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Emergency Medical Minute


Oct 10, 2019

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...

Jun 17, 2019

Author:  Nick Hatch, MD

Educational Pearls:

  • Pregnancy is a hypercoagulable state, which predisposes women to venous thromboembolism, but also elevates levels of circulating d-dimer
  • A recent study evaluated the YEARS protocol in combination of adjusted d-dimer cutoffs in pregnant women to evaluate for DVT and PE

Jul 18, 2018

Author: Sam Killian, MD

Educational Pearls:


  • Hematometra: uterus filled with blood due to obstruction of outflow tract.
  • Most commonly a result congenital abnormalities (imperforate hymen, transverse vaginal septum, etc.) but can be acquired due to cervical stenosis, intrauterine adhesions, neoplasms, and post-surgical...

Jul 16, 2017

Author: Dylan Luyten, M.D.

Educational Pearls

  • Rhogam is commonly used when an Rh negative woman has an Rh positive fetus. It is commonly used in the ER in the setting of a miscarriage.
  • Rh(+) fetal blood can enter the Rh(-) maternal circulation, sensitizing the woman to the Rh antigen. During a subsequent pregnancy, if...