Core EM Podcast

By Core EM

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Core Emergency Medicine

Episode Date
Episode 163.0 – Croup
6:13
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-163-0-croup/" title="Episode 163.0 – Croup" rel="bookmark"> <img width="720" height="720" src="https://coreem.net/content/uploads/2019/05/Slide1.jpeg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2019/05/Slide1.jpeg 720w, https://coreem.net/content/uploads/2019/05/Slide1-150x150.jpeg 150w, https://coreem.net/content/uploads/2019/05/Slide1-300x300.jpeg 300w, https://coreem.net/content/uploads/2019/05/Slide1-500x500.jpeg 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> A look at one of the most common and potentially concerning upper respiratory infections in children. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-8495-2" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Croup.mp3?_=2" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Croup.mp3">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Croup.mp3</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Croup.mp3" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-163-0-croup/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/airway/" rel="tag">Airway</a>, <a href="https://coreem.net/tag/infectious-diseases/" rel="tag">Infectious Diseases</a>, <a href="https://coreem.net/tag/pediatrics/" rel="tag">Pediatrics</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Background</strong> <ul> <li>Croup is a viral infection starts in the nasal and pharyngeal mucosa but spreads to the larynx and trachea <ul> <li>Subglottic narrowing from inflammation</li> <li>Dynamic obstruction</li> <li>Barking cough</li> <li>Inspiratory stridor</li> </ul> </li> <li>Causes: <ul> <li>Parainfluenza virus (most common)</li> <li>Rhinovirus</li> <li>Enterovirus</li> <li>RSV</li> <li>Rarely: Influenza, Measles</li> </ul> </li> <li>Age range: 6 months to 36 months</li> <li>Seasonal component with high prevalence in fall and early winter</li> <li>Differential <ul> <li>Bacterial tracheitis</li> <li>Acute epiglottitis</li> <li>Inhaled FB</li> <li>Retropharyngeal abscess</li> <li>Anaphylaxis</li> </ul> </li> </ul> <strong>Presentation & Diagnosis</strong> <ul> <li>Classically a prodrome of nonspecific symptoms for 1-3 days with low grade fevers, congestion, runny nose.</li> <li>Symptoms reach peak severity on the 4<sup>th</sup> day</li> <li>“Steeple sign” on Xray (subglottic narrowing) present in only 50% of patients with croup</li> <li>Assess air entry, skin color, level of consciousness, for tachypnea, if there are retractions / nasal flaring (if present at rest or with agitation) & coughing</li> <li>“Westley Croup Score” (<a href="https://www.mdcalc.com/westley-croup-score">https://www.mdcalc.com/westley-croup-score</a>) <ul> <li>Chest wall retractions</li> <li>Stridor</li> <li>Cyanosis</li> <li>Level of consciousness</li> <li>Air entry</li> </ul> </li> </ul> <strong>Management</strong> <ul> <li>Mild Croup <ul> <li>Occasional barking cough,
May 20, 2019
Episode 162.0 – Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis
9:50
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-162-0-stevens-johnson-syndrome-toxic-epidermal-necrolysis/" title="Episode 162.0 – Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis" rel="bookmark"> <img width="720" height="720" src="https://coreem.net/content/uploads/2019/05/SJS.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2019/05/SJS.jpg 720w, https://coreem.net/content/uploads/2019/05/SJS-150x150.jpg 150w, https://coreem.net/content/uploads/2019/05/SJS-300x300.jpg 300w, https://coreem.net/content/uploads/2019/05/SJS-500x500.jpg 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> A look at this deadly mucocutaneous reaction and how to best manage these patients in the ED </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-8464-8" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/SJS.mp3?