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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

33:20

CBHW Summit: Words Matter - How Language Can Shift...

Emergency Medical Minute ·

2019/11/27

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Karen Prestia, MBA, Director, Marketing & Communications, Mental Health Center of Denver

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01:11:09

CBHW Summit: Integrated Substance Use, Family...

Emergency Medical Minute ·

2019/11/26

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Allison Miller, LCSW, LAC, Program Manager of Child and Family Outpatient Services, Mental Health Center of Denver, and Jon Roberts, LCSW, CAC II, Licensed Mental Health Therapist, Mental Health Center of Denver

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01:05:30

CBHW Summit: Substance Use During the Perinatal Period

Emergency Medical Minute ·

2019/11/26

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Tracy Vozar, Ph.D., Director of the Infant and Early Childhood Mental Health Specialty, and Jennifer M. Tippett, Psy.D., Director of the Substance Use Disorder Specialty, both at the University of Denver’s Graduate School for Professional Psychology

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32:08

CBHW Summit: Strategies for Remaining Adaptive and...

Emergency Medical Minute ·

2019/11/26

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Marion Rorke, MPH, Substance Use Resource Coordinator, City and County of Denver, and Maggie Kauffman, MPH, Health Equity Data Analyst, City and County of Denver, and Jean Finn, RN, Substance Misuse Manager, City and County of Denver

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19:51

CBHW Summit: Project Colorado Opioid Synergy

Emergency Medical Minute ·

2019/11/26

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Lesley Brooks, MD, Chief Medical Officer, Sunrise Community Health Center; Medical Director – Quality, North Colorado Health Alliance, and Heather Ihrig, RN, CO-SLAW Program Director, North Colorado Health Alliance, and Meredith Silverstein, PhD, Sr. Research Associate, Butler Institute for Families, Graduate School of Social Work, University of Denver, and Kali Jefferson, MSW, Research Assistant, Butler Institute for

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01:13:13

CBHW Summit: Innovative and Interactive Approaches to...

Emergency Medical Minute ·

2019/11/26

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Khara Croswaite Brindle, MA, LPC, ACS, Croswaite Counseling, PLLC

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01:51:22

CBHW Summit: Benzos - Boon or Blunder?

Emergency Medical Minute ·

2019/11/26

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Steven Wright, MD, Colorado Consortium for Prescription Drug Abuse Prevention

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03:36

Podcast 519: Malaria Drug Resistance

Emergency Medical Minute ·

2019/11/19

Contributor: John Winkler Educational Pearls: There is increasing resistance to antimalarial drugs, especially in P. falciparum. This trend started with chloroquine, but is now spreading to the other first-line drugs. Resistant strains have been identified in Cambodia and Thailand 220 million people were infected last year The best treatment of malaria is prevention from bites - DEET and permethrin are typical effective options. Permethrin may be applied to clothing items before travel, and will

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03:21

Podcast 518: Professional Complications

Emergency Medical Minute ·

2019/11/16

Contributor: Jared Scott, MD Educational Pearls In a 4 yr period at 2 hospital systems, unprofessional behavior of surgeons was monitored via a complaint system. Number of complaints was compared with surgical complications. In 13000 patients over this period, the number of surgical complications was found to vary with the number of complaints. Surgeons with with zero complaints had a 10% complication rate, 1-3 complaints had a 14% rate, and those with >4 and an 11.9% rate. There was statistical

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05:03

Podcast 517: It’s all about the PEEP

Emergency Medical Minute ·

2019/11/12

Contributor: Dylan Luyten, MD Educational Pearls: Bag-valve masks (BVM) typically have a port to connect O2 to. Unfortunately room air becomes entrained in the mask, reducing the FiO2 delivered to the patient. This can be overcome by using a PEEP (positive end-expiratory pressure) valve on the BMV PEEP valves function by keeping alveoli open in the lungs at the end of expiration. This increases the oxygen diffusing ability of the lungs, keeping patients’ oxygen saturations higher. Patients who

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52:28

UnfilterED #2: Lisa Raville & Dr. Josh Blum

Emergency Medical Minute ·

2019/11/09

Lisa Raville and Dr. Josh Blum, two pioneers of harm reduction in Denver, discuss the addiction crisis, the current state of harm reduction and how it will evolve in the future. Intro Music: Backbay Lounge Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/

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01:54

Podcast 516: Narcan and Pulmonary Edema

Emergency Medical Minute ·

2019/11/07

Contributor: Erik Verzemnieks, MD Educational Pearls: Important to realize complications can occur in the post-opioid overdose patient regardless of cause Narcan administration has been associated with non-cardiogenic pulmonary edema, although the mechanism of this is not quite known Symptoms include progressive shortness of breath and hypoxia. Treatment is with positive-pressure ventilation and diuresis, similar to cardiogenic causes Though rare, it would appear this typically resolves with

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04:36

Podcast 515: Non-Accidental Trauma

Emergency Medical Minute ·

2019/11/01

Contributor: Jared Scott, MD Educational Pearls: Non-accidental trauma (NAT) to children is commonly missed by medical providers Try to remember TEN-4-FACES as a useful aide for concerning patterns that may reflect NAT: Torso, ears, neck and any bruising in child 4 months or longer Frenulum, angle of the mandible, cheek, eyes, sclera References Pierce MC, Magana JN, Kaczor K, Lorenz DJ, Meyers G, Bennett BL, Kanegaye JT. The Prevalence of Bruising Among Infants in Pediatric Emergency

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02:06

Podcast 514: Pain Control While on Naltrexone

Emergency Medical Minute ·

2019/10/30

Author: Don Stader, MD Educational Pearls: Suboxone, methadone, and naltrexone are commonly used as treatments for opiate use disorder. Naltrexone is a full mu-opiate receptor antagonist, making acute pain control difficult in patients taking it. Options for pain control in patients on naltrexone include nerve blocks, NSAIDS, ketamine, and high doses of opiates. Of the opiates, Dilaudid (hydromorphone) has the highest affinity for mu-opiate receptors, and will be the most effective. References

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02:25

Podcast 513: Plague

Emergency Medical Minute ·

2019/10/27

Author: John Winkler, MD Educational Pearls: The plague (black death) is caused by the Yersinia Pestis bacteria. This bacteria is spread by fleas and carried by rats. It is very contagious and only needs ~ 100 bacteria to cause an infection. The pulmonary form presents with cough, fever, night sweats, hemoptysis and has a near 100% fatality rate if not treated in the first day of symptoms The bubonic form causes buboes, which are necrotic, purulent lymph nodes that can lead to sepsis. Prairie

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04:50

Podcast 512: Abstinence is Bad, mmmkay?

Emergency Medical Minute ·

2019/10/22

Author: Don Stader, MD Educational Pearls: Abstinence from substances such as tobacco or alcohol are effective strategies to achieve long term sobriety However, abstinence is not an effective strategy for achieving sobriety with opiate use disorder (OUD) Up to 90% of those who use an abstinence-only strategy for OUD will relapse within a month. Attending a rehabilitation facility increases mortality in those with OUD due to decreased tolerance and higher rates of overdose. Medication-assisted

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04:29

Podcast 511: Ebola Treatment

Emergency Medical Minute ·

2019/10/17

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

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03:51

Podcast # 510: Ebola

Emergency Medical Minute ·

2019/10/16

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 flu Spread occurs through close contact with bodily fluids. Proper PPE is required when treating patients with suspected ebola References

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15:57

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

Emergency Medical Minute ·

2019/10/12

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 sleep Stage 4 (REM):

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04:39

Podcast 508: Are you with child?

Emergency Medical Minute ·

2019/10/10

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 pregnancy

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