EM Basic (general)

Just a few days after the new EM interns start, today's episode will talk about my advice to new EM interns.  Think of this as the "big picture advice" or a 30,000 foot view of how to approach EM residency.  I'll talk about 4 major big picture points to keep in mind as you start your residency.  This will go way beyond arrive early, stay late, and always keep learning and expand on some big picture ideas of how to function well as a new intern.

Category:general -- posted at: 2:30am EST

Today’s episode is on the evaluation and management of sickle cell anemia in the Emergency Department. Dr Jared Walker, a third year EM resident at the University of Florida Jacksonville, has written and recorded this excellent review of sickle cell disease. This episode will discuss how to properly assess patients with sickle cell, how to order the right labs and imaging, what red flags to look out for, how to control sickle cell pain, how to catch the various complications of sickle cell, and proper patient disposition.

Category:general -- posted at: 1:30am EST

Today's episode will discuss North American poisonous reptile bites with a focus on snake bites.  This episode was written and recorded by Dr. David Hansen, an active duty physician with the US Army.  It will review common presentations of snake bites, the relevant history and exam findings, the labs to order, how to decide when to use anti-venom and properly administer it.  There is also a bonus section on how to avoid snake bites in the wilderness and what to do if you are bitten by a poisonous snake.

Category:general -- posted at: 3:30am EST

This episode is on hyperthermia- just in time for the warmer weather.  However, hyperthermia has many different causes so this episode will review them all.  Dr. Andrea Sarchi wrote this script which was recorded by Jacob Schriner, MS-3 at Emory University School of Medicine.  This episode will review the necessary history and physical exam findings, ordering the right labs and tests, and how to treat this condition to ensure the best patient outcomes.

 

Category:general -- posted at: 2:30am EST

Today's episode is a quick review of Thyroid emergencies by Dr. Patrick Ng, a 3rd year EM resident in San Antonio, recorded by Jacob Schriner MS-3.  Thyroid emergencies can be difficult to recognize in the ED because they present in so many different ways.  Today's episode will review how to recognize these emergencies, order the right tests, and provide the correct critical treatments.

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

Sepsis Definitions

This episode is a re-broadcast of the first sepsis episode in February 2012.  I am republishing the part of that episode that deals with the definitions of sepsis.  I think the new sepsis guidelines rely too much on clinician judgment and gestalt in identifying septic patients so this will be helpful to learners.  To be clear- the term severe sepsis is not in use any more- we only have sepsis and septic shock.  However, learning this stepwise progression (even if patient's don't follow it) will help you better understand how to recognize sepsis in the ED.

Category:general -- posted at: 5:30am EST

Sepsis 3.0- March 2017

This episode is a total revamp of the previous episode on sepsis.  A lot has changed with sepsis management since I published the sepsis episode in February 2012 so it was time for a complete overhaul.  The new sepsis guidelines have been out for about a year and I finally got around to updating the episode.  This episode will discuss the recognition of sepsis, how to do a good physical exam and ask the right history questions, order the right tests, and aggressively resuscitate these very sick patients.  There is a separate episode that discusses the old sepsis definitions and how you can use that framework to recognize sepsis.

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

Croup by Stewart Harsant and Taylor Fischer, PA-Cs

Today's episode is on Croup- just in time for the middle of the croup season.  Your ED may even be filled with kids with a barking cough as we speak.  Today's episode was written by Taylor Fischer and Stewart Harsant, two physician assistants who have done an excellent job of summarizing this common pediatric disease process.  This episode will review the diagnosis of croup, how to risk stratify kids with croup, and how to treat and disposition them properly.  Most of the time, kids with croup do just fine with a little cold night air and some steroids but this episode will also help you figure out which kids are sicker and need much more attention and care.

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

Ortho Inservice Review Part 3- Pelvic Injuries, Lower Extremity, Peds Ortho

This is Ortho Inservice Review Part 3 which covers injuries to the Pelvis, Lower Extremities, and Pediatric Ortho conditions.  This screencast originally appeared on the Emergency Board Review Podcast in 2012.

Category:general -- posted at: 6:30am EST

Ortho Inservice Review- Part 2

This is Ortho Inservice Review Part 2 which will cover injuries to the wrist and hand.  This screencast originally appeared on the Emergency Board Review Podcast in 2012.

Category:general -- posted at: 5:30am EST

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