Hosts: Don Stader, Nate Novotny, Travis Barlock, and Jeffrey Olson

In this episode, we reminice about the first 1000 medical minutes presented by EMM and what the next 1000 might hold. Below are all of the episodes referenced in this episode. Please go back and give them all a listen.

Segment 1- Recap and Facts

1st medical minute

o April 29, 2016. Almost exactly 10 years ago.

o Diverticulitis and Antibiotics by Dr. Chris Holmes

1000th Medical Minute

o March 30, 2026

o Treatment of burns by Aaron Lessen

o Edited by Ashley Lyons and published by Jorge Chalit

Favorite sub-topics have included:

o Cardiovascular topics- 150 episodes

o Pharmacology- 97 episodes

o Toxicology- 85 episodes

o Neurology- 75 episodes

The "Hunting for…" cinematic universe. -Michael Hunt

o 399: Hunting for Pancreatitis

o 424: Hunting for Measles

o 432: Hunting for UTIs

o 445: Hunting for the Endotracheal Tube

o 455: Hunting for PeeCP

o 460: Hunting for PE in Syncope

o 487: Hunting for Epiglottitis

Obsession with 1966- Chris Holmes

o 120: The State of Sepsis in 1966

o 125: Old School CPR - 1966

o 138: Bromide Toxicity - 1966

o 147: GI Bleed - 1966

o 675: CHF like it's 1966

Favorite drug: naloxone/narcan (9)

o 7: Heroin Overdose and OTC Narcan

o 464: Narcan't?

o 516: Narcan and Pulmonary Edema

o 931: Naloxone in Cardiac Arrest

Favorite disease state: Sepsis (13)

o 22: Sepsis Sofa

o 219: History of Sepsis

o 244: Fever in Sepsis

o 263: Early Antibiotics in Sepsis

o 272: More on Temperature in Sepsis

o 287: Sepsis Bundles

o 544: C is for Sepsis

Unhinged title combinations

o 84: Hypothermia and Lightning Strike: Code Blue

o 203: Wine, Milk and… Vaccines!?

o 216: Roller Coasters and Kidney Stones

o 299: Black Death, Lice, Math, and Pottery

o 427: Cookie Dough is Delicious

o 670: Operation Tat-Type

o 695: Einstein and Cellophane

o 777: Grass, weed and ancient Rome

o 781: Foxglove, dropsy, and Salvador Dali

o 959: The KLM Flight Disaster and Lessons in Healthcare Communication

Most frequent contributors

- Aaron Lessen- 192

- Don Stader- 84

- Jarod Scott- 83

- Peter Bakes- 53

- Samuel Killian- 45

- Dylan Luyten- 41

- Erik Verzemnieks- Dozens

- Michael Hunt- 34

- Travis Barlock- 30

- Ricky Dhaliwal- 25

Top female voices

o Rachael Duncan, PharmD

o Rachel Beham, PharmD

o Meghan Hurley

o Gretchen Hinson

o Suzanne Chilton

o Katie Sprinkle

Most listened to

- 8. Podcast 835: Syncope Review

- 7. Podcast 766: Truth about Tramadol

- 6. Podcast 839: Causes of Pancreatitis

- 5. Podcast 760: Why Fentanyl is the Worst

- 4. Podcast 844: Dental Infections

- 3. Podcast 846: Early Repolarization vs. Anterior STEMI

- 2. Podcast 845: Hyperkalemic Cardiac Arrest

- 1. Podcast 847: ECMO CPR

Mini-game: who has actually seen our most rare diagnoses?

o 18: Lemierre's Syndrome – Septic thrombophlebitis of the internal jugular vein after oropharyngeal infection leading to septic emboli.

o 139: Locked-in Syndrome – Ventral pontine lesion causing quadriplegia and inability to speak with preserved consciousness and eye movements.

o 144: Moyamoya Disease – Progressive stenosis of intracranial carotids with development of fragile collateral vessels causing strokes.

o 221: Cotard Delusion (Walking Corpse Syndrome) – Psychiatric disorder where patients believe they are dead or do not exist.

o 240: Pott's Puffy Tumor – Frontal bone osteomyelitis with subperiosteal abscess from sinusitis causing forehead swelling.

o 277: Mucormycosis (Rhizopus) – Angioinvasive fungal infection in immunocompromised patients causing rapid tissue necrosis.

o 293: Transient Global Amnesia – Sudden, transient loss of ability to form new memories that resolves within 24 hours.

o 329: Hypokalemic Periodic Paralysis – Episodic muscle weakness due to intracellular potassium shifts.

o 374: Iliac Artery Endofibrosis – Exercise-induced fibrosis of the iliac artery causing claudication in athletes.

o 466: Subacute Sclerosing Panencephalitis (SSPE) – Progressive, fatal neurodegenerative disease from persistent measles infection.

o 477: Postpolypectomy Electrocoagulation Syndrome – Transmural burn of the colon after polypectomy causing localized peritonitis without perforation.

o 578: Brown-Séquard Syndrome – Hemisection of the spinal cord causing ipsilateral motor/proprioception loss and contralateral pain/temperature loss.

o 697: Kounis Syndrome – Acute coronary syndrome triggered by allergic reaction causing coronary vasospasm or plaque rupture.

o 973: Meningitis Retention Syndrome – Acute urinary retention due to sacral nerve dysfunction during meningitis.

Segment 2- Individual Interviews

Segment 3- Looking forward

Segment 4- Trivia

Podcast 38, what is significant about diphtheria and March 18th?

o On March 18th, the Iditarod is run in Alaska to commemorate a sled dog team, led by Balto, that ran from Nome to Anchorage and back to provide children in Nome with the diphtheria anti-toxin serum.