_=8" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/SJS.mp3">https://media.blubrry.com/coreem/content.blubrry.com/coreem/SJS.mp3</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/SJS.mp3" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-162-0-stevens-johnson-syndrome-toxic-epidermal-necrolysis/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/critical-care/" rel="tag">Critical Care</a>, <a href="https://coreem.net/tag/dermatology/" rel="tag">Dermatology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <ul> <li>Rash with dysuria should raise concern for SJS with associated urethritis <ul> <li>Dysuria present in a majority of cases</li> </ul> </li> <li>SJS is a mucocutaneous reaction caused by Type IV hypersensitivity <ul> <li>Cytotoxic t-lymphocytes apoptose keratinocytes → blistering, bullae formation, and sloughing of the detached skin</li> </ul> </li> <li>Disease spectrum <ul> <li>SJS = <10% TBSA</li> <li>TEN = >30% TBSA</li> <li>SJS/ TEN Overlap = 10-30% TBSA</li> </ul> </li> <li>Incidence is estimated at around 9 per 1 million people in the US</li> <li>Mortality is 10% for SJS and 30-50% for TEN <ul> <li>Mainly 2/2 sepsis and end organ dysfunction.</li> </ul> </li> <li>SJS can occur even without a precipitating medication <ul> <li>Infection can set it off especially in patients with risk factors including HIV, lupus, underlying malignancy, and genetic factors</li> <li>SATAN for the most common drugs <ul> <li>Sulfa, Allopurinol, Tetracyclines, Anticonvulsants, and NSAIDS</li> </ul> </li> <li>Anti-epileptics include carbamazepine, lamictal, phenobarb, and phenytoin</li> </ul> </li> <li>Can have a curious course <ul> <li>Hypersensitivity reaction can develop while taking medication, or even one to four weeks after exposure</li> <li>In pediatric population, mycoplasma pneumonia and herpes simplex have been identified as precipitating infections</li> </ul> </li> <li>Patients often have a prodrome 1-3 days prior to the skin lesions appearing <ul> <li>May complain of fever, myalgias, headaches, URI symptoms, and malaise</li> </ul> </li> <li>Rash may be the sole complaint
May 06, 2019
Episode 161.0 – Opioid Epidemic
14:26
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-161-0-opioid-epidemic/" title="Episode 161.0 – Opioid Epidemic" rel="bookmark"> <img width="720" height="720" src="https://coreem.net/content/uploads/2019/04/Slide1-1.jpeg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2019/04/Slide1-1.jpeg 720w, https://coreem.net/content/uploads/2019/04/Slide1-1-150x150.jpeg 150w, https://coreem.net/content/uploads/2019/04/Slide1-1-300x300.jpeg 300w, https://coreem.net/content/uploads/2019/04/Slide1-1-500x500.jpeg 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> A look at the opioid epidemic and what ED providers can do to combat this formidable foe. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-8396-14" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Opioid_Epidemic.mp3?_=14" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Opioid_Epidemic.mp3">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Opioid_Epidemic.mp3</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Opioid_Epidemic.mp3" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-161-0-opioid-epidemic/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/opioid-dependence/" rel="tag">Opioid Dependence</a>, <a href="https://coreem.net/tag/opioid-free-ed/" rel="tag">Opioid Free ED</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <ul> <li>Consider alternatives to opiates for acute pain <ul> <li>NSAIDs</li> <li>Subdissociative ketamine</li> <li>Nerve blocks</li> </ul> </li> <li>Curb misuse and diversion through prescribing a short supply and perform I-STOP checks</li> <li>Narcan is not just for acute overdose treatment by EMS or within the ED anymore <ul> <li>We can equip patients, family members and friends with Narcan kits prior to discharge</li> <li>In New York state, can prescribe Narcan to patients with near fatal overdoses or who screen positive for an opioid use disorder</li> <li>Intranasal formulation is cheaper and more commonly prescribed than IM</li> </ul> </li> <li>Buprenorphine induction can be done in the ED for patients in active withdrawal, as calculated by the COWS score. <ul> <li>MDcalc calculator: <a href="https://www.mdcalc.com/cows-score-opiate-withdrawal">https://www.mdcalc.com/cows-score-opiate-withdrawal</a></li> <li>Providers do not need an X-waiver to give a dose of Buprenorphine in the ED for 3 days</li> </ul> </li> <li>Home induction can be considered for patients not actively withdrawing but would like to enter medication assisted treatment <ul> <li>Some considerations: <ul> <li>Contraindicated in patients with severe liver dysfunction and with hypersensitivity reaction to drug</li> <li>Oversedation can occur with concurrent use of benzodiazepines and alcohol</li> <li>Will precipitate withdrawal if concurrently using full opioid agonists</li> </ul> </li> <li>Longitudinal care has to be established for patients started on Buprenorphine <ul> <li>SAMHSA’s Buprenorphine practitioner locator site: <a href="https://w...
