Today’s episode is another installment of the EM Basic Project.  Dr. Sheyna Gifford and Dr. Chrisanna Mink will talk about measles.  This is a disease that we thought we had stamped out long ago with vaccination but the rise of the anti-vaccine movement has caused several small outbreaks so we need to be ready and on the lookout.  They will discuss how to recgonize measles, how to order the right testing and treatment, how to properly disposition these patients and the importance of getting your public health colleagues involved.

Measles with Drs. Sheyna Gifford and Chrisanna Mink


Check out our bandwidth sponsor EB Medicine for free access for residents and discounts for attendings.

Aortic Dissection

Today marks the 4th anniversary of the EM Basic podcast.  To celebrate this occasion, we are going to do a screencast on aortic dissection.  This is a very challenging disease to diagnose because patients have lots of different presentations that can make it difficult to diagnose.  We’ll talk about the common presentations of dissection, the not-so-common presentations, how to order the right imaging, how to treat these patients in the ED, and how to get them to the right level of care.

Aortic Dissection Screencast

Aortic Dissection Screencast Audio File

Aortic Dissection Show Notes (Word Format)

Aortic Dissection Show Notes (PDF)

IRAD study link (Free full text)

IRAD study PDF (Free full text)

Check out our bandwidth sponsor EB Medicine.  Residents can get free access to all of their resources and attending can get a discount on some of their great products at the EB Medicine EM Basic page.  They just released the EB Medicine app that allows access to their entire collection without on your mobile device without WiFi.

Non-Pregnant Vaginal Bleeding

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.

Tactical Combat Casualty Care (TCCC)

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)