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Emergency Medical Minute


Jun 29, 2017

Author: Nick Hatch, M.D.

Educational Pearls

  • Acyclovir toxicity can uncommonly cause altered mental status, low blood glucose, hallucinations and myoclonic jerks.
  • Toxicity often occurs in the setting of renal insufficiency, as it is cleared by the kidneys.
  • Acyclovir is often used to treat shingles, which can also cause...

Jun 27, 2017


Author: Michael Hunt, M.D.

Educational Pearls

  • Wells Criteria was initially designed to screen patients for further workup for PE.  
  • Aspects of the Wells Criteria include: signs and symptoms of DVT (3 points), PE most likely dia (3 points), HR > 100 (1.5 points), immobility for > 3 days or surgery in last 4 weeks (1.5...

Jun 25, 2017

Podcast #221: Walking Corpse Syndrome

Author: Erik Verzemnieks, M.D.

Educational Pearls

  • Walking Corpse Syndrome (aka Cotard Delusion) is a very rare psychiatric disorder that leads to the belief that one is a “walking corpse”.
  • Often co-presents with depression, schizophrenia, and starvation.
  • Responds to...

Jun 23, 2017

Author: Aaron Lessen, M.D.

Educational Pearls

  • Atrial fibrillation is common.
  • One of the best treatments for a fib is cardioversion back into sinus rhythm.
  • Cardioversion may increase stroke risk if A-Fib duration is greater than 48 hours, but some new data suggests that this risk may happen as soon as 12 hours.
  • However,...

Jun 21, 2017


Author: Chris Holmes, M.D.

Educational Pearls

  • “Sepo’ is a term from Homer (author of The Iliad and The Odyssey), and means “I rot”.
  • Hippocrates in 400 BC identified sepsis as a “dangerous decay within the body”.
  • Galen in 200 AD believed pus was “laudable”.
  • The Greeks and Romans used the term...