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.

Croup podcast

Croup Show Notes (Word Format)

Croup Show Notes (PDF)

Please visit our bandwidth sponsor EB Medicine.  They even have a review of Croup on their website- you can download a free copy here.  Residents can get free access while attendings can get a great discount at the EB Medicine EM Basic page.

Orthopedic Emergencies Inservice Review Screencast

These three screencasts were originally made for the Emergency Board Review podcast back in 2012 but they are still useful and relevant for the upcoming inservice exam at the end of the month.  Each screencast will review common orthopedic injuries and emergencies in a stepwise fashion.  Part 1 includes injuries to the Thorax and upper extremities, Part 2 covers the wrist and hand, and Part 3 discusses pelvic injuries, lower extremity injuries, and a brief review of pediatric ortho topics.

Even though these are screencasts, even if you can just listen to them, you’ll pick up some valuable information on these injuries.

Part 1- Thorax and Upper Extremities

Part 2- Wrist and Hand

Part 3- Pelvis, Lower Extremities, Pediatric Ortho Topics

Please take some time to visit our bandwidth sponsor, EB Medicine where residents can get free access and attendings can get discounts on their CME materials at the EM Basic page

Hypothermia by Dr. Andrea Sarchi

Just in time for the midway point of the winter season, this is a podcast on management of hypothermia in the ED.  Dr. Andrea Sarchi wrote the script which was recorded by Jacob Schriner, a second year medical student at Emory University School of Medicine.  In this episode we’ll review the basics of hypothermia diagnosis, history and physical exam pearls, treatment and disposition of these patients.  As always we’ll start with the “not sick” patient and then work our way up to the critically ill patients.

Hypothermia by Dr. Andrea Sarchi

Hypothermia Show Notes (PDF)

Hypothermia Show Notes (Word Format)

Please visit our bandwidth sponsor EB Medicine for free access for EM residents and great discounts for attendings at the EB Medicine EM Basic page.

Opioids Part 2 by Dr Sheyna Gifford

In part 2, Dr Sheyna Gifford will discuss the how to differentiate opioid overdose from other causes of altered mental status, some special disposition situations (especially with methadone), and how we can quickly screen for opioid abuse and provide patients compassionate care, treatment, and referral.

Opioids in the ED part 2 with Dr. Sheyna Gifford

Opioids Combined Show Notes (PDF)

My standard opioid prescription speech for all patients:

I am prescribing you a strong pain medication called Norco (or Percocet, respectively- aka hydrocodone or oxycodone).  This medication can make you sleepy so don’t drive or drink alcohol when you are taking it because it can be very harmful if you do.  This medication also has Tylenol (acetaminophen) in it so don’t mix it with anything else that has Tylenol in it. Some people are having problems with these medications by becoming addicted to them.  To avoid this, I want you to only take this medication when your pain is so bad that you cannot function.  This may not take away all your pain- it will just take the edge off so you can function.  I want you to take it for as short of an amount of time as possible- if you only need this pain medication for 2 or 3 days and you have leftover pills, I want you to throw out your pills in the trash.  Don’t save them for another time and don’t give them to anyone else.  Please keep them locked up and away from the reach of children, teens, or anyone else who has issues with addiction.

Please visit our bandwidth sponsor EB Medicine.  Residents and attendings can both get special offers from EB Medicine by visiting the EM Basic page.

Opioids Part 1 by Dr. Sheyna Gifford

It’s no secret that we have a major opioid problem in the United States.  The number of people addicted to opioids has reached epidemic proportions and we are certainly seeing this everyday in the Emergency Department.  In this episode Dr. Sheyna Gifford discusses a few facts about the scope of this epidemic,  the basics of recognizing opioid overdose, and initial stabilization and treatment.  She’ll discuss the many different ways of using naloxone (aka Narcan) that we can utilize to wake up patients safely and without precipitating acute withdrawal.

Opioids Part 1 with Dr. Sheyna Gifford

Opioids Part 1 Show Notes (PDF)

Check out our bandwidth sponsor EB Medicine.  Residents can get free access and attendings can get a discount at the EB Medicine EM Basic page.