Podcast 52: Syphilis the Great Imitator. The study of Syphilis or "Syphilology" evolved into the field of what?

o Dermatology

Podcast 121: The Poor Man's Methadone. What is the poor man's methadone?

o Imodium

Podcast 136: James Lind, conducted the first clinical trial in 1747 and proved that what cure what? Hint: think vitamins.

o Citrus fruits cure scurvy.

Podcast #213: --- and Potatoes. What food has been shown to lower LDL?

o Oats

Podcast #216: Roller Coasters and Kidney Stones. A study used a model of a kidney and ureter with different sized stones and put it on ------ roller coaster in Disney World.

o Thunder Mountain

Podcast #261. ---- was introduced to treat ACE-inhibitor induced angioendema. but later, better-powered studies showed that it had no benefit compared to standard treatment.

o Icatibant

Podcast #304: ---. ---- was a formal medical diagnosis, and one that dates back to 17th century when soldiers had longing for home and melancholy with a constellation of symptoms including lethargy, sadness, disturbed sleep, heart palpitations, GI complaints, and/or skin findings for which the only cure was to return home.

o Nostalgia

Podcast # 351: Steakhouse Syndrome. What is steakhouse syndrome?

o Impacted food bolus 2/2 esophageal stricture

Podcast # 362: Giant Hogweed. What can Giant Hogweed cause.

o Photosensitivity, severe blisters, and burns

Podcast #398: Who is gonna fail your antibiotic plan? What vital sign abnormality at triage had the highest odds ratio for treatment failure for the treatment of cellulitis with antibiotics.

o Tachypnea

Podcast # 458: A Tylenol a Day Keeps the ---- Away? A recent study investigated the effect of scheduled IV acetaminophen on the incidence of ---- in post-CABG patients in the ICU

o Delerium

Podcast 554: Sleeping Away Alzheimer's. What is the difference between white noise and pink noise?

o White noise is all the surrounding sound frequencies mixed together that your brain tunes down so you don't get distracted while you're sleeping

o Pink noise, or deep soothing noises, is the accentuated bass sounds like falling rain or waves crashing your brain keys into while sleeping.

o Pink noise during sleep has been shown to increase stage 4, creating more CSF washout of beta amyloid.

Podcast 580: Origin of PPE. Why were rubber gloves invented?

o The invention of surgical gloves are credited to surgeon William Halsted. He developed gloves because one of his assistants (and later wife), Carol Hampton, was having severe irritation due to a caustic pre-op disinfecting process. They developed the rubber glove for Hampton which garnered popularity, and by the early 20th century, half of surgeons were using rubber gloves.

Podcast 587: Puppies Preventing Burnout? Puppies lower stress, what activity in that study increased stress?

o Coloring, because they were denied a chance to play with a puppy

Podcast 596: Weather Can be a Headache. What are the three weather events that can increase the frequency of headaches?

o High temp

o Low humidity

o High air pollution

Podcast 612: Origin of Vaccines. Guess both diseases. The potential of vaccinations was first observed in the late 1600s when Jenner observed people who had cowpox never contracted ----. Years later, Louis Pasteur inoculated chickens with ---- after his assistant accidently created the first live attenuated vaccine by creating a weakened bacteria when he left the bacteria out while he went on vacation

o Smallpox, cholera

Podcast 670: Operation Tat-Type. In 1951, Operation Tat-Type began tattooing adults with their ---- in an effort to prepare for ---- in the time of the Cold War and the Korean War

o Blood type, rapid transfusions

Podcast 695: Einstein and Cellophane. Albert Einstein had ----- as a middle-aged man. Dr. Rudolph Nissen, founder of the Nissen fundoplication, performed exploratory surgery for this pain and found a ----

- The only treatment for an AAA at that time was to----, causing a fibrotic response to prevent rupture

- Einstein died 7 years after this surgery, likely from his leaking abdominal aortic aneurysm

o chronic abdominal pain

o AAA

o wrap the vessel in cellophane

Podcast 748: -----. Whale blubber, honey, home fermented foods, homemade wine (especially the wine made in prison), and improperly stored canned food can all contain the toxin

o Botulism

Podcast 777: Grass, Weed, and Ancient Rome. Wine and wormwood and white hellborn were used in ancient rome to treat ----.

o Nausea, sea sickness

Podcast 821: EKGs in Syncope. Travis suggests a mnemonic for remembering additional EKG findings to look for in syncope

o WOBBLER

§ Wolff-Parkinson-White (WPW)

§ Obstructed AV node

§ Brugada syndrome

§ Bifascicular block

§ Left Ventricular Hypertrophy (LVH)

§ Epsilon waves

§ Repolarization abnormalities

Podcast 890: Outdoor Cold Air for Croup A 2023 study, published in the Journal of Pediatrics, investigated whether a 30-minute exposure to outdoor cold air could improve mild to moderate croup symptoms before the onset of steroid effects. In what country was this study conducted.

o Switzerland

Podcast 925: Pediatric Tongue Entrapment. Case study of a peds patient with his/her tongue stuck in a drinking cap. What was the substance that finally set it free?

o Table sugar

Podcast 960: Frank's Sign - A Marker for Coronary Artery Disease. What is Frank's Sign?

o Bilateral earlobe crease

Thank you to all that make the EMM awesome!

Hosted and editted by Jeffrey Olson MS4 | Additional editting by Jorge Chalit, OMS4

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Emergency Medical Minute