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Emergency Medical Minute


Jul 6, 2019

Contributor: Jared Scott, MD

Educational Pearls:

  • Cerebellar strokes make up a disproportionate number of missed or delayed diagnosis for stroke likely due to the subtle nature of the presentation
  • Cerebellar strokes can present with vomiting, dizziness, and ataxia. 
  • Unlike anterior circulation stroke, exam findings in a...

Jun 28, 2019

Contributor: Don Stader, MD

Educational Pearls:

  • Antiplatelets include aspirin and clopidogrel, and are generally used for arterial clotting (MI, stroke)
  • Anticoagulants such as coumadin, Xarelto, Eliquis are generally used for venous clotting (DVT/PE)
  • Growing data suggests that dual antiplatelet therapy...

Apr 15, 2019

Author: Jared Scott, MD

Educational Pearls:


  • Modified Rankin Score:  measure of disability often used to qualify outcomes following stroke  = no disability, 6=dead, 0-1 indicate good outcome)
    • 0-6 Scale
    • 0-1 indicative of good outcome
  • ASPECT score: uses CT to quantify the extent of changes in the brain due to...

Apr 4, 2019

Author: Sam Killian, MD

Educational Pearls:


  • Headache is a common complaint in the ED. It’s plausible that headaches could be correlated with environmental factors
  • A 2015 study ED visits for headache found that temperature was associated with an increase visits, while higher humidity led to fewer
  • A retrospective...

Feb 13, 2019

Author: Peter Bakes, MD

Educational Pearl:


  • Transient ischemic attack (TIA) is defined as neurologic symptoms that resolve in 24 hours with no new changes on head imaging
  • Mimics include complex migraine, carotid dissection, seizure (Todd’s paralysis)
  • Typical presentation is with sudden onset of negative...