EM Basic

Being able to give a good ED patient presentation will not only help you get a good grade on your EM rotation, it will also make sure that nothing is missed in the patient's care.  In this episode, I'll discuss the nuts and bolts of forming and delivering a solid ED patient presentation that is complete and concise at the same time.  I'll also give a few example presentations so you can put it all together.  The show notes here are condensed down so you can carry them around with you on shift so you don't forget anything.  There is even a card sized version in the show notes for even further portability.  Feel free to take the Word format show notes and re-format them to fit your needs.

Direct download: 17_How_to_give_a_good_ED_patient_presentation.mp3
Category:general -- posted at: 11:43am EDT

Shortness of breath is a chief complaint that we encounter each day in the ED.  This chief complaint encompasses a huge differential and this is a long podcast.  As always, I'll break this chief complaint down into the diagnoses that we can't miss and how to treat the underlying causes of shortness of breath for both kids and adults.

Direct download: 16_Shortness_of_Breath.mp3
Category:general -- posted at: 4:58pm EDT

By popular demand, this episode will be dedicated to talking about prehospital issues. I've had several people write me and ask for my 0.02 on how EMS can better be our "eyes and ears" in the field so here's my take on this question. I'll also talk about how the ED staff can better interact with our EMS colleagues so we can both work together to deliver optimal care to our patients. Hopefully this will serve as a starting point for conversations between EMS providers and ED staff and I encourage anyone to post comments on these issues to the blog.

Direct download: 15_Prehospital_episode.mp3
Category:general -- posted at: 5:44pm EDT

Syncope (or "passing out") is a chief complaint that we deal with a lot in the emergency department. While most causes of syncope are benign and need nothing more than reassurance, we need to be on the lookout for the serious causes of syncope. This episode will focus on the definition of syncope, how to get a complete history, catch the red flags, perform a targeted workup that doesn't keep the patient in the ED forever, and how to scrutinize an EKG for the deadly arrhythmias that we can't miss.

In addition, per a request from a podcast listener, there is a bonus section on how to effectively rehydrate patients in the ED. You may be surprised that there are other options besides putting an IV in everyone.

Direct download: 13_Syncope.mp3
Category:general -- posted at: 6:30pm EDT