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Emergency Medical Minute

 

Mar 31, 2025

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Point-of-care ultrasound (POCUS) is used to assess cardiac activity during cardiac arrest and can identify potential reversible causes such as pericardial tamponade

  • Ultrasound could be beneficial in another way during cardiac arrest as well: pulse checks

    • Manual...


Mar 24, 2025

Contributor: Travis Barlock, MD

Educational Pearls:

What is Hoover’s sign used to identify?

  • This physical exam maneuver differentiates between organic vs. functional (previously known as psychogenic) leg weakness.

  • Organic causes include disease processes such as stroke, MS, spinal cord compression, guillain-barre,...


Mar 17, 2025

Contributor: Jorge Chalit-Hernandez, OMS3

Educational Pearls:

  • CYP enzymes are responsible for the metabolism of many medications, drugs, and other substances

    • CYP3A4 is responsible for the majority

    • Other common ones include CYP2D6 (antidepressants), CYP2E1 (alcohol), and CYP1A2 (cigarettes)

  • CYP inducers lead to...


Mar 10, 2025

Educational Pearls:

  • Physiologic stimulation of ventilation occurs through changes in levels of:

    • Arterial carbon dioxide (PaCO2)

    • Arterial oxygen (PaO2)

  • Hypercapnia is an elevated level of CO2 in the blood - this primarily drives ventilation

  • Hypoxia is a decreased level of O2 in the body’s tissues - the...


Mar 3, 2025

Contributor: Aaron Lessen, MD

Educational Pearls:

Quick background info

  • Cardiac arrest is when the heart stops pumping blood for any reason. This is different from a heart attack in which the heart is still working but the muscle itself is starting to die.

  • One cause of cardiac arrest is when the electrical signals...