Podcasts Posts

Anaphylaxis Part 1 Show Notes Posted

Here are the show notes for Anaphylaxis Part 1- Diagnosis and Treatment

Anaphylaxis Part 1- Diagnosis and Treatment Show Notes (Word Format)

Anaphylaxis Part 1- Diagnosis and Treatment Show Notes (PDF)

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.

Anaphylaxis Part 2- Airway

Updated EM Basic Links Page– Just added links to website and podcasts that I like

Medical School HQ– an incredible resource for any pre-meds on applying to medical school- blog and podcast

Links:

NO-DESAT- Preoxygenation Paper- a must read!

Bougie Assisted Cric video- a must watch!

The Double (Airway) Setup from emupdates.com

Awake Cric Case Report (free open access)

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.

Links:

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.

Essential Evidence #8- The PERC Rule

The PERC study- free full text

Links to studies mentioned in the podcast

ACEP Clinical Policy on PE diagnosis in the ED

Kahbrel, et al- accuracy of PE diagnosis in different years of training

Other podcasts on PE (not an exhaustive list!)

Jeff Kine (1st author on PERC) on PE in pregnancy from ERcast

Jeff Kline- D-dimer cut-offs from ERcast

EmCrit on PE workup

Jeff Kline on EmCrit- fibrinolysis in PE

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.

Seizures podcast

Seizures Show Notes (Word Format)

Seizures Show Notes (PDF)

Links mentioned in the podcast

Rapid oral loading of Phenytoin (dilantin) from Academic Life in Emergency Medicine

Status epilepticus algorithm pocket guide (pediatric but it works for adults too)