Hi everyone,

I just fixed the issue with the latest episode- a followup to the COPD podcast discussing the use of oxygen in COPD patients.  You will likely need to delete the previous podcast from your iTunes/RSS feed and download the podcast again.

Here’s the link for the podcast

Here’s the link to the original post

Sorry for the mixup- you stay classy, podcast listeners

Steve

The last podcast on COPD led to some great discussion online about the use of oxygen in patients with COPD.  To address this, Drs. Tim Peck and Colby Redfield are back with a quick summary to clarify how to best use oxygen in patients with COPD.  There’s also another cameo by the one and only Dr. Peter Rosen on how to succeed in emergency medicine.

Here’s the big points:

-Don’t hesitate to give high flow oxygen to hypoxic patients with shortness of breath- especially in the first 30-60 minutes of the resuscitation.

-After the patient has stabilized- give enough oxygen via nasal cannula (or lower flow face mask) to titrate their pulse ox between 88 and 92%.  DO NOT leave patients with COPD on high flow oxygen for long periods of time.

Oxygen in COPD- followup

Here are some relevant references for further reading.

1. New, A.  Oxygen: kill or cure? Prehospital hyperoxia in the COPD patient.  Emerg Med J. 2006 February; 23(2): 144–146.

2. Austin MA et al. Effect of high flow oxygen on mortality in chronic obstructive pulmonary disease patients in prehospital setting: Randomised controlled trial. BMJ 2010 Oct 18; 341:c5462. 

3. Kilgannon JH, et al. Association Between Arterial Hyperoxia Following Resuscitation From Cardiac Arrest and In-Hospital Mortality. JAMA Vol 303, No 21, June 2, 2010;2165-2171. 

4. Cornet AD, Kooter AJ, Peters MJ, Smulders YM. The potential harm of oxygen therapy in medical emergencies. Crit Care. 2013;17(2):313.

EM Basic is back with another episode of the EM Basic Project.  In today’s episode Drs. Tim Peck and Colby Redfield review the chief complaint of shortness of breath with a focus on COPD.  Even though we did an episode on shortness of breath a while back, it’s always great to get a new perspective on this chief complaint.  Today’s episode also features a very special guest cameo by the name of Dr. Peter Rosen.  He pretty much started EM as a speciality and you may have seen his name on a textbook or two.

The authors are also launching a new website today called iClickEM in beta version.  This site may very well change the way you gather and collate your online education in Emergency Medicine.  They will be starting in a closed-beta version with 1,000 access codes available starting today.  So if you are interested in getting in on the ground floor and helping them build this website, check it out at iClickEM.com

Please send me submissions for the EM Basic Project so we can keep moving with the podcast.  If you didn’t see the previous post, I recently started an online Master’s in Medical Education which has taken a lot of time away from the podcast.  Things will get better with the new year as my course load drops but I still need your help to produce new content!  If you are interested, check out the submission page, pick a topic, and let’s get started.

COPD/SOB Podcast

COPD/SOB Shownotes (Word Format)

COPD/SOB Shownotes (PDF)

Hey everybody,

Just a quick post to say that I’ve been on a little bit of a hiatus on the podcast but it’s not dead!  I promise!  Look for a new podcast on or around December 1st- it’s going to be epic!

My current alibi- I started an online Masters in Medical Education in September and it has taken a lot of the time that I used to have available to produce the podcast.  I am currently taking two classes now which will drop to one next month for the rest of the year so I will hopefully have some more time in a few weeks.

All of this to say- if you or someone you know can make a good episode for the EM Basic Project please consider doing so!  This will help me publish new content when things get busy for me.  Alternatively, you could email someone high up in the Army and tell them to give me a job with protected time to make podcasts (just joking…seriously- please don’t start emailing high ranking Army officials…)

Have a great week

Steve

This is the premiere of the first contribution to the EM Basic Project.  Dr. Brian Cohn from Washington University in Saint Louis, Missouri is on the podcast today talking about mono-articular arthritis.  He reviews the common physical exam findings, the appropriate lab work and medications, how to avoid common pitfalls in this diagnosis, some evidence based medicine pearls and even some relevant medical trivia.  Dr. Cohn is one of the authors of the EMJ club podcast which reviews common EM topics in a journal club style format.

Monoarticular arthritis by Dr. Brian Cohn

Monoarticular Arthritis Show Notes (Word Format)

Monoarticular Arthritis Show Notes (PDF)

EMJ club podcast