EM Basic
COPD/Shortness of breath

EM Basic is back with another episode of the EM Basic Project.  In today's episode Drs. Tim Peck and Colby Redfield review the chief complaint of shortness of breath with a focus on COPD.  Even though we did an episode on shortness of breath a while back, it's always great to get a new perspective on this chief complaint.  Today's episode also features a very special guest cameo by the name of Dr. Peter Rosen.  He pretty much started EM as a speciality and you may have seen his name on a textbook or two.

Category:general -- posted at: 4:30am EST

Monoarticular arthritis

This is the premiere of the first contribution to the EM Basic Project.  Dr. Brian Cohn from Washington University in Saint Louis, Missouri is on the podcast today talking about mono-articular arthritis.  He reviews the common physical exam findings, the appropriate lab work and medications, how to avoid common pitfalls in this diagnosis, some evidence based medicine pearls and even some relevant medical trivia.  Dr. Cohn is one of the authors of the EMJ club podcast which reviews common EM topics in a journal club style format.

Category:general -- posted at: 4:30am EST

Anatomy of a Resuscitation

This episode is something unlike anything I have ever done with EM Basic.  I had a case recently of a super sick patient who required a big resuscitation.  Fortunately, the patient did great and was gracious enough to give me her permission to share her case so that others can learn.  In this episode, we'll go over what happened with this patient step by step and I'll review some valuable teaching points on how to get things done in the resuscitation bay and how to think about treating critically ill patients.

Category:general -- posted at: 4:30am EST

The EM Basic Project

This is an announcement instead of an episode.  Introducing the EM Basic Project.  If you are a senior resident or attending in emergency medicine- this is your chance to contribute to the podcast.  I will be accepting quality submissions for the podcast with help every step of the way.  I'm also looking for a webmaster to help spruce up the blog page.  In addition- if you have an idea for a blog or a podcast or don't even know where to start, email me and I can help.  Take a listen to hear all the details and stay calm- I will still be producing new material just like usual as the podcast enters it's third year of production.

Category:general -- posted at: 4:30am EST

Anaphylaxis Part 2- Airway

In this episode, we'll talk about how to manage the airway in patients with anaphylaxis or any other upper airway obstruction.  These can be some of the most difficult airways to manage and we can run into trouble if we don't have a good plan ahead of time.  Some of this is a little "advanced" and "cutting edge" but it's important to have as many tools in your arsenal when dealing with these critical airways.  We'll review other options besides RSI to include awake intubation, delayed sequence intubation (DSI), and the awake cric.

Category:general -- posted at: 4:30am EST

Anaphylaxis Part 1- Diagnosis and Treatment

Anaphylaxis is a potentially deadly diagnosis that requires quick action.  In this episode, we will discuss the diagnosis and management of the entire spectrum of allergic reactions from mild cutaneous reactions to life threatening anaphylaxis.  This is the first episode in a 2 part series.  Part 2 will discuss airway management in anaphylaxis and other upper airway obstructions situations.

Category:general -- posted at: 4:30am EST

Essential Evidence #8 - The PERC Rule

Today's Essential Evidence Episode discusses the paper that derived and validated the PE Rule-out Criteria or PERC rule.  This is a clinical decision aid that we can use to reliably exclude pulmonary embolism in emergency department patients without any further testing.  We'll talk about some background on diagnosing PE in the ED, the study design, how to use the PERC rule in your everyday practice, and some clinical pearls as well.

Category:general -- posted at: 4:00am EST

Seizures

We encounter seizure disorders frequently in the ED.  In this episode, we'll review all the important points about seizures including the confusing and difficult topic of pseudosezures.  We'll also go in depth on the ED treatment of seizures and status epilepticus.

Category:general -- posted at: 6:54pm EST

EM Basic Essential Evidence- 7 SAEM Occult Bacteremia

We're back with a new episode of Essential Evidence.  This article is from Academic Emergency Medicine March 2009 and it talks about getting blood cultures in well appearing kids aged 3 to 36 months.  We used to get a lot of blood cultures in these well appearing kids with fever but this article was the final nail in the coffin that got us to stop doing that.  It's hard to believe that based on how we practice now but we needed this large study to show us that we are now doing the right thing.

Category:general -- posted at: 10:23pm EST

Eye Complaints

EM Basic is back and ready for the new year.  We see various eye complaints a lot in the ED.  This episode will review common eye complaints, their treatments, and a bonus section on how to do a lateral canthotomy.

Category:general -- posted at: 12:10am EST

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