Apr 22, 2019
Episode 160.0 – Measles
12:54
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-160-0-measles/" title="Episode 160.0 – Measles" rel="bookmark"> <img width="720" height="720" src="https://coreem.net/content/uploads/2019/04/Slide1.jpeg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2019/04/Slide1.jpeg 720w, https://coreem.net/content/uploads/2019/04/Slide1-150x150.jpeg 150w, https://coreem.net/content/uploads/2019/04/Slide1-300x300.jpeg 300w, https://coreem.net/content/uploads/2019/04/Slide1-500x500.jpeg 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> In this episode, we discuss the recent measles outbreak and how ED providers can best prepare to treat this almost vanquished foe. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-8336-20" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Measles_Final_Cut.mp3?_=20" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Measles_Final_Cut.mp3">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Measles_Final_Cut.mp3</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Measles_Final_Cut.mp3" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-160-0-measles/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/infectious-diseases/" rel="tag">Infectious Diseases</a>, <a href="https://coreem.net/tag/pediatrics/" rel="tag">Pediatrics</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <img class="aligncenter wp-image-8342" src="https://coreem.net/content/uploads/2019/04/Screen-Shot-2019-04-07-at-1.48.16-PM.png" alt="" width="701" height="271" />   <img class="aligncenter wp-image-8341" src="https://coreem.net/content/uploads/2019/04/Screen-Shot-2019-04-07-at-1.48.31-PM.png" alt="" width="701" height="193" />   <img class="aligncenter wp-image-8343" src="https://coreem.net/content/uploads/2019/04/Screen-Shot-2019-04-07-at-1.48.51-PM.png" alt="" width="701" height="107" />   <img class="aligncenter wp-image-8340" src="https://coreem.net/content/uploads/2019/04/Screen-Shot-2019-04-07-at-1.49.03-PM.png" alt="" width="701" height="340" />   <img class="aligncenter wp-image-8339" src="https://coreem.net/content/uploads/2019/04/Screen-Shot-2019-04-07-at-1.49.15-PM.png" alt="" width="701" height="131" /> <hr /> <strong><u>References:</u></strong> CDC Measles for Health Care Providers.  https://www.cdc.gov/measles/hcp/index.html#lab. Gladwin M, Trattler B.  Orthomyxo and Paramyxoviridae.  In: Clinical Microbiology Made Ridiculously Simple.  4th ed.  Miami, FL: MedMaster, Inc; 2009: 240-243. Hussey G, Klein M.  A Randomized, Controlled Trial of Vitamin A in Children with Severe Measles.  N Engl J Med.  1990; 323: 160-164.doi: 10.1056/NEJM199007193230304. Nir, Sarah Mailin and Gold, Michael.  “An Outbreak Spreads Fear: Of Measles, of Ultra-Orthodox Jews, of Anti-Semitism.”  New York Times [New York City] 03/29/2019. https://www.nytimes.com/2019/03/29/nyregion/measles-jewish-community.html <hr /> <strong><u>A massive thanks to:</u></strong> Shweta Iyer, MD: NYU Langone 3rd year Pediatric Emergency Medicine Fellow.
