Sorry for the hiatus
Posted: December 18, 2012 Filed under: Podcasts 1 Comment »Just to let everyone know that EM Basic is still up and running- just on an extended hiatus. I’ve had some projects come up recently that haven’t given me enough time to get an episode out- stay tuned for more info on those.
I’ve gotten some great feedback on the weekly episodes but I was only able to put that volume together because I had a lot of time between residency and starting my new job. In the future I’ll be shooting for one topic episode a month and one Essential Evidence episode.
Still planning on doing the next episode on eye complaints. I may be able to get it done before the end of the year but it will probably be ready shortly after the new year.
Once again- sorry for the delay but stay tuned for some great new episodes and projects
-Steve
EM Basic Essential Evidence- PECARN Head CT Rule
Posted: October 29, 2012 Filed under: Podcasts Leave a comment »This episode reviews the article that most people call the PECARN head CT rule or the Kuppermann head CT rule (named for the first author). This is an easy to use clinical decision rule that can help us reduce the number of head CTs that we do on children with minor head injury. We owe it to our patients to spare them excess radiation, cost, and time in the ED and this rules helps us do this. In order to use this rule effectively, you need to read this article and understand how the study was done. This allows us to understand the strengths and weaknesses of this rule and helps us apply it in our everyday practice.
EM Basic Essential Evidence- PECARN Head CT rule
PECARN Head CT Rule (Abstract on the Lancet website- paid access)
PECARN Head CT Rule (Free full text direct download from PECARN website)
Psychiatric Medical Screening
Posted: October 22, 2012 Filed under: Podcasts Leave a comment »In this episode, we will discuss how to perform medical screening for patients with psychiatric complaints. While most of these workups are routine, we have to be able to catch the small percentage of patients who have a medical cause to their psychiatric complaint. Don’t think it can’t happen to you- it almost happened to me twice during residency! We’ll discuss how to stay safe while evaluating psychiatric patients, how to get the entire history, how to do appropriate testing, catch the red flags, and make the appropriate disposition.
In the bonus section, a community ED doctor wrote me to tell me his thoughts on testicular pain and why we may not need an ultrasound on every patient. As you’ll hear, the answer is far from settled and not without controversy.
During the podcast, I mention the ERcast episode on Suicide Risk Assessment. If you are stuck having to discharge low-risk suicidal ideation patients from your ED, Rob Orman gives you an excellent primer on how to do it safely and effectively
ERcast suicide risk assessment page
Psychiatric Medical Screening Podcast
iTunes feed fixed
Posted: October 15, 2012 Filed under: Podcasts Leave a comment »Hey everybody,
Today I discovered an issue with the iTunes feed that may have resulted in iTunes subscribers missing out on episodes since late July and/or only downloading the PDFs of the show notes instead of the audio files. I think I have it fixed- it may only affect you if you use the desktop version of iTunes because I didn’t have any issues with it on my iPhone. So if you subscribe through iTunes- you may want to refresh your feed and you may have to unsubscribe then re-subscribe to get the episodes you missed.
Here are the affected episodes:
Essential Evidence- Therapeutic Hypothermia
Essential Evidence- BMJ Subarachnoid Hemorrhage
Essential Evidence- The NEXUS Study
Hyperkalemia
Essential Evidence- NEJM Rivers Sepsis
Hyponatremia
Stroke and Transient Ischemic Attach (TIA)
Sorry for the mix-up- I hope the episodes download correctly from now on. Let me know if you find any other issues
Steve
EM Basic Essential Evidence- Therapeutic Hypothermia
Posted: October 15, 2012 Filed under: Podcasts Leave a comment »This episode of EM Basic Essential Evidence will review the two articles that led to the adoption of therapeutic hypothermia as a treatment for survivors of cardiac arrest. This is a simple yet highly effective therapy that improves survival and neurological outcome in survivors of cardiac arrest so it is important that we know and understand these two articles.
EM Basic Essential Evidence- Therapeutic hypothermia
NEJM Therapeutic Hypothermia (Free full text website link to NEJM issue)
NEJM Therapeutic Hypothermia articles (Free full text direct download)
EM Basic Essential Evidence- BMJ Subarachnoid Hemorrhage Study
Posted: October 1, 2012 Filed under: Podcasts Leave a comment »This is an article published in the last year in the British Medical Journal that looked at the sensitivity of modern CT scanners in detecting subarachnoid hemorrhage. This article made a lot of waves because it suggested that a head CT within 6 hours of headache onset is 100% sensitive for subarachnoid hemorrhage. Some have called it a practice changer that allows us to avoid doing a lumbar puncture so its important to read it for yourself and decide if it should change your practice.
BMJ Subarachnoid Hemorrhage Study (free full text website link)
BMJ Subarachnoid Hemorrhage Study (free full text PDF direct download)
BMJ Subarachnoid Hemorrhage podcast
Non-invasive Ventilation
Posted: September 24, 2012 Filed under: Podcasts 1 Comment »Non-invasive ventilation is a great technique that we can use for just about any patient who is short of breath. We can use it to avoid intubation in our patients who are close to respiratory failure. In this episode, we’ll talk about how non-invasive ventilation works, which patients we can use it on, and how to actually make it happen. For that last part, I’ll borrow from a post by Seth Treuger at his blog mdaware.org on how to start non-invasive ventilation quickly while keeping it comfortable for the patient.
mdaware.org blog post- “Selling Ice Cream in the Desert” aka how to make NIV work on any patient
Non-invasive Ventilation Podcast
Non-invasive Ventilation Show Notes (Word Format)
Non-invasive Ventilation Show Notes (PDF)
