EM Basic

We see patients with headache all the time in the ED. Most patients with headache don't have a life threatening diagnosis but its our job to pick up that small percentage of patients that do. In this episode we'll go through how to take a good headache history, how to catch the red flags, the workup, and treatment of headache in the ED. There's also an extended bonus section that will review how to do an LP along with a few tricks of the trade.

Direct download: Headache.mp3
Category:general -- posted at: 7:52pm EDT

Today we are breaking from the usual format and doing something a little different. If your patient doesn't have an adequate airway then we need to provide one. We are the experts in the emergent airway and there's a lot more to it than shouting out "20 of etomidate and 100 of suxs" like they used to do on the TV show ER. This podcast will go over why we intubate patients, how to prepare for an intubation, the commonly used medications for RSI, tricks of the trade (and maybe a war story or two), and post-intubation management. This is the first topic podcast that is a lot longer than the usual podcasts but airway is our number one priority so it deserves a little extra time.

Also- for the first time ever- a bonus section on a common medical myth. Should you use the D-word for pain from cholecystitis...as in Demerol? Stay tuned after the airway podcast for why this may not be a great idea and why you should just strike Demerol from your memory.

Direct download: Airway.mp3
Category:general -- posted at: 3:44pm EDT

First trimester vaginal bleeding may not be as exciting as a GSW to the chest but it's something that we see a lot in the ED and we have the chance to make a positive impact even if the news isn't good. The workup can seem very cookbook at times but its important that we get it right. In this episode, we'll review the basic workup and disposition of first trimester vaginal bleeding. Just as important as the medicine, we'll also review how to talk to patients about this sensitive and worrisome diagnosis.

Direct download: 1st_trimester_vaginal_bleeding.mp3
Category:general -- posted at: 11:00pm EDT