Apr 08, 2019
Episode 159.0 – Acute Decompensated Heart Failure
5:57
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-159-0-adhf/" title="Episode 159.0 – Acute Decompensated Heart Failure" rel="bookmark"> <img width="720" height="720" src="https://coreem.net/content/uploads/2019/03/Slide1-3.jpeg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2019/03/Slide1-3.jpeg 720w, https://coreem.net/content/uploads/2019/03/Slide1-3-150x150.jpeg 150w, https://coreem.net/content/uploads/2019/03/Slide1-3-300x300.jpeg 300w, https://coreem.net/content/uploads/2019/03/Slide1-3-500x500.jpeg 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> In this episode, we discuss acute decompensated heart failure and how to best manage these dyspneic patients in the ED. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-8296-26" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_ADHF.mp3?_=26" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_ADHF.mp3">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_ADHF.mp3</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_ADHF.mp3" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-159-0-adhf/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cardiology/" rel="tag">Cardiology</a>, <a href="https://coreem.net/tag/respiratory/" rel="tag">Respiratory</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <ul> <li>Features that increase the probability of heart failure. (<a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=16234501">Wang 2005</a>)</li> </ul> <img class="aligncenter wp-image-1434 size-full" src="https://coreem.net/content/uploads/2015/06/Screen-Shot-2015-06-16-at-9.08.06-PM.png" alt="" width="604" height="485" /> <ul> <li>B-lines seen in pulmonary edema.</li> </ul> <img class="aligncenter wp-image-8297" src="https://coreem.net/content/uploads/2019/03/Screen-Shot-2019-03-21-at-10.50.31-PM.png" alt="" width="701" height="608" /> <ul> <li>Positioning of ultrasound probe in BLUE protocol. (<a href="https://www.ncbi.nlm.nih.gov/pubmed/18403664">Lichtenstein 2008</a>)</li> </ul> <img class="aligncenter wp-image-8300" src="https://coreem.net/content/uploads/2019/03/Screen-Shot-2019-03-21-at-10.51.01-PM-2.png" alt="" width="701" height="301" /> </div> </div> <br/><a href="https://coreem.net/podcast/episode-159-0-adhf/">Read More</a>
Mar 22, 2019
Episode 158.0 – Boxer’s Fracture
5:33
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-158-0-boxers-fracture/" title="Episode 158.0 – Boxer’s Fracture" rel="bookmark"> <img width="720" height="720" src="https://coreem.net/content/uploads/2019/03/Slide1-2.jpeg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2019/03/Slide1-2.jpeg 720w, https://coreem.net/content/uploads/2019/03/Slide1-2-150x150.jpeg 150w, https://coreem.net/content/uploads/2019/03/Slide1-2-300x300.jpeg 300w, https://coreem.net/content/uploads/2019/03/Slide1-2-500x500.jpeg 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> In this episode, we discuss Boxer's fractures and how to best manage them in the ED. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-8202-32" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Boxer_s_Fracture_eq.m4a?_=32" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Boxer_s_Fracture_eq.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Boxer_s_Fracture_eq.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Boxer_s_Fracture_eq.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-158-0-boxers-fracture/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/orthopedics/" rel="tag">Orthopedics</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Podcast Video</h2> <div class="embed-container">https://youtu.be/UreET5eLHas</div> <h2>Show Notes</h2> <strong>Background: </strong> <ul> <li>40% of all hand fractures</li> <li>A metacarpal fracture can occur at any point along the bone (head, neck, shaft, or base)</li> <li>“Boxer’s” fractures classically at neck</li> <li>Most common mechanism: direct axial load with a clenched fist</li> <li>Most common metacarpal injured is the 5<sup>th</sup></li> <li>A majority of these injuries are isolated injuries, closed and stable</li> </ul> <strong>Examination:</strong> <ul> <li>Ensure that this is an isolated injury</li> <li>May note a loss of knuckle contour or shortening</li> <li>A thorough evaluation of the skin is important <ul> <li>Patients may also have fight bites and require irrigation and antibiotics</li> </ul> </li> <li>Tender along the dorsum of the affected metacarpal</li> <li>Evaluate the range of motion as the commonly seen shortening results in extension lag <ul> <li>For every 2 mm of shortening there is going to be a 7 degree decrease in ability to extend the joint</li> </ul> </li> <li>Check rotational alignment of digits with the MCP and PIP at 50% flexion. <ul> <li>Partially clench their fist and ensure that the axis of each digit converges near the scaphoid pole / mid wrist</li> </ul> </li> </ul> <ul> <li>Deformity is often seen due to the imbalance of volar and dorsal forces <ul> <li>Dorsal angulation</li> </ul> </li> <li>AP, lateral and oblique views should be obtained on XR</li> <li>The degree of angulation is estimated with the lateral view <ul> <li>NB: Normal angle between the metacarpal head...
