Core EM - Emergency Medicine Podcast

This week we'll discuss some common causes of abdominal pain that originate in extra-abdominal pathology. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_22_0_Abdominal_Pain_Final_Cut.m4a Download Leave a Comment Tags: Abdominal Pain Show Notes Life in the Fast Lane: Metabolic Causes of Abdominal Pain Read More

This week podcast focuses on esophageal food impaction and pearls + pitfalls in the diagnosis of peds appendicitis. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_21_0_Final.m4a Download Leave a Comment Tags: Appendicitis, Food Impaction, Pediatrics Show Notes REBEL Cast: November 2015: All Vascular Access Episode Tibbling L et al. Effect of spasmolytic drugs on esophageal foreign bodies. Dysphagia 1995; 10(2): 126-7. PMID: 7600855 Samuel M. Pediatric appendicitis score. J Pediatr Surg 2002; 37(6): 877-81. PMID: 12037754 Ross MJ et al. Outcomes of children with suspected appendicitis and incompletely visualized appendix on ultrasound. Acad Emerg Med 2015; 21(5): 538-42. PMID: 24842505 Parienti JJ et al. Intravascular complications of central venous catheterization by insertion site. NEJM 2015. PMID: 26398070 Read More

On this podcast we review some background on AVNRT and focus on Emergency Department management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_20_0_Final.m4a Download 2 Comments Tags: AVNRT, PSVT, REVERT Trial, Tachydysrhythmias Show Notes AVNRT with Aberrancy vs. VT REBEL EM: SVT with Aberrancy Versus VT Amal Mattu’s ECG Case of the Week: August 26th, 2013 Valsalva Maneuver ALiEM: Tricks of the Trade: Valsalva Maneuver By Using a 10cc Syringe St. Emlyn’s: JC The REVERT Trial Adenosine in AVNRT Larry Mellick: Treating SVT with Adensoine ALiEM: Trick of the Trade: Combining Adenosine with the Flush Verapamil in AVNRT RAGE Podcast: Rage Session Two ERCast Podcast: How to run a code Appleboam A et al. Postural mdodification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised trial. Lancet 2015. PMID: 26314489 Read More

Bonus Podcast - Grand Rounds from 9/23/15 featuring Brian Freeze MD on Numeracy. Lecture is part of the Chief Resident Incubator Program https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_1_Numeracy_Final.m4a Download Leave a Comment Tags: Chief Resident Incubator, Numeracy, Statistics Read More

Pearls and take home messages from our weekly conference. This week, we review talks on influenza and pediatric foreign body aspiration. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_0_Final.m4a Download Leave a Comment Tags: Aspiration, Foreign Body, Influenza, Oseltamivir, Tamfiflu Show Notes Influenza Populations at High Risk for Severe Influenza – IDSA ALiEM: Neuraminidase Inhibitors for Influenza – The Truth, The Whole Truth, and Nothing But the Truth. Finally. EM Lit of Note: Remember, Tamflu is Still Junk. EM Lit of Note: Which Review of Tamflu Data do You Believe? Jefferson T et al. Oseltamivir for influenza in adults and children: systematic review of clinical study reports and summary of regulatory comments. BMJ 2014. PMID: 24811411 Dobson J et al. Oseltamivir treatment for influenza in adults: a meta-analysis of randomised controlled trials. Lancet 2015; 385(9979): 1729-37. PMID: 25640810 Foreign Body Aspiration Brown JC et al. The utility of adding expiratory of decubitus chest radiographs to the radiographic evaluation of suspected pediatric airway foreign bodies. Ann Emerg Med 2013; 61: 19-26. PMID: 22841172 Foltran F et al. Foreign bodies in the airways: a meta-analysis of published papers. Int J Pediatric Otorhinolaryngol 2012; 76 Suppl 1: S12-9. PMID: 22333317 Read More

