Today’s episode of EM Basic will review vaginal bleeding in patients who are not pregnant.  This is a much different workup from pregnant patients with vaginal bleeding so we have to know how to effectively manage this chief complaint.

This episode was written and recorded by Dr. Adaira Landry, an EM senior resident at NYU/Bellevue and Joe Kennedy, a 4th year medical student at Mayo Medical School who matched into EM just after this episode was recorded.  They’ll review what vital signs to look out for, the important parts of this history and physical, what labs and imaging to order (if any), and the proper disposition of patients with this chief complaint.

Non-pregnant Vaginal Bleeding Podcast

Non-pregnant Vaginal Bleeding Show Notes (Word Format)

Non-pregnant Vaginal Bleeding Show Notes (PDF)

Visit our bandwidth sponsor EB Medicine to get free access for residents and discounts on their great CME products for attendings.

Today’s episode will cover Tactical Combat Casualty Care (TCCC), aka Care Under Fire, aka Care in the Immediately Unsafe Environment.  Dr. Andy Bohn, a residency colleague, recorded today’s episode to talk about the basics of taking care of any patient in an unsafe environment.  While the military connotations of this may make you uncomfortable, the techniques and protocols he discusses can be directly translated into any civilian mass casualty scenario such as the Boston Marathon bombing or the fertilizer plant explosion in West, Texas.  Andy will discuss how to stay safe in these hostile environments, how to perform the right interventions that will save lives while elimintating the useless interventions that won’t (I’m looking at you- c-collars…), and how to get the casualty to the next level of care safely.

TCCC podcast

TCCC Show Notes (Word Format)

TCCC Show Notes (PDF)

An added bonus- Dr. Anshul Gandhi put together an open access Evernote notebook with all the EM Basic show notes to include tags, links, and a search function.

EM Basic Evernote Notebook

EM Basic is back with a brand new episode.  Today’s episode was done by Dylan Norton and David Murphy, both 4th year medical students at the University of Colorado Medical School.  We see epistaxis a lot in the ED and while most of it is mild and self limiting, there are frequently cases that take a lot of skill to manage.  They’ll talk about the basics of the history and physical with epistaxis, how to order the necessary lab tests, how to manage any case of epistaxis in a step-wise manner, and some newer areas of research.

Don’t forget to check out EB Medicine and their great educational resources– residents are eligible for free electronic access while attendings and those needing CME can get a great discount on their subscriptions.

Epistaxis Podcast

Epistaxis Show Notes (Word Format)

Epistaxis Show Notes (PDF)

This is a quick announcement to let you know that EM Basic is now partnering with EB Medicine as our official bandwidth sponsor.  EB Medicine publishes many resources in Emergency Medicine to include EM Practice, Pediatric EM Practice, as well as LLSA reviews.  These reviews are made by EM physicians for EM providers and provide the latest evidence based medicine reviews of common EM chief complaints.  Recent issues include management of seizures in the ED, hand injuries, and angioedema.  These are quick and to the point reviews that review everything you need to know and nothing that you don’t.

For residents, you can get free electronic access to all of EB Medicine’s issues for free- no obligation and no strings attached.  EB Medicine is so confident in the quality of their resources that they know you will want to subscribe once you are done training.  I started reading EB Medicine as a resident and it is one of the few resources that I read cover to cover each month.

For attendings and those needing CME- if you visit EB Medicine you will get a great discount and help support the EM Basic podcast with each subscription that is purchased.

In exchange for this, I’ll be promoting EB Medicine’s products at the end of each podcast.  These will be brief and they won’t be intrusive.  In accordance with the previous disclaimer on EM Basic, it has been updated to reflect EB Medicine as our official bandwidth sponsor.  However, EM Basic has an always will be free from any outside influence on the content in the podcast.  EB Medicine or any other company will never have any influence on the educational content of the podcast.  In accordance with this change, I have updated the EM Basic Disclaimer to reflect EB Medicine as a bandwidth sponsor.

Check out the EM Basic page on EB Medicine for information on how to get access for both residents and attendings.

In addition- check out their free podcast EMplify that reviews current EM topics. It was developed exclusively by and for emergency medicine clinicians, and makes it easy to stay up to date while on the go.

If you don’t have an EB medicine account already- call or email them at the information below and they will set up your free access within minutes:

EB Medicine Announcement Podcast

Take care

Steve

Today marked a big milestone for the EM Basic podcast

One million downloads.  I look at that number and I seriously can’t believe it.

First of all- a few thanks are in order.  Thanks first to Christin, my wife, who has been there since day one (when I had the idea for the podcast while walking our two dogs) and has done everything she can to support this project.  She is always there to listen to my many crazy ideas and provide sound advice- especially in anything pediatrics (her specialty- soon to be Peds critical care).

Thanks also to those who have supported the podcast through submissions to the EM Basic project.  Your help has been invaluable in continuing the podcast with fresh ideas and input.  Thanks especially to Dr. Andrea Sarchi who has been the workhorse as of late by providing scripts for five episodes- two of which are yet to be published.

Finally, thank you to all the listeners out there who give me the motivation to continue this project.  Each episode takes a lot of work but it’s incredibly rewarding to see the download stats continue to climb.  Even more rewarding are the emails that I get saying how much the podcast has helped out in people’s everyday practice of EM.

I did this post not to brag about numbers (I’ve got nothing on EMCrit– we’re talking orders of magnitude…) but to say thank you and to also show how far FOAMed has come in the past few years.  I started this podcast about 3.5 years ago.  I relied on word of mouth and a few recommendations from established websites like Life in the Fast Lane and shout-outs from the gurus like Rob Orman from ercast to get it off the ground.

Since I started EM Basic, there has been an explosion of FOAMed in all areas of EM.  We still have a long way to go in terms of covering the less flashy topics but we are making progress.  For example, FOAMcast (another EM core content podcast) recently announced that they hit the 50,000 download mark in about 6 months.  It took me more than a year to do the same with EM Basic.  We have now created a network of knowledge sharing that allows new quality FOAMed to be rapidly distributed and disseminated to all corners of the earth (literally- I can confirm at least one download from Antartica!).

That’s all I’ll say about stats- forever.  Among podcasters, it seems like the first rule of podcasting is you don’t talk about your download stats.  The second rule of podcasting is…well, you know.  That’s also it for the philosophizing.  As I said before- I don’t do this to brag but to say a heartfelt thank you to everyone who has helped this project along the way.  I hope to continue this project for a long time and I’ll be counting on your support and contributions to keep it going.

Take care and remember- as Mel Herbert (the god of all EM podcasting) says- What you do matters…

Steve

steve@embasic.org