Mar 08, 2019
Episode 157.0 – Farewell
2:36
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-157-0-2/" title="Episode 157.0 – Farewell" rel="bookmark"> <img width="817" height="734" src="https://coreem.net/content/uploads/2018/08/Screen-Shot-2018-08-08-at-1.28.44-PM.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/08/Screen-Shot-2018-08-08-at-1.28.44-PM.png 817w, https://coreem.net/content/uploads/2018/08/Screen-Shot-2018-08-08-at-1.28.44-PM-300x270.png 300w, https://coreem.net/content/uploads/2018/08/Screen-Shot-2018-08-08-at-1.28.44-PM-768x690.png 768w" sizes="(max-width: 817px) 100vw, 817px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7665-38" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_157_0_Final_Cut.m4a?_=38" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_157_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_157_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_157_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-157-0-2/#comments">5 Comments</a> </span> </span> </div> </div> <br/><a href="https://coreem.net/podcast/episode-157-0-2/">Read More</a>
Aug 13, 2018
Episode 156.0 – Updates in Community Acquired Pneumonia
5:41
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-156-0/" title="Episode 156.0 – Updates in Community Acquired Pneumonia" rel="bookmark"> <img width="721" height="718" src="https://coreem.net/content/uploads/2018/07/Podcast-Image-156.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/07/Podcast-Image-156.0.png 721w, https://coreem.net/content/uploads/2018/07/Podcast-Image-156.0-150x150.png 150w, https://coreem.net/content/uploads/2018/07/Podcast-Image-156.0-300x300.png 300w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into a recent article highlighting a major update in the treatment of community acquired pneumonia (CAP) </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7567-44" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_156_0_Final_Cut.m4a?_=44" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_156_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_156_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_156_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-156-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cap/" rel="tag">CAP</a>, <a href="https://coreem.net/tag/macrolides/" rel="tag">Macrolides</a>, <a href="https://coreem.net/tag/pulmonary/" rel="tag">Pulmonary</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <img class="aligncenter size-full wp-image-7355" src="https://coreem.net/content/uploads/2018/06/Screen-Shot-2018-05-20-at-3.09.36-PM.png" alt="" width="953" height="572" /> <img class="aligncenter size-full wp-image-7356" src="https://coreem.net/content/uploads/2018/06/Screen-Shot-2018-05-20-at-3.12.55-PM.png" alt="" width="961" height="486" /> <p class="p1"><span class="s1"><b>Read More</b></span></p> REBEL EM: <a href="http://rebelem.com/update-in-community-acquired-pneumonia-cap-treatment-macrolide-resistance/">Update in Community Acquired Pneumonia (CAP) Treatment - Macrolide Resistance</a> <p class="p3"><span class="s1">Moran GJ, Talan, DA; Pneumonia, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 76: p 978-89.</span></p> <p class="p1"><span class="s1">Haran JP et al. Macrolide resistance in cases of community-acquired bacterial pneumonia in the emergency department. J Emerg Med 2018. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/29789175"><span class="s2">29789175</span></a></span></p> <p class="p5"><span class="s1">Mandell LA et al. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis 2007;44(Suppl 2):S27–72. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/17278083"><span class="s3">17278083</span></a></span></p> <p class="p3"><span class="s1">Arnold FW et al. A worldwide perspective of atypical pathogens in community-acquired pneumonia.