This bonus podcast is from our Grand Rounds series. Here, Jeremy Faust gives a great talk on the role of Music in Medicine. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_1-Music_in_Medicine_feat_Jeremy_Faust_.m4a Download Leave a Comment Tags: Grand Rounds, Music Show Notes References Platz, F. and Kopiez, R., “When the first impression counts: Music performers, audience, and the evaluation of stage entrance behavior”, Musicae Scientiae 17, No. 2 (2013), pp. 167-197 Acad Emerg Med. 2012 Oct;19(10):1166-72. Epub 2012 Oct 4. Predictors of parent satisfaction in pediatric laceration repair. Lowe DA, Monuteaux MC, Ziniel S, Stack AM. Proc Natl Acad Sci U S A. 2013 Sep 3;110(36):14580-5. Epub 2013 Aug 19. Sight over sound in the judgment of music performance. Tsay CJ. Med Educ. 2013 Aug;47(8):842-50. Music lessons: revealing medicine’s learning culture through a comparison with that of music. Watling C, Driessen E, van der Vleuten CP, Vanstone M, Lingard L. The New Yorker. October 3, 2011. Personal Best. Top athletes and singers have coaches. Should you? Atul Gawande. ANZ J Surg. 2013 Jun;83(6):477-80. Epub 2013 Apr 26. Improving the impact of didactic resident training with online spaced education. Gyorki DE, Shaw T, Nicholson J, Baker C, Pitcher M, Skandarajah A, Segelov E, Mann GB. Psychol Sci Public Interest. 2013 Jan;14(1):4-58. Improving Students’ Learning With Effective Learning Techniques: Promising Directions From Cognitive and Educational Psychology. Dunlosky J, Rawson KA, Marsh EJ, Nathan MJ, Willingham DT. Resuscitation. 2010 May;81(5):631. Epub 2010 Feb 26. The use of popular audio in CPR (TUPAC)–Does music improve compliance with recommended chest compression rates? Naushaduddin M, Holdgate A, Ung S. Science. 1965 Nov 19;150(3699):971-9. Pain mechanisms: a new theory. Melzack R, Wall PD. http://www.dailymail.co.uk/news/article-2715109/Despite-pain-half-mothers-enjoy-childbirth-admit-differently-time.html Pediatr Emerg Care. 2008 Dec;24(12):836-8. Emergency department waiting room stress: can music or aromatherapy improve anxiety scores? Holm L, Fitzmaurice L. Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis. (Hole Lancet 2015). 72 randomized trials. Lancet. 2015 Aug 12. Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis. Hole J, Hirsch M, Ball E, Meads C. . Ann Emerg Med. 1991 Apr;20(4):348-50. A randomized, controlled trial of the use of music during laceration repair. Menegazzi JJ, Paris PM, Kersteen CH, Flynn B, Trautman DE. Anaesthesia. 1992 May;47(5):438-9. The effect of music on ketamine induced emergence phenomena. Kumar A, Bajaj A, Sarkar P, Grover VK. Cochrane Database Syst Rev. 2013 Oct 25;10:CD004843. Music for pain relief. Cepeda MS, Carr DB, Lau J, Alvarez H. Cochrane Database Syst Rev. 2014;12:CD006902. doi: 10.1002/14651858.CD006902.pub3. Epub 2014 Dec 9. Music interventions for mechanically ventilated patients. Bradt J, Dileo C. Read More

