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Emergency Medical Minute


Dec 25, 2023

Contributor: Jorge Chalit, OMS II

Educational Pearls:

  • Migraine pathophysiology

    • Primarily mediated through the trigeminovascular system

    • Serotonin, dopamine, and calcitonin gene-related peptide (CGRP)

    • Trigeminovascular system is linked to the trigeminal nucleus caudalis, which relays pain to the hypothalamus and...

Dec 20, 2023

Contributor: Aaron Lessen MD

Educational Pearls:

How is the severity of a stroke assessed?

  • Strokes are assessed by the NIH Stroke Scale (NIHSS), this scale has different tasks, such as asking the person to repeat words, move their arms, or follow simple instructions. The maximum score is 42 but any score over 21 is...

Dec 12, 2023

Contributor: Nick Tsipis MD

Educational Pearls:

  • The review article assessed 16.3 million patients across six states to identify those at high-risk for critical revisit

    • Criteria for critical revisit was ICU admission or death within three days of discharge from the ED

  • Critical revisits are extremely rare 

    • 0.1%...

Dec 4, 2023

Contributor: Meghan Hurley MD

Educational Pearls:

Pearls about labor:

  • Labor is split into 3 stages.

    • Stage 1 starts when the first persistent contractions are felt and goes up until the cervix is fully dilated and the mother starts pushing. Stage 1 is split into two phases: the latent phase (cervix is dilated from...

Nov 27, 2023

Contributor: Dr. Taylor Lynch

Educational Pearls:

  • Time of arrival until intubation was 26 minutes but nobody tried anterior neck access like a cricothyrotomy until his dad arrived

  • Traditional ACLS protocol is not enough for anaphylactic respiratory arrest

    • Circulating O2 from compressions alone is not enough to...