Jul 30, 2018
Episode 155.0 – Journal Update
12:46
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-155-0-journal-update/" title="Episode 155.0 – Journal Update" rel="bookmark"> <img width="725" height="723" src="https://coreem.net/content/uploads/2018/06/Podcast-Image-155.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/06/Podcast-Image-155.0.png 725w, https://coreem.net/content/uploads/2018/06/Podcast-Image-155.0-150x150.png 150w, https://coreem.net/content/uploads/2018/06/Podcast-Image-155.0-300x300.png 300w, https://coreem.net/content/uploads/2018/06/Podcast-Image-155.0-500x500.png 500w" sizes="(max-width: 725px) 100vw, 725px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss three recent articles looking at esmolol in refractory VF, c-spine clearance and antibiotics after abscess drainage </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7449-50" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_155_0_Final_Cut.m4a?_=50" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_155_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_155_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_155_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-155-0-journal-update/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cardiac-arrest/" rel="tag">Cardiac Arrest</a>, <a href="https://coreem.net/tag/cervical-spine/" rel="tag">Cervical Spine</a>, <a href="https://coreem.net/tag/esmolol/" rel="tag">Esmolol</a>, <a href="https://coreem.net/tag/id/" rel="tag">I+D</a>, <a href="https://coreem.net/tag/infectious-diseases/" rel="tag">Infectious Diseases</a>, <a href="https://coreem.net/tag/journal-club/" rel="tag">Journal Club</a>, <a href="https://coreem.net/tag/mrsa/" rel="tag">MRSA</a>, <a href="https://coreem.net/tag/refractory-vf/" rel="tag">Refractory VF</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">REBEL EM: <a href="http://rebelem.com/trimethoprim-sulfamethoxazole-for-uncomplicated-skin-abscesses/"><span class="s3">Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Abscesses</span></a></span></p> <p class="p4"><span class="s4">Bryan Hayes at ALiEM: <a href="http://www.aliem.com/2015/sulfamethoxazole-trimethoprim-ssti-1-2-tablets-bid/"><span class="s3">Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID?</span></a></span></p> <p class="p4"><span class="s4">The SGEM: <a href="http://thesgem.com/2016/10/sgem164-cuts-like-a-knife-but-you-might-also-need-antibiotics-for-uncomplicated-skin-abscesses/"><span class="s3">SGEM#164: Cuts Like a Knife</span></a></span></p> <p class="p4"><span class="s4">Core EM: <a href="https://coreem.net/journal-reviews/abx-abscess-ii/"><span class="s3">Antibiotics in the Treatment of Smaller Abscesses</span></a></span></p> <p class="p5"><span class="s1">EM Nerd: <a href="http://emnerd.
Jul 23, 2018
Episode 154.0 – Femoral Shaft Fractures
5:32
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-154-0/" title="Episode 154.0 – Femoral Shaft Fractures" rel="bookmark"> <img width="718" height="721" src="https://coreem.net/content/uploads/2018/06/Podcast-Image-154.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/06/Podcast-Image-154.0.png 718w, https://coreem.net/content/uploads/2018/06/Podcast-Image-154.0-150x150.png 150w, https://coreem.net/content/uploads/2018/06/Podcast-Image-154.0-300x300.png 300w" sizes="(max-width: 718px) 100vw, 718px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review femoral shaft fractures with a focus on assessment and analgesia </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7425-56" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_154_0_Final_Cut.m4a?_=56" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_154_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_154_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_154_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-154-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/femoral-nerve-blocks/" rel="tag">Femoral Nerve Blocks</a>, <a href="https://coreem.net/tag/orthopedics/" rel="tag">Orthopedics</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">Orthobullets <a href="https://www.orthobullets.com/trauma/1040/femoral-shaft-fractures"><span class="s3">Femoral Shaft Fracture</span></a></span></p> <p class="p4"><span class="s1">Rosen’s Emergency Medicine Concepts and Clinical Practice(<a href="https://books.google.com/books/about/Rosen_s_Emergency_Medicine.html?id=L_1LAQAAIAAJ"><span class="s4">link</span></a>)</span></p> <p class="p4"><span class="s1">Tintinalli’s Emergency Medicine(<a href="https://books.google.com/books?id=FNKLCgAAQBAJ&q=tintinalli%2527s+emergency+medicine&dq=tintinalli%2527s+emergency+medicine&hl=en&sa=X&ved=0ahUKEwiJjZeq09HbAhVGwYMKHesrBRUQ6AEIKTAA"><span class="s4">link</span></a>)</span></p> <p class="p4"><span class="s1">Femoral Nerve Block video (<a href="https://www.youtube.com/watch?v=5ht_N8j2KL8"><span class="s4">link</span></a>)</span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-154-0/">Read More</a>
Jul 16, 2018