This week we discuss some information on influenza testing in the ED and management of epistaxis. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_0_Final_Version.m4a Download Leave a Comment Tags: Epistaxis, Influenza Show Notes Show Notes EMCrit: Dominating the Vent I http://emcrit.org/lectures/vent-part-1/ EMCrit: Dominating the Vent II http://emcrit.org/podcasts/vent-part-2/ ALiEM: Neuraminidase Inhibitors for Influenza – The Truth, The Whole Truth, and Nothing But the Truth. Finally. EM Lit of Note: Remember, Tamflu is Still Junk. EM Lit of Note: Which Review of Tamflu Data do You Believe? Zahed R et al. A new and rapid method for epistaxis treatment using injectable form of tranexamic acid topically: a randomized controlled trial. Am J Emerg Med 2013; 31: 1389-92. PMID: 23911102 Derkay CS et al. Posterior nasal packing. Are Intravenous antibiotics really necessary? Arch Otolaryngol 1989; 115: 439-41. PMID: 2923686 Pepper C et al. Prospective study of the risk of not using prophylactic antibiotics in nasal packing for epistaxis. J Laryng Otology 2012: 257-9. PMID: 22214602 Biggs TC et al. Should prophylactic antibiotics be used routinely in epistaxis patients with nasal packs? Ann R Coll Surg Engl 2013; 95: 40-2. PMID: 23317726 Read More

Pearls from our weekly conference discussing severe asthma and COPD exacerbations. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_17_0_Final.m4a Download 4 Comments Tags: Asthma, BPAP, COPD, NIPPV, Respiratory Show Notes Shownotes EMCrit: Delayed Sequence Intubation REBEL EM: The Crashing Asthmatic EM:RAP: The Rule of 2s Abdo WF, Heunks LM. Oxygen-induced hypercapnia in COPD: myths and facts. Critical Care 16(5):323. PMID: 23106947 Read More

Pearls from our conference discussing apparent life-threatening events (ALTE). https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_16_Final.m4a Download Leave a Comment Tags: ALTE, Pediatrics Show Notes Shownotes Mittal MK et al. A clinical decision rule to identify infants with apparent life-threatening event who can be safely discharged from the emergency department. Pediatr Emerg Care 2012; 28(7): 599-605. PMID: 22743742 Kaji AH et al. Apparent life-threatening event: multi center prospective cohort study to develop a clinical decision rule for admission to the hospital. Ann Emerg Med 2013; 61(4): 379-87. PMID: 23026786 Read More

