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98
May 2019
1hr 19min

The Syncope Code, EEM: Sentinel Injuries, N of One

Figuring out a decision tool or even consistent clinical approach to syncope has been like finding peace in the Middle East. Lots of people thought that they have had the answer but, let's face it, they haven't. Now, a research team from Canada may have found the right formula for emergency department evaluation: using a combination of the Canadian Syncope Risk Score and a few hours of cardiac monitoring. View chapters…

97
April 2019
2hr 18min
2.25 CME Hours

Nephrolithiasis, EMTALA Police, Breaks, PEEP Show, D-Dimer

Patients with infected ureteral stones present a true medical emergency. I very well may be obvious what's going on but, often, it's not so clear. Maybe the patient has no fever but a few white cells in the urine, or maybe they look sick but have a negative UA. In this wide-ranging discussion, we interview urologist Nora Takla about her approach to infected stones, how she manages those with equivocal presentations, as well as the logistics following up non-infected stones, the significance of extravasation on CT scan, and the sometimes surprisingly complicated decision making when it comes to admitting ureteral colic patients. View chapters…

96
March 2019
3hr 6min
2.25 CME Hours

PEG Tube, Pulse Ox, N of One, Resuscitation, Chest Pain, Angioedema

We may not place PEG tubes but we certainly encounter their complications. From blockages to dislodgement, PEG issues are a frequent occurrence in the emergency department. In this episode, we get perspectives from emergency physician Walker Foland, as well as gastroenterologist Mike Phillips, on troubleshooting and managing the misbehaving G-tube. View chapters…

95
February 2019
2hr 23min
2.25 CME Hours

The PE Bounceback, EEM, N of One, Adrenal Crisis, Stab Wounds

When a patient with a known and treated pulmonary embolism returns to the ED with increased pain or shortness of breath, what’s the next step? There is no textbook answer for this one, so we reached out to the PE expert, Jeff Kline, to give his approach. View chapters…

94
January 2019
2hr 27min
2.25 CME Hours

Frostbite, Asystole, Perfectionism, EQ, Middle Way, Flu

Managing frostbite is both simple and complex. It's been around since human skin met the cold but research within the past few decades and even the past few years has dramatically changed how we care for thermal cold injury. in this episode, frostbite expert and burn surgeon Dr. Anne Wagner discusses frostbite diagnosis, simple and advanced management. View chapters…

93
December 2018
2hr 50min
2.25 CME Hours

Chest Pain, Chest Tube, Burnout, Debriefing INFO, Alcohol Withdrawal, Pregnancy

A consensus summit with world experts and primary researchers focused on the question, “After a negative ED evaluation for ACS, is an expedited outpatient evaluation a safe alternative to admission?” View chapters…

92
November 2018
2hr 18min
2.25 CME Hours

Hyperkalemia Management, Lupus, Wegener’s, EM MIndset, Iron, Red Anus

Hyperkalemia is one of, if not the most, common electrolyte abnormalities we see. But much of what we do in treatment is what someone told us to do when we were young learners. In this episode we debunk hyperkalemia myths and discuss an evidence based approach to management. View chapters…

91
November 2018
9min

Essentials of EM Bonus: When to Call a Code in the Field + 2019 Reg is Open!

Corey Slovis from Essentials of EM 2016 breaking down when to call a prehospital code, and when to keep the resus going. Why a bonus episode? Well, if all I said was that registration for EEM 2019 was now open, and left it at that, well, that would be lame. This way, I can say it, but there’s some meat with the potatoes. Not just potatoes. Check it out https://www.essentialsofem.com/ View chapters…

90
October 2018
2hr 26min
2.25 CME Hours

Las Vegas Mass Casualty, TIA, Primum Non Nocere, UTI, Rhabdo

A first hand account of the emergency department response to the 2017 Las Vegas strip shooting that left 59 dead and over 800 wounded. Discussion of preparation with 20 minutes warning, how to keep patients flowing as they enter the hospital as well as once they’re in the treatment area, effective triage, critical steps to simultaneously resuscitating large numbers of trauma patients. View chapters…

89
September 2018
2hr 42min
2.25 CME Hours

Cirrhosis, Topical Steroids, Skill Decay, Antibiotics, Diarrhea, WWWD

We first discuss emergency department management of patients with complications of cirrhosis. Next up,classification and use of topical steroids in the acute care setting and then methods to combat skill decay in emergency medicine practice. WWWD - Discuss management of refractory Type 1 respiratory failure and borderline hypotension in patients in septic shock. View chapters…

88
August 2018
2hr 23min
2.25 CME Hours

The Dying Asthmatic, Button Batteries, Effective Leaders, Ischemic Bowel, APAC

Discuss airway and ventilatory management of the asthma patient in extremis who is recalcitrant to standard therapy. Discuss evaluation and treatment of children who have ingested a button battery. Discuss methods of effective (and ineffective) leadership. Discuss utility of obtaining an acetaminophen level before four hours post ingestion in overdose patients. View chapters…

87
July 2018
2hr 31min
2.25 CME Hours

Epi and CA, Stab Wounds, Reframing, Ultrasound or CT, IV Fluids, Mono

The pendulum never seems to stop swinging when it comes to the efficacy of epi in cardiac arrest. Kenji Inaba breaks down management of stab wounds - irrigation, wound repair, and vascular evaluation. A change in perspective can change everything. Mike Mallin from the Ultrasound Podcast breaks down when we should start with ultrasound versus go straight to CT and How long is mono shed in saliva? View chapters…

86
June 2018
2hr 4min
2.25 CME Hours

June 2018: IM in the ED, HSP, Behavior, Suboxone and ATLS

Internist Neda Frayha sprinkles some IM in the ED and then Emily Rose walks us through diagnosis, treatment of HSP. Next we have Addiction medicine specialist Ken Starr argues in favor of buprenorphine in the acute treatment of opiate withdrawal. Trauma team leader Andrew Petrosoniak explains why when providers rigidly follow ATLS, patients may suffer. View chapters…

85
May 2018
2hr 29min
2.25 CME Hours

May 2018: GI Bleed, Extubation, Scribes,Troponin and Neonatal Intubation

Rob and Tom Deloughery discuss management of actively bleeding patients who have been prescribed anticoagulation medications. Scott Weingart walks us through the whys and hows of extubating patients in the ED. Scribes clearly can be helpful in adding to the efficiency of the ED workflow, they have understandable challenges when it comes to documenting critical parts of the medical record. Rob and Adam Rowh discuss what is the utility of a second (delta) troponin in a patient presenting with chest pain. Rob and Andy Sloas, DO discuss Neonatal Intubation. View chapters…

84
April 2018
1hr 19min

April 2018: Zdogg, C Diff & Addiction

Find out why Zdogg MD does what he does and get a whiff of the new C Diff guideline changes in the April 2018 archive. View chapters…

83
March 2018
37min

March 2018: Pseudoseizures (PNES)

ERcast archives from 2018 View chapters…

82
February 2018
1hr 33min

February 2018: When Consultants Give Bad Advice

ERcast archives from 2018 View chapters…

81
January 2018
1hr 43min

January 2018: Bicarbonate in DKA, cellulitis, and performance coach Jason Brooks

ERcast archives from 2018 View chapters…