Emergency Medical Minute

View Top 200 Chart

Back to Rankings Page

Health & Fitness
**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.

Latest Episodes:

Podcast #447: IV Tylenol Mar 20, 2019

Show notes

Author: Dylan Luyten, MD

Educational Pearls:

Recent randomized controlled trial compared intravenous to oral acetaminophen in emergency department patients
There was no difference in pain relief between the groups
While the actual acquisition cost of these drugs are not significant, the cost multipliers that are passed onto patients lead to real dollars
With the significant cost of IV acetaminophen, it may not be the best choice given the lack of superiority to other formulations

References:

Furyk J, Levas D, Close B, Laspina K, Fitzpatrick M, Robinson K, Vangaveti VN, Ray R. Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial.Emerg Med J. 2018 Mar;35(3):179-184. doi: 10.1136/emermed-2017-206787. Epub 2017 Dec 15. PubMed PMID: 29247042.

Summarized by Will Dewsipelaere, MS3 | Edited by Erik Verzemnieks, MD

Podcast #446: Retinal Detachment Mar 19, 2019

Show notes

Author: Dylan Luyten, MD

Educational Pearls:

1:500 patients will experience a retinal detachment
Consider stroke on your differential (central retinal arterial occlusion)
Flashes and floaters are a common complaint with retinal detachments
Though patients may report fields of vision loss, visual acuity is often spared
Ocular ultrasound is an effective way to diagnosis retinal detachment in the ED
These require urgent ophthalmologic consultation for surgical repair

References:

https://www.aliem.com/2014/03/ocular-ultrasound-retinal-detachment-posterior-vitreous-detachment/

Gottlieb M, Holladay D, Peksa GD. Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis. Acad Emerg Med. 2019 Jan 13. doi: 10.1111/acem.13682. [Epub ahead of print] PubMed PMID: 30636351.

Summarized by Will Dewsipelaere, MS3 | Edited by Erik Verzemnieks, MD

UNTAMED PART 6: Stepping Back Into Life Mar 11, 2019

Show notes

UNTAMED PART 5: Too High Mar 11, 2019

Show notes

UNTAMED PART 4: A New Perspective Mar 11, 2019

Show notes

UNTAMED PART 3: Coping With Pain Mar 11, 2019

Show notes

UNTAMED PART 2: Surviving a Medical Emergency in the Outdoors Mar 11, 2019

Show notes

UNTAMED PART 1: The Physiology of Experiencing Nature Mar 11, 2019

Show notes

Podcast #445: Hunting for the endotracheal tube Mar 08, 2019

Show notes

Author: Michael Hunt, MD

Educational Pearls:

Bedside transtracheal ultrasound to confirm proper endotracheal intubation is simple and effective
Review of 17 studies showed transtracheal ultrasound was was 98.7% sensitive and 97.1% specific
Curvilinear probe may be preferable as it provides a larger field of view

Editor's Note: rather than explain what you're looking for… just go here

References:

Gottlieb M, Holladay D, Peksa GD. Ultrasonography for the Confirmation of Endotracheal Tube Intubation: A Systematic Review and Meta-Analysis. Ann Emerg Med. 2018 Dec;72(6):627-636. doi: 10.1016/j.annemergmed.2018.06.024. Epub 2018 Aug 14. PubMed PMID: 30119943.

Summarized and edited by Erik Verzemnieks, MD

Podcast #444: Dyspnea in the intubated patient Mar 06, 2019

Show notes

Author: Aaron Lessen, MD

Educational Pearls:

Dyspnea can occur in up to 50% of intubated patients
Dyspnea is associated with prolonged mechanical intubation
Often goes undiagnosed as these patients have difficulty communicating
Expert opinion on reducing sensation of dyspnea
- Reduce stimulation of respiratory drive like fever and acidosis
- Give bronchodilators for patients with wheezing
- Optimize the ventilator settings
- Use medications for comfort (i.e. opioids, benzodiazepines)

References:

Decavèle M, Similowski T, Demoule A. Detection and management of dyspnea in mechanically ventilated patients. Curr Opin Crit Care. 2019 Feb;25(1):86-94. doi: 10.1097/MCC.0000000000000574. PubMed PMID: 30531366.

Summarized by Travis Barlock, MS4 | Edited by Erik Verzemnieks, MD

Our TOPPODCAST Picks

Follow Us

Stay Connected

Related Podcasts

Links

Stay Connected