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Emergency Medical Minute


Aug 30, 2018

Author:  Don Stader, MD

Educational Pearls:


  • 8014 patients with out-of-hospital cardiac arrest randomized to epinephrine vs placebo
  • 30-day survival was not dramatically better between groups (3.2%in the epinephrine group and 2.4% in the placebo group)
  • Functional neurological outcome was nearly identical at...

Aug 28, 2018

Author:  Jared Scott, MD

Educational Pearls:


  • EKG changes do not necessarily correlate to degree of hyperkalemia
  • Traditional progression through peaked T-waves, flattened p-waves, QRS widening, and then sine-waves before asystole




Mattu A, Brady WJ, Robinson DA. Electrocardiographic manifestations of...

Aug 24, 2018

Author:  Erik Verzemnieks, MD

Educational Pearls:


  • In the panic of a precipitous ED delivery, remember: Warm. Dry. Stim.  It will solve most of your problems in most scenarios
  • Start compressions if heart rate is less than 60
  • Put the pulse ox on the right hand - it may make a difference as it is...

Aug 22, 2018

Author: Michael Hunt, MD

Educational Pearls:

Here is a list of some very toxic natural substances:



#5: Tetrodotoxin: Found in pufferfish and other aquatic species

#4: Ricin: made from castor beans

#3: Mercury: natural element absorbable through skin and gloves

#2: Batrachotoxin: found on poison dart frogs


Aug 20, 2018

Author: Aaron Lessen, MD

Educational Pearls:


  • Non-blinded randomized study assessing 30-day mortality benefit from plasma-first resuscitation in patients at risk hemorrhagic shock
  • Study involved aeromedical transport of trauma patients
  • 30-day mortality 23.2 % in intervention group vs. 33.0% in standard care...