Episode 153.0 – Morning Report Pearls VI
9:41
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-153-0/" title="Episode 153.0 – Morning Report Pearls VI" rel="bookmark"> <img width="720" height="716" src="https://coreem.net/content/uploads/2018/06/Podcast-Image-153.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/06/Podcast-Image-153.0.png 720w, https://coreem.net/content/uploads/2018/06/Podcast-Image-153.0-150x150.png 150w, https://coreem.net/content/uploads/2018/06/Podcast-Image-153.0-300x298.png 300w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> More amazing pearls from our Bellevue morning report series. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7410-62" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_153_0_Final_Cut.m4a?_=62" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_153_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_153_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_153_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-153-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/alcohol-intoxication/" rel="tag">Alcohol Intoxication</a>, <a href="https://coreem.net/tag/discitis/" rel="tag">Discitis</a>, <a href="https://coreem.net/tag/esrd/" rel="tag">ESRD</a>, <a href="https://coreem.net/tag/necrotizing-fasciitis/" rel="tag">Necrotizing Fasciitis</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p3"><span class="s2">Core EM: <a href="https://coreem.net/core/spinal-epidural-abscess/"><span class="s3">Spinal Epidural Abscess</span></a></span></p> <p class="p3"><span class="s1">REBEL EM: <a href="http://rebelem.com/cauda-equina-syndrome/"><span class="s3">Cauda Equina Syndrome</span></a></span></p> <p class="p3"><span class="s1">Radiopaedia: <a href="https://radiopaedia.org/cases/discitis-1"><span class="s3">Discitis</span></a></span></p> <p class="p3"><span class="s1">LITFL: <a href="https://lifeinthefastlane.com/ccc/necrotising-fasciitis/"><span class="s3">Necrotizing Fasciitis</span></a></span></p> <p class="p3"><span class="s1">REBEL Cast: <a href="http://rebelem.com/rebel-cast-episode-50-intoxicated-patients/"><span class="s3">Episode 50 - Intoxicated Patients Can Equal Badness</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-153-0/">Read More</a>
Jul 09, 2018
Episode 152.0 – Penetrating Neck Trauma
14:20
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-152-0/" title="Episode 152.0 – Penetrating Neck Trauma" rel="bookmark"> <img width="721" height="725" src="https://coreem.net/content/uploads/2018/06/Podcast-Image-152.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/06/Podcast-Image-152.0.png 721w, https://coreem.net/content/uploads/2018/06/Podcast-Image-152.0-150x150.png 150w, https://coreem.net/content/uploads/2018/06/Podcast-Image-152.0-298x300.png 298w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week, we discuss penetrating neck trauma and some pearls and pitfalls in management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7403-68" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_152_0_Final_Cut.m4a?_=68" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_152_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_152_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_152_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-152-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/neck-trauma/" rel="tag">Neck Trauma</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> REBEL EM: <a href="http://rebelem.com/penetrating-neck-injuries/">Penetrating Neck Injuries</a> <table cellspacing="0" cellpadding="0"> <tbody> <tr> <td valign="top"></td> <td valign="top"> <p align="center"><span style="color: #000000; font-family: Arial; font-size: small;"><b>Zone 1</b></span></p> </td> <td valign="top"> <p align="center"><span style="color: #000000; font-family: Arial; font-size: small;"><b>Zone 2</b></span></p> </td> <td valign="top"> <p align="center"><span style="color: #000000; font-family: Arial; font-size: small;"><b>Zone 3</b></span></p> </td> </tr> <tr> <td valign="top"> <p align="justify"><span style="color: #000000; font-family: Arial; font-size: small;"><b>Anatomic Landmarks</b></span></p> </td> <td valign="top"> <p align="center"><span style="color: #000000; font-family: Arial; font-size: small;">Clavicle/Sternum to Cricoid Cartilage</span></p> </td> <td valign="top"> <p align="center"><span style="color: #000000; font-family: Arial; font-size: small;">Cricoid Cartilage to the Angle of the Mandible</span></p> </td> <td valign="top"> <p align="center"><span style="color: #000000; font-family: Arial; font-size: small;">Superior to the Angle of the Mandible</span></p> </td> </tr> <tr> <td valign="top"> <p align="justify"><span style="color: #000000; font-family: Arial; font-size: small;"><b>Anatomic Structures in Zone</b></span></p> </td> <td valign="top"> <p align="center"><span style="color: #000000; font-family: Arial; font-size: small;">Proximal Common Carotid Artery</span></p> </td> <td valign="top"> <p align="center"><span style="color: #000000; font-family: Arial; font-size: small;">Carotid Artery</span></p> </td>
