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.
Episodes
Contributor: Meghan Hurley, MD
Educational Pearls:
What is hypokalemia?
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Hypokalemia is when the measured blood level of potassium falls below 3.5 mEq/L (normal 3.5 - 5.2 mEq/L).
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Can generally be considered in mild (3.0 - 3.5 mEq/L); moderate (2.5 - 2.9 mEq/L...
Contributor: Meghan Hurley, MD
Educational Pearls:
What is hyperkalemia?
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Hyperkalemia is when the measured blood level of potassium reaches above 5.2 - 5.5 mEq/L (normal 3.5 - 5.2 mEq/L).
What are common causes of hyperkalemia?
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...
Contributor; Aaron Lessen, MD
Educational Pearls:
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A 2026 survey asked Canadian emergency medicine (EM) physicians about their eating and drinking habits while on shift.
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Among 527 respondents, 35% reported that they never or hardly ever ate during shifts, and 37% said the ...
Contributor; Taylor Lynch, MD
Educational Pearls:
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Thoracotomy
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Thoracotomy is used in traumatic cardiac arrest to replace conventional CPR with direct access to the chest.
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Goals include identifying and c...
Contributor: Aaron Lessen, MD
Educational Pearls:
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Agitated patients who are intoxicated with methamphetamine pose a unique challenge when selecting a sedative to counter their symptoms. Is there a superior medication?
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A recent study compared the efficacy of c...
Contributor: Meghan Hurley, MD
Educational Pearls:
What animal is the most lethal to humans?
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Depending on how we define lethal, and animal, this answer is actually not straight forward.
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Globally and in the U.S. the most lethal animal is humans, ac...
Contributor: Travis Barlock, MD
Educational Pearls:
First-pass success is critical to limit complications from apnea, hypoxia, and airway trauma.
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Complication rate for patients intubated on the first pass is 14%
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Complication rates increase to 47% after two ...
Dan Orbidan, OMS-II and Dr. Travis Barlock, MD discuss a real out of hospital call. This episode covers the implications of a pharmacologically abnormal patient presentation and the pre and post hospital considerations for patient management and care.
Carepoint Journal Club is a quarterly series with discussions about a medical topic, brought to you by Carepoint's Emergency Physicians.
Contributor: Aaron Lessen, MD
Educational Pearls:
UTIs are commonly seen in older women
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We often see them taking long-term prophylactic antibiotics because of common recurrence.
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Around 20-30% of older women who develop a UTI have a recurrence due to either diagno...
Contributor: Aaron Lessen, MD
Educational Pearls:
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Back pain is a common presenting complaint in the emergency department.
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Challenges arise when tailoring care to elderly populations using standard medical therapy:
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Read more
Contributor: Travis Barlock, MD
Educational Pearls:
Caffeine Geography and Types:
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Caffeine is found throughout the world and has evolved independently in various plants that are not evolutionarily related through direct lineage, but rather demonstrate convergent evolution (i.e. different species evolve the same traits).
...
Contributor: Travis Barlock, MD
Educational Pearls:
Endocannabinoid System: THC binds CB1 and CB2 receptors in neurons and immune cells
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Δ9-Tetrahydrocannabinol (THC) is the main psychoactive compound in cannabis
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CB1 and CB2 receptors typically bind endogenously-p...
Contributor: Aaron Lessen, MD
Educational Pearls:
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There has long been many questions about which IV fluid is best for ED resuscitation
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Multiple adult studies have shown no clear benefit of balanced fluid vs normal saline
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Read more
Carepoint Journal Club is a quarterly series with discussions about a medical topic, brought to you by Carepoint's Emergency Physicians.
Contributor: Taylor Lynch, MD
Educational Pearls:
Conduction abnormalities are a common and clinically significant complication in patients who undergo transcatheter aortic valve replacement (TAVR)
Clinical Features
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The most common abnormalities include high grade AV block and new onset LBBB
Contributor: Alec Coston, MD
Educational Pearls:
What are nasal intubations and when do we use them?
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Nasal intubations function similarly to oral intubations with the end goal of passing an endotracheal tube (ETT) through vocal cords and into the trachea to allow for a patent and secure airway, but differ in the main access po...
Contributor: Aaron Lessen, MD
Educational Pearls:
What are the common causes of agitation in the elderly?
- Baseline dementia causing a behavioral disturbance
- Delirium precipitated by an acute medical problem such as a UTI, pneumonia, overdose/side effect of home medications, urinary retention, constipation, pain, hypoxia, electrolyte abnormality, etc.
- Exacerbation of a primary psychotic condition such as schizophrenia or bipola...
Contributor: Aaron Lessen, MD
Educational Pearls:
- Patients with pulmonary embolism (PE) are divided into three risk categories
- Low risk (non-massive PE): patients are stable
- Treatment: prescribe anticoagulants and discharge home
- Intermediate risk (submassive PE): patients are stable but display evidence of clot burden such as elevated troponin, elevated BNP, and/or right heart strain
- Treatment is controve...
- Low risk (non-massive PE): patients are stable
Hosts: Don Stader, Nate Novotny, Travis Barlock, and Jeffrey Olson
In this episode, we reminice about the first 1000 medical minutes presented by EMM and what the next 1000 might hold. Below are all of the episodes referenced in this episode. Please go back and give them all a listen.
Segment 1- Recap and Facts
1st medical minute
o April 29, 2016. Almost exactl...
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