04/02

A dive into how the United States responded to an emerging pandemic and the pitfalls along the way that led to stalled testing capacity across the country before community transmission was confirmed. Hear what led us to our current situation, what continues to be an issue and new technologies on the horizon as well as how the rest of the world has responded. Host: Elizabeth Esty, MD Research By: Mason Tuttle Sound Editing By: Stephen Bahmani References: Shear M, Goodnough A, Kaplan S, Fink S,

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36:57

Husband & Wife, Both ER Clinicians, Share Their...

Emergency Medical Minute ·

2020/04/01

Long time friends of EMM, Aaron and Bree, share their experiences on the frontlines in the ED, coping with COVID, managing anxiety and quarantining with their family.

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18:09

COVID-19 Digest: Do NSAIDs Make COVID-19 More Severe?...

Emergency Medical Minute ·

2020/03/31

In the past two weeks, warnings, questions, and misinformation concerning COVID-19 and NSAID use have been spreading...no pun intended..virally. The pace of this evolving pandemic and the equally quick pace of the news and social media news cycle have meant that information and misinformation travel equally fast. Today we bring to you the story of how a letter in The Lancet led to a world of confusion. Host: Elizabeth Esty, MD Research By: Elizabeth Esty & Nathan Novotny Sound Editing By: Stephen

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09:49

Podcast 552: PE Management and Risk Stratification

Emergency Medical Minute ·

2020/03/30

Contributor: Dylan Luyten, MD Educational Pearls: After you diagnose a pulmonary embolism (PE) via CT or VQ scan, we need to categorize the PE as massive, sub-massive, or just PE to dictate treatment. Massive PE: shock with hypotension due to an embolism, and the treatment of choice is thrombolysis with IV tPA with anticoagulation after lysis. Catheter thrombolysis is not used in the hemodynamically unstable patient but can be done after they are stable. Sub-massive: signs of right heart

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10:14

COVID-19 Digest: If You’ve Had COVID-19, Can You Get...

Emergency Medical Minute ·

2020/03/27

Host: Elizabeth Esty, MD Research By: Elizabeth Esty and Nathan Novotny References: Osumi M. Questions raised over COVID-19 reinfection after Japanese woman develops illness again. The Japan Times. https://www.japantimes.co.jp/news/2020/02/28/national/coronavirus-reinfection/#.Xn4coZNKhQI. Published February 28, 2020. Bao L, Deng W, Gao H, et al. Reinfection could not occur in SARS-CoV-2 infected rhesus macaques. bioRxiv. March 2020:2020.03.13.990226. doi:10.1101/2020.03.13.990226 Steinbuch Y

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20:53

ER Doc Infected with COVID-19 Shares Experience

Emergency Medical Minute ·

2020/03/27

Recorded 3/26/20

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15:01

COVID-19: Hydroxychloroquine & Azithromycin / Anosmia...

Emergency Medical Minute ·

2020/03/25

The circumstances surrounding the COVID-19 virus are quickly evolving and that means that EMM will have to as well. For the foreseeable future, EMM will be releasing COVID-19 updates. In this series, we will report the most recent statistics, summarize the newest literature and answer YOUR burning questions. Submit your questions through comments on this post or through private messages on any of our social media platforms. Host: Elizabeth Esty, MD Research By: Elizabeth Esty, Jackson Roos, Nathan

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03:26

Podcast 551: PPIs are Not Benign

Emergency Medical Minute ·

2020/03/23

Contributor: Don Stader, MD Educational Pearls: PPIs (Proton pump inhibitors) reduce stomach acid levels and are commonly prescribed in patients with GERD or peptic ulcer disease Stopping a PPI after sustained use for a month or longer can lead to withdrawal - causing a rebound indigestion or reflux due to a surge in acid production Long term PPI use has noteworthy side effects including increased incidence of bacterial GI infections and pneumonia Be cautious in prescribing a PPI for over 2

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20:24

On the Streets #3: COVID-19

Emergency Medical Minute ·

2020/03/19

In this special edition of our On the Streets podcast, we discuss COVID-19 as well as what first responders and emergency providers need to know to keep themselves and their patients safe during this pandemic.

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04:21

Podcast 550: Good ol’ Versed

Emergency Medical Minute ·

2020/03/17

Contributor: Sam Killian, MD Educational Pearls: Agitation can be due to a number of causes, but regardless of the cause, sedation often plays a key role in patient and provider safety. But what is the best sedative agent? A study looked at control of agitation with intramuscular medication. Specifically, 5 different IM sedative agents were compared to see which one best provides “adequate” sedation in 15 minutes or less. Haldol 5mg, Haldol 10mg, Versed 5mg, Zyprexa 10mg, and Geodon 20mg were all

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03:57

Podcast 549: Just Use Epineprhine

Emergency Medical Minute ·

2020/03/16

Contributor: Sam Killian, MD Educational Pearls: Classic dogma teaching that epinephrine should not be used in the fingers, nose, penis, and toes when performing local anesthesia due to concerns for ischemia is wrong This has been well documented in multiple literature reviews A prospective, randomized double-blind study compared lidocaine vs lidocaine with epinephrine for finger injuries and the use of epinephrine was associated with less bleeding and better anesthesia Editor’s note: in the

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20:28

On the Streets #2: Neurological Deficits

Emergency Medical Minute ·

2020/03/11

Part 1 of 2: Dr. Adam Graham dishes out the essentials of identifying concerning neurological deficits on the scene, predicting what they mean and how to best care for patients with neurological deficits in the pre-hospital setting. About Dr. Adam Graham: Adam Graham, MD, is a board-certified neurologist with Blue Sky Neurology in Denver. His professional interests include treatment of diseases of the peripheral nerves and muscles, for example ALS, myasthenia gravis and peripheral neuropathy. He

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05:10

Podcast 548: Adrenal Crisis

Emergency Medical Minute ·

2020/03/10

Contributor: Nick Tsipis, MD Educational Pearls: Congenital adrenal hyperplasia (CAH) is a group of enzyme deficiencies in the adrenals leading to a deficiency of hormones normally synthesized by the adrenals (mineralocorticoids, glucocorticoids, androgens) 21-hydroxylase is most commonly the deficient enzyme. 21-hydroxylase is needed to produce aldosterone and cortisol, and those with chronic cortisol deficiencies need daily steroid replacement Aldosterone, made in the kidney as part of the

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01:55

Podcast 547: Capsaicin Cream to the Rescue

Emergency Medical Minute ·

2020/03/09

Author: Aaron Lessen, MD Educational Pearls: A recent retrospective study looked capsaicin cream in treating cannabinoid hyperemesis syndrome in regards to length of stay, cost analysis, use of rescue therapies, and adverse events Results showed a trend towards reduced length of stay but did not reach statistical significance Use of opioids was reduced in the capsaicin group Capsaicin remains a potential treatment option in this often difficult disease References Samantha Wagner, Jason Hoppe,

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