Our near daily podcasts move quickly to reflect current events, are inspired by real patient care, and speak to the true nature of what it's like to work in the Emergency Room or Pre-Hospital Setting. Each medical minute is recorded in a real emergency department, by the emergency physician or clinical pharmacist on duty – the ER is our studio and everything is live.
Emergency Medical Minute
Claim This Podcastby Emergency Medical Minute
4.9(115 reviews)
1,293 episodes
Updated Daily
Accepts GuestsHas SponsorsLocation 🇺🇸
85
Podcast Authority
BetaExcellentBased on show quality, social media presence, reviews, charts, and more
Quality96
Social0
YouTube86
Engagement97
Podcast Overview
Our near daily podcasts move quickly to reflect current events, are inspired by real patient care, and speak to the true nature of what it's like to work in the Emergency Room or Pre-Hospital Setting. Each medical minute is recorded in a real emergency department, by the emergency physician or clinical pharmacist on duty – the ER is our studio and everything is live.
Language
🇺🇲
Publishing Since
1/27/2016
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85
Podcast Authority
BetaExcellentBased on show quality, social media presence, reviews, charts, and more
Quality96
Social0
YouTube86
Engagement97
9
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2
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8
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excellent
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Every 3 days
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338 reviews (4.8/5.0)
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Recent Episodes
July 20, 2026
Podcast 1013: Thoracotomy Indications
<p dir="ltr">Contributor; Taylor Lynch, MD</p> <p dir="ltr">Educational Pearls:</p> <ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Thoracotomy </p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Thoracotomy is used in traumatic cardiac arrest to replace conventional CPR with direct access to the chest.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Goals include identifying and controlling reversible causes of bleeding, prioritizing blood flow to the heart and brain, and performing open cardiac massage.</p> </li> </ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Trauma categories</p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Penetrating trauma: Gunshot wounds and stab wounds.</p> </li> <ul> <li dir="ltr" aria-level="3"> <p dir="ltr" role="presentation">Has a higher chance of survival because the injury may be localized and directly repairable.</p> </li> <li dir="ltr" aria-level="3"> <p dir="ltr" role="presentation">Cardiac stab wounds may have the highest survivability because the defect can be visualized, repaired, and treated with blood administration.</p> </li> </ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Blunt trauma: Motor vehicle collisions and falls from height.</p> </li> <ul> <li dir="ltr" aria-level="3"> <p dir="ltr" role="presentation">Has a much lower chance of survival.</p> </li> </ul> </ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Western guidelines</p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">EMS must witness the patient lose pulses.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Penetrating trauma: CPR for less than 15 minutes.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Blunt trauma: CPR for less than 10 minutes.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Survival decreases to essentially zero beyond these time limits.</p> </li> </ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Eastern guidelines</p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Focus on the presence of signs of life in blunt or penetrating trauma.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Signs of life may include:</p> </li> <ul> <li dir="ltr" aria-level="3"> <p dir="ltr" role="presentation">Pupillary response.</p> </li> <li dir="ltr" aria-level="3"> <p dir="ltr" role="presentation">Measurable blood pressure.</p> </li> <li dir="ltr" aria-level="3"> <p dir="ltr" role="presentation">Purposeful movement.</p> </li> </ul> </ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Patient selection</p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Thoracotomy should only be performed when the patient has a reasonable chance of survival.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">It is a highly morbid procedure with significant occupational risks, including needlestick injury.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Appropriate patient selection and timing are essential.</p> </li> </ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Procedure</p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Begin on the left side of the chest.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Cross-clamp the aorta to restrict blood flow below the heart and prioritize circulation to the heart and brain.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Identify and repair visible sources of bleeding involving structures such as the heart or lungs.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Perform open cardiac massage as the equivalent of CPR.</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">ACLS medications may still be administered.</p> </li> </ul> </ul> <p dir="ltr">References:</p> <ol> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Cothren CC, Moore EE. Emergency department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World J Emerg Surg. 2006;1:4. Published 2006 Mar 24. doi:10.1186/1749-7922-1-4</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Rhee, Peter M. ; Acosta, Jose ; Bridgeman, Amy et al. / Survival after emergency department thoracotomy : Review of published data from the past 25 years. In: Journal of the American College of Surgeons. 2000 ; Vol. 190, No. 3. pp. 288-298.</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Nunn, Andrew ; Prakash, Priya ; Inaba, Kenji et al. / Occupational exposure during emergency department thoracotomy : A prospective, multi-institution study. In: Journal of Trauma and Acute Care Surgery. 2018 ; Vol. 85, No. 1. pp. 78-84.</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Burlew CC, Moore EE, Moore FA, et al. Western Trauma Association critical decisions in trauma: resuscitative thoracotomy. J Trauma Acute Care Surg. 2012;73(6):1359-1363. doi:10.1097/TA.0b013e318270d2df</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Seamon MJ, Haut ER, Van Arendonk K, et al. An evidence-based approach to patient selection for emergency department thoracotomy: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;79(1):159-173. doi:10.1097/TA.0000000000000648</p> </li> </ol> <p><strong><br /> <br /></strong></p> <p dir="ltr">Summarized by Steven Fujaros NREMT | Edited by Steven Fujaros & Ahmed Abdel-Hafiz, NREMT-P</p> <p><strong> </strong></p> <p dir="ltr">Donate: <a href= "https://emergencymedicalminute.org/donate/">https://emergencymedicalminute.org/donate/</a></p> <p><strong> </strong></p> <p dir="ltr">Join our mailing list: <a href= "http://eepurl.com/c9ouHf">http://eepurl.com/c9ouHf</a></p>
July 13, 2026
Podcast 1012: Meth Sedation
Dr. Aaron Lessen discusses a study comparing sedatives for methamphetamine-induced agitation, revealing Droperidol, Olanzapine, and Midazolam offer faster sedation than Lorazepam.
July 6, 2026
Podcast 1011: Creepy Crawlies
Dr. Meghan Hurley discusses the deadliest animals to humans globally and in the U.S., offering crucial insights for medical professionals.
1,293 total episodes available with 136 transcripts
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Frequently asked questions
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- What is Emergency Medical Minute?
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This podcast updates daily.
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This podcast is available on 10 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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No, this podcast does not typically feature guests.
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