Pearls from a core content talk on adrenal emergencies, a journal update looking at D-dimer in aortic dissection and some acid/base cases. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_15_0_Final.m4a Download Leave a Comment Tags: Acid Base, Adrenal Gland, Adrenal Insufficiency, Aortic Dissection, Congenital Adrenal Hyperplasia, D-dimer Show Notes Shownotes Asha SE, Miers JW. A systematic review and meta-analysis of D-dimer as a rule-out test for suspected acute aortic dissection. Ann Emerg Med 2015. PMID: 25805111 Dierks DB et al. Clinical policy: critical issues in the evaluation and management of adult patients with suspected acute nontraumatic thoracic aortic dissection. Ann Emerg Med 2015; 65: 32-42. PMID: 25529153 Acid-Base Cases   Quick questions & answers: For acute respiratory acidosis or alkalosis, how much does the pH change for every 10mm change of PCO2? What is the Winter’s formula? For stable chronic respiratory acidosis, for every 10 mm increase in PCO2, how much should the pH decrease by? For each of the following cases, please analyze the acid-base status (i.e. anion gap metabolic acidosis, respiratory alkalosis, non-AG metabolic acidosis with respiratory acidosis, etc…) for further discussion in the workshop. 1) A 25 year old woman is found at home c/o thirst, shortness of breath, and spasms of her arms and legs. Vital signs: BP 90/50 mmHg; pulse 155/min; RR 32/min; afebrile; RA O2 sat 98%. 137 84 18 274 Calcium 9.6 2.4 29 1.2 VBG: 7.66 / 25.5 / 29.1 What is the acid base abnormality? What abnormality is responsible for her neuromuscular symptoms? What other electrolyte abnormalities would you expect? How should she be treated? 2) A 21 yo female presented to ED after reportedly ingesting an entire bottle of pills (drug and formulation unknown) and now complaints oftinnitus, nausea, and vomiting. Exam: A, O x3, Pupils – dilated, reactive, Neuro – no hyperreflexia, rigidity or clonus Lungs – + tachypnea, CV – tachycardia, no murmurs, skin nl VS: BP 92/67, HR 100/min, RR 18/min, T 98.6, RA O2 sat 99% 135 104 12 145 3.8 11 0.9 Ca 7.8 ABG: 7.47 / 14 /109 /10 3) A 56 yo female with a past medical history of heroin use (on methadone maintenance therapy) and chronic ETOH use presents with chest pain, shortness of breath, body aches, as well as nausea, vomiting and diarrhea. VS: BP 164/84, HR 112/min, RR 22/min, T 98, RA O2 sat 98% MS – awake, alert and oriented x2, CV – tachycardic, RR no m, abd nl, skin nl 136 98 7 277 3.4 19 0.9 4) 53 y/o M referred to the ED for severely elevated BP of 235/135. He c/o 1 week of polydipsia, polyuria, fatigue, and some dyspnea on exertion. No known PMH but has no doctor evaluation for many years. VS: BP 191/94, HR 88/min, RR 18/min, T 97.4 143 89 23 253 2.3 45 1.0 ABG: 7.56 / 53.6 / 65.4 lactate 3.2 5) A 62 y/o M with h/o stage IIIa rectal ca s/p diverting ileostomy 5 months ago & currently on chemotherapy presented with 3 days of repeated vomiting, watery diarrhea, and generalized weakness. VS: BP 80/47, HR 100/min, RR 26/min, T 95o, RA O2 sat 96% PE: thin M, tired appearing 121 86 166 164 4.4 8 13.6 VBG: 7.04 / 31 / 28.6 bicarb 7.9 WBC 7.5 / 14/41.8 / 180K 6) 66 y/o M presented to the ED because of alcohol withdrawal. VS: BP 144/98, HR 130/min, RR 22/min, T 98.3, RA O2 sat 97% 141 102 8 85 ABG on O2 7.45 / 24 / 136 4.3 13 0.7 7) A 32 y/o F with hx of DM x 20 yrs on canagliflozin presented to the ED c/o polyuria x 2 days, epigastric pain, and not feeling well. VS: BP 139/77, HR 112/min, RR 32/min, T 98.5, RA O2 sat 99% 135 104 17 191 3.4 3 0.4 7.06 / 11 / 125 8) A 55 y/o M with history of asthma but non-compliant with all medications and follow up presented to the ED with asthma exacerbation over the past few days. He appears to be SOB, able to speak to you & complete his sentences. + mild accessory muscle usage, mild wheezing VS: BP 150/90, P = 115/min, R = 30/min, T = 98 , RA O2 sat 87% ABG: 7.22 / 85 / 55 143 102 25 99 —————————— 3.8 36 1.3 9) A 70 y/o M with h/o COPD presented with 2 days of vomiting and weakness. VS: BP 150/ 85, HR 100/min, RR 18/min , T 99, RA O2 sat 90% 136 85 28 65 7.19 / 60 / 55 bicarb 25 ——————————- 4.1 25 1.4 AST/ALT 150 / 100 Alb 2.5 10) A 37 y/o M presents to the ED in a coma. VS: BP 110/80, HR 125/min, RR 30/min, T 97, O2 sat 99% on RA 142 | 104 | 15 | 89 7.05 / 15 / 115 bicarb 5 ————————————— 3.9 | 5 | 1.9 Read More

This is a full length recording of Mike Stone's Grand Rounds at Bellevue Hospital on Ultrasound Guided Nerve Blocks for Regional Anesthesia https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_14_0_Grand_Rounds_Stone_Nerve_Blocks_Final.m4a Download Leave a Comment Tags: Nerve Blocks, Ultrasound Show Notes Regional Anesthesia Resources The Ultrasound Podcast: Nerve Blocks Archive ASAHQ: Standards for Basic Anesthetic Monitoring Cook County Regional: Chapter on Local Anesthetics Anesthesiology News: Nerve Injury After Peripheral Nerve Block Template for Peripheral Nerve Blocks Femur Fracture Analgesia Checklist Read More

