Proceed with Confidence: Local Anesthesia
From April 2021, Becoming Trauma InformedInjecting local anesthetic burns, right? What if there was a way to minimize the pain associated with injection of local anesthetic? Drs. Brian Rayala and Matthew Zeitler at UNC Chapel Hill look at the evidence regarding this, and provide some insight into reduction of pain with this common …
22min 9Brian Rayala, MD and Matthew Zeitler, MD
Trauma Informed Care: Part 2
From April 2021, Becoming Trauma InformedMany of our patients have lived through trauma, and the Covid-19 pandemic is a form of collective trauma in itself. How can we, as primary care clinicians, provide sensitive, trauma-informed care to our patients? Neda sits down with national experts Drs. Sadie Ellisseou and Megan Gerber to discuss …
19min 41Neda Frayha, MD, Megan Gerber MD, MPH, and Sadie Elisseou, MD
Trauma Informed Care: Part 1
From April 2021, Becoming Trauma InformedMany of our patients have lived through trauma, and the Covid-19 pandemic is a form of collective trauma in itself. How can we, as primary care clinicians, provide sensitive, trauma-informed care to our patients? Neda sits down with national experts Drs. Sadie Ellisseou and Megan Gerber to discuss …
25min 39Megan Gerber MD, MPH, Neda Frayha, MD, and Sadie Elisseou, MD
Less is More, Some More
From April 2021, Becoming Trauma InformedLess is more! We were thrilled to learn about the JAMA Internal Medicine series highlighting which primary care services we can scale back on or do away with completely. In this month’s Primary Care RAP introduction, Neda and Paul continue breaking down some of these recommendations and how they’ll …
15min 18Paul Simmons, MD and Neda Frayha, MD
Hemoptysis
From July 2018, All Risk, No RewardPatients with significant or massive hemoptysis should be sent to the ED for further evaluation.Patients with non-massive hemoptysis should be evaluated with initially with a chest x-ray.
22min 28Scott Irvine, MD and Matthew DeLaney, MD, FACEP, FAAEM
Annual Physical: Friend or Foe
From July 2018, All Risk, No RewardAre you a fan of your annual physicals, or are you moving away from them in your practice? In this segment, Neda and our new PC RAP contributor Aisha Lofters debate the merits and drawbacks of the annual physical. Spoiler alert: Aisha wins!
23min 16Aisha Lofters, MD and Neda Frayha, MD
PTSD and Trauma Related Disorders | Part 1
From July 2018, All Risk, No RewardHeidi James sits down with psychiatrist Shawn Hersevoort to review the spectrum of trauma related disorders. They break down the diagnostic criteria, differences among disorders, and major treatment options.
16min 38Shawn Hersevoort, MD, MPH and Heidi James, MD
PTSD and Trauma Related Disorders | Part 2
From July 2018, All Risk, No RewardHeidi James sits down with psychiatrist Shawn Hersevoort to review the spectrum of trauma related disorders. They break down the diagnostic criteria, differences among disorders, and major treatment options.
16min 14Shawn Hersevoort, MD, MPH and Heidi James, MD
IV Fluid Selection, Part II
From July 2018, All Risk, No RewardIn part 2 of our two-part series on selecting the best IV fluids for our patients, Maj Cina and Neda cover maintenance fluids and how to manage a variety of common scenarios like hypo- and hypernatremia.
16min 17Maj Cina, MD and Neda Frayha, MD
Is Aspirin Dead in A-Fib?
From July 2018, All Risk, No RewardIn this PC RAP family reunion, Rob Orman and Neda Frayha discuss the latest evidence on the use of aspirin in low-risk a-fib (CHA2DS2-VASc score of 0 or 1).
12min 14Neda Frayha, MD and Rob Orman, MD
Trigeminal Neuralgia
From June 2018, A Hyperthyroid FetusTrigeminal neuralgia is one of the most bothersome, painful conditions our patients may experience. In this segment, Drs. Matt Delaney and Malcolm Thaler review the causes of trigeminal neuralgia, how to work up these patients, and which treatments may offer some relief.
13min 41Malcolm Thaler, MD and Matthew DeLaney, MD, FACEP, FAAEM
Fever in the Patient with HIV
From June 2018, A Hyperthyroid FetusFever in HIV-AIDS patients remains a challenge. HAART has contributed to a decrease in its incidence but has not altered the spectrum of causes. It is a common cause of admission to hospitals and is associated with substantial cost and significant mortality. In most cases fever of unknown origin in …
18min 37Heidi James, MD
Things I Do But Should I: Bumps in the Eye
From June 2018, A Hyperthyroid FetusVanessa Cardy’s mom was right all along: applying warm compresses (or teabags) to hordeola, or styes, turned out to be a legit form of treatment. Topical antibiotics or steroids, on the other hand, are not helpful. Chalazia can benefit from intralesional steroid injections or even curettage.
8min 44Adrien Selim, MD and Vanessa Cardy, MD
Does This Cough Need Antibiotics?
From June 2018, A Hyperthyroid FetusNot all coughs are created equal. In this segment, Drs. Heidi James and Beth Haskins walk through when we should think about antibiotics and when we shouldn’t.
17min 4Heidi James, MD and Beth Haskins, MD