In this episode, we will discuss the diagnosis and treatment of stroke and transient ischemic attack (TIA).  The ED is the front line in stroke care so we need to know how to work up this chief complaint.  We’ll go over how to recognize the signs and symptoms of a stroke, how to get a rapid and complete history, how to screen patients for contraindications to thrombolytics, and how to catch a few stroke mimics.

Also- today is the 1 year anniversary of the first episode of EM Basic.  Thank you to all the listeners out there who have made this project a success.

NIH stroke scale(website)

NIH stroke scale (direct download PDF)

SMART:EM podcast on evidence for thrombolytics in actue ischemic stroke

Stroke and Transient Ischemic Attack (TIA) Podcast

Stroke and Transient Ischemic Attack (TIA) Show Notes (Word Format)

Stroke and Transient Ischemic Attack (TIA) Show Notes (PDF)

This episode is part 2 of the procedural sedation podcast.  This episode focuses on the medications that we commonly use for procedural sedation.  First, we’ll review the use of oxygen during procedural sedation and then talk about basic airway maneuvers before we talk about individual medications.  For each drug, the drug class, dosing, duration of action, and adverse effects will be discussed with the overall theme of patient safety.

Here is a link to emupdates.com- a website by Dr. Reuben Strayer.  In this post is a short video on how to effectively ventilate using a BVM with two people- and only one of them needs medical training!

11 minute screen cast- emergency ventilation

Procedural Sedation Part 2- Medications

Procedural Sedation Part 2- Medications Show Notes (Word Format)

Procedural Sedation Part 2- Medications Show Notes (PDF)

This is the first of two episodes on procedural sedation. In the ED we need to provide safe and effective procedural sedation and analgesia whenever we do painful procedures. It is our job to relieve anxiety and pain in our patients and we need to know how to do this right. This episode will focus on how to prepare for a procedural sedation. We will talk about how to make the decision as to who is an appropriate candidate for procedural sedation in the ED, the depth of sedation, and how to prepare all of our equipment so that we leave nothing to chance. This will be in preparation for the second episode where we will talk about the medications that we use in procedural sedation.

ACEP clinical guideline on Procedural Sedation

Procedural Sedation Part 1 Podcast- Preparation

Procedural Sedation Part 1 Show Notes (Word Format)

Procedural Sedation Part 1 Show Notes (PDF)