Lily Abrukin (Chief Resident) and Swami discuss the care of a critically ill patient with DKA. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_13_0_Final.m4a Download 5 Comments Tags: DKA, Hyperkalemia Show Notes Diabetic Ketoacidosis LITFL: EBM Diabetic Ketoacidosis emDocs: Myths in DKA Management REBEL EM: Is There Any Benefit to an Initial Insulin Bolus in Diabetic Ketoacidosis? Hyperkalemia LITFL: Hyperkalaemia Core EM: Hyperkalemia Core EM: Podcast 7.0 Intubation in Severe Metabolic Acidosis EMCrit: Podcast 3 – Laryngoscope as a Murder Weapon Series – Ventilatory Kills – Intubating the Patient with Severe Metabolic Acidosis Core EM: Podcast 4.0 Read More

This week we discuss some of the dangers of blood transfusions and pearls from our procedure workshops. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_12_Final.m4a Download Leave a Comment Tags: Blood Transfusions, Cricothyroidotomy, Lateral Canthotomy, Tube Thoracostomy Show Notes Cricothyrotomy Resources EMCrit: EMCrit Wee – Mind Blowing Cricothyrotomy Video ACEP Now: Tips and Tricks for Performing Cricothyrotomy Tube Thoracostomy University of Maryland EM: Tube Thoracostomy Lateral Canthotomy Resources Rowh AD et al. Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome. J Emerg Med 2015. 48(3):325-330. PMID: 25524455 Larry Mellick: Emergency Lateral Canthotomy and Cantholysis Read More

This is a full length talk from our Grand Rounds series featuring Andy Sloas of the PEM ED Podcast on Infant Emergencies. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_11_1_Final.m4a Download Leave a Comment Tags: Pediatric Resuscitation Show Notes ACEP: THE MISFITS THE MISFITS – Sick Kids Mnemonic Read More

Pearls from our weekly resident conference - discussion of PE risk stratification and TEE in cardiac arrest https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_11_0_Final.m4a Download Leave a Comment Tags: Cardiac Arrest, Pulmonary Embolism, TEE Show Notes Ultrasound in Cardiac Arrest Blaivas M. Transesophageal echocardiography during cardiopulmonary arrest in the emergency department. Resuscitation 2008; 78: 135-40. PMID: 18486300 Ultrasound Podcast: Ultrasound guided CPR Part 1. How we’re doing it wrong. Ultrasound Podcast: Ultrasound guided CPR Part 2. TEE & US = New pulse check Read More

Pearls from a core content talk on aortic dissection, syncope workshop and journal update on ATLS. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_10.m4a Download 2 Comments Tags: Aortic Dissection, ATLS, Cardiovascular, Syncope Show Notes Resources Aortic Dissection Hagan PG et al. The international registry of acute aortic dissection (IRAD): New insights into an old disease. JAMA 2000; 283: 897-903. PMID: 10685714 Rosman HS et al. Quality of history taking in patients with aortic dissection. Chest 1998; 114(3): 793-5. PMID: 9743168 All NYC EM Podcast: Rob Rogers – Aortic Dissection Syncope EM Lyceum: Syncope, Answers Amal Mattu: ECG Weekly Steve Smith: Dr. Smith’s ECG Blog Journal Update – ATLS Wiles MD. ATLS: Archaic Trauma Life Support? Anaes 2015; 70: 893-906. PMID: 26152249 Read More

Full length Grand Rounds recording from Sergey Motov's talk - "The Evolution of Pain Management in the ED: From Poppy Seeds to Ketamine https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_9_1_Final_Version.m4a Download Leave a Comment Tags: Ketamine, Opioid Free ED, Pain Management Show Notes Pain Free ED Site ACEP Now: Non-Opioid Pain Medications to Consider for Emergency Department Patients EMCrit: Opiate-Free ED with Sergey Motov Read More

Pearls, pitfalls and take home points from the NYU/Bellevue EM Residency weekly conference. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_9_0_Final.m4a Download Leave a Comment Tags: Pediatric Cardiology, Pericardial Tamponade Show Notes Vaillancourt S. et al. Repeated Emergency Department Visits Among ChildrenAdmitted With Meningitis or Septicemia: A Population-Based Study. Ann Emerg Med 2015; 65(6): 625-631. PMID: 25458981 EMCrit: Rapid Ultrasound for Shock and Hypotension – the RUSH Exam. Verma V et al. The utility of routine admission chest X-ray films on patient care. Eur J Intern Med 2011; 22(3): 286-8. PMID: 21570649 EMCrit: Opiate-Free ED with Sergey Motov Read More

Recapping pearls from our weekly conference. This week, we discussed pearls on chest pain. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_Episode_8.m4a Download Leave a Comment Tags: ACS, Chest Pain Show Notes How to Build a Great Talk The Teaching Course Podcast: How to Build a Talk – Part I The Teaching Course Podcast: How to Build a Talk – Part II Chest Pain Workshop Core EM: Chief Complaint – Chest Pain REBEL EM: Is it time to start using the HEART pathway in the Emergency Department? EMCast November 2014: Low Risk Chest Pain Backus BE et al. Risk Scores for Patients with Chest Pain: Evaluation in the Emergency Department. Curr Card Rev 2011; 7: 2-8. PMC: 3131711 Mahler SA et al. The HEART Pathway Randomized Trial Identifying Emergency Department Patients With Acute Chest Pain for Early Discharge. Circ Cardiovasc Qual Outcomes March 2015; 8 (2): 195 – 203. PMID: 25737484 The HEART Pathway (Mahler 2015) Journal Update Goldberg H et al. Oral steroids for actue radiculopathy due to a herniated disk – a randomized clinical trial. JAMA 2015; 313(19): 1915-23. PMID: 25988461 Read More

This week we discuss the management of hyperkalemia + a journal update on beta blockers vs Ca channel blockers in AF https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_7_Final.m4a Download Leave a Comment Tags: Atrial Fibrillation, Hyperkalemia Show Notes Core EM: Hyperkalemia REBEL EM: Is Kayexalate Useful in the Treatment of Hyperkalemia in the Emergency Department? Core EM: Diltiazem vs. Metoprolol for Rate Control in Atrial Fibrillation Read More

Pearls and take home points from our challenging airway workshops. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_6_Finial.m4a Download Leave a Comment Tags: Airway, Challenging Airway, DSI Show Notes Highlighted Resources EMCrit: Podcast 40 – Delayed Sequence Intubation (DSI) EMCrit Wee: Mind Blowing Cricothrotomy Video EP Monthly: NO DESAT! EMCrit: Podcast 65 – A Primer on BVM Ventilation with Reuben Strayer EMUpdates: Optimize the Head During Laryngoscopy Read More

Podcast 5.0 features pearls from Howie Mell's Grand Rounds talk "48 Tweets on 24 Topics" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_5.m4a Download Leave a Comment Tags: Grand Rounds, Howie Mell Show Notes Ovarian Hyperstimulatoin Syndrome (OHSS) Braude P, Rowell P. ABC of subfertility – Assisted conception III – problems with assisted conception. BMJ 2003; 327: 920-923. PMC: 218823 Backboards ACEP Clinical Policy Statement: EMS Management of Patients with Potential Spinal Injury EM Cases: Episode 66 Backboard and Collar Nightmares from the Emergency Medicine Update Confernce. Tranexamic Acid (TXA) HIPPO EM: “Stop the Bleeding!” – TXA in Prehospital Care The Skeptics Guide to EM: SGEM#80: CRASH-2 (Classic Paper) INSERT LINK TO OUR CRASH 2 REVIEW Nasal Oxygen During Efforts Securing a Tube (NO DESAT) EP Monthly: NO DESAT! Read More

Episode 4.0 features pearls on perimortem C-sections, procedural sedation and an interview with Reuben Strayer on Airway Nightmares https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_4_0_Final_Version.m4a Download Leave a Comment Tags: Airway, Perimortem C-section, Procedural Sedation, RSI Show Notes Perimortem C-Section Links EMCrit: Perimortem C-Section Procedural Sedation Links EM Updates: Emergency Department Procedural Sedation Checklist V2 EM Updates: The Procedural Sedation Screencast Trilogy EMCrit: Procedural Sedation Resources Airway Nightmares EM Updates: Direct vs. Video Laryngoscopy in 10 Minutes   Read More

Episode 3.0 covers a variety of topics from our ID workshops and Disaster Management Grand Rounds https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_3_0-ID_Workshops_Disaster-Final.mp3 Download Leave a Comment Tags: Blast Injuries, Disaster Management, Infectious Diseases, Pneumonia, Skin and Soft Tissue Infections Show Notes General ID Workshop Take Home Points Know your local antibiogram. This is the best way to tailor your management to your patient. Search for recent old cultures from your patients and order antibiotics based on this information. Skin + Soft Tissue Take Home Points Antibiotics aren’t required for most simple abscesses. I+D and if no overlying cellulitis, no antibiotics needed. Not all abscesses need packing. If they’re small and on the extremeties, it’s reasonable to leave them unpacked. Not all patients need MRSA coverage for cellulitis. Most cellulitis without abscess is strep. Necrotizing Fasciitis can be tough to pick up. The LRINEC scoring system is one method to help. Most patients will be toxic but look for pain that’s out of proportion to the examination. Relevant Links AliEM – The Not-So-Sick Health-Care Associated Pneumonia Patient: New Treatment Strategy EM Lyceum – Abscess Disaster Management START Triage System Blast Related Traumatic Brain Injury: Military Acute Concussion Evaluation (MACE) Read More

This podcast highlights pearls, pitfalls and take home points from our conference on ID emergencies as well as a sepsis update for 2015 https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_Episode_2.mp3 Download Leave a Comment Tags: Ebola, Endocarditis, Infectious Diseases, Myocarditis, Sepsis Show Notes SIRS Criteria Read More REBELCast: Sepsis Care in 2015 References Tattevin P et al. Does this patient have Ebola virus disease? Intensive Care Med 2014; 40(11): 1738-41. PMID: 25183574 Rivers E et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. NEJM 2001; 345(19): 1368-77. PMID: 11794169 The ProCESS Investigators. A randomized trial of protocol-based care for early septic shock. NEJM 2014; 370(18): 1683-93. PMID: 24635773 ARISE Investigators. Goal-directed resuscitation for patients with early septic shock. NEJM 2014; 371(16): 1496-506. PMID: 25272316 Mouncey PR et al. Trial of early, goal-directed resuscitation for septic shock. NEJM 2015; 327(14): 1301-11. PMID: 25776532 Read More

This talk was given by Jay Lemery in May 2015 when he came out from Denver for Grand Rounds. Jay is an associate professor of EM at Denver Health as well as the past president of the Wilderness Medicine Society. This talk is about what Wilderness Medicine is in 2015. "Wilderness Medicine is about providing care in austere environments." https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_1_1.mp3 Download Leave a Comment Tags: Wilderness Medicine Read More

This podcast highlights pearls and take home points from Chris McStay's grand rounds talk on Electrical and Lightning Injuries from our Wilderness Medicine Grand Rounds on May 6th, 2015. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core-EM-Podcast-1_0-Final.mp3 Download One Comment Tags: Electrical Injuries, Lightning Injuries, Wilderness Medicine Read More

Episode 0.0: Intro to the Core EM Podcast. Every Monday we'll release a podcast featuring pearls, pitfalls and critical take home messages from our weekly resident conference. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core-EM-Podcast-0_0-Intro-Final.mp3 Download 2 Comments Tags: Introduction Read More