Jul 02, 2018
Episode 151.0 – Cauda Equina Syndrome
5:04
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-151-0/" title="Episode 151.0 – Cauda Equina Syndrome" rel="bookmark"> <img width="720" height="717" src="https://coreem.net/content/uploads/2018/05/Podcast-Image-151.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/05/Podcast-Image-151.0.png 720w, https://coreem.net/content/uploads/2018/05/Podcast-Image-151.0-150x150.png 150w, https://coreem.net/content/uploads/2018/05/Podcast-Image-151.0-300x300.png 300w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the difficult to diagnose and high morbidity cauda equina syndrome. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7230-74" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_151_0_Final_Cut.m4a?_=74" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_151_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_151_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_151_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-151-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/back-pain/" rel="tag">Back Pain</a>, <a href="https://coreem.net/tag/cauda-equina/" rel="tag">Cauda Equina</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul class="ul1"> <li class="li1"><span class="s1">Cauda equina syndrome is a rare emergency with devastating consequences</span></li> <li class="li1"><span class="s1">Early recognition is paramount as the presence of bladder dysfunction portends bad functional outcomes</span></li> <li class="li1"><span class="s1">The presence of bilateral lower extremity weakness or sensory changes should alert clinicians to the diagnosis. Saddle anesthesia (or change in sensation) and any bladder/bowel changes in function should also raise suspicion for the disorder</span></li> <li class="li1"><span class="s1">MRI is the diagnostic modality of choice though CT myelogram can be performed if necessary</span></li> <li class="li1"><span class="s1">Prompt surgical consultation is mandatory for all patients with cauda equina syndrome regardless of symptoms at presentation</span></li> </ul> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p1"><span class="s1">EM Cases: <a href="https://emergencymedicinecases.com/best-case-ever-11-cauda-equina-syndrome/"><span class="s3">Best Case Ever 11: Cauda Equina Syndrome</span></a></span></p> <p class="p1"><span class="s1">OrthoBullets: <a href="https://www.orthobullets.com/spine/2065/cauda-equina-syndrome"><span class="s3">Cauda Equina Syndrome</span></a></span></p> <p class="p1"><span class="s1">Radiopaedia: <a href="https://radiopaedia.org/articles/cauda-equina-syndrome"><span class="s3">Cauda Equina Syndrome</span></a></span></p> <p class="p3"><span class="s1">Perron AD, Huff JS: Spinal Cord Disorders, in Marx JA, Hockberger RS, Walls RM,
Jun 25, 2018
Episode 150.0 – Journal Update
8:17
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-150-0/" title="Episode 150.0 – Journal Update" rel="bookmark"> <img width="721" height="721" src="https://coreem.net/content/uploads/2018/05/Podcast-Image-150.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/05/Podcast-Image-150.0.png 721w, https://coreem.net/content/uploads/2018/05/Podcast-Image-150.0-150x150.png 150w, https://coreem.net/content/uploads/2018/05/Podcast-Image-150.0-300x300.png 300w, https://coreem.net/content/uploads/2018/05/Podcast-Image-150.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review some recent publications on steroids in pharyngitis and the VAN assessment in stroke. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7223-80" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_150_0_Final_Cut.m4a?_=80" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_150_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_150_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_150_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-150-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/pharyngitis/" rel="tag">Pharyngitis</a>, <a href="https://coreem.net/tag/steroids/" rel="tag">Steroids</a>, <a href="https://coreem.net/tag/van-assessment/" rel="tag">VAN Assessment</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Read More</strong> <p class="p1"><span class="s1">The SGEM: <a href="http://thesgem.com/2018/01/sgem203-let-me-clear-my-sore-throat-with-a-corticosteroid/"><span class="s2">SGEM #203: Let Me Clear My Sore Throat with a Corticosteroid</span></a></span></p> <p class="p2"><span class="s1">Core EM: <a href="https://coreem.net/journal-reviews/corticosteroids-in-pharyngitis/"><span class="s3">Corticosteroids in Pharyngitis - Systematic Review + Meta-Analysis</span></a></span></p> <p class="p2"><span class="s1">REBEL EM: <a href="http://rebelem.com/does-it-take-a-van-to-identify-emergent-large-vessel-occlusion-elvo-in-ischemic-stroke/"><span class="s3">Does it Take a VAN to Identify Emergency Large Vessel Occlusion (EVLO) in Ischemic Stroke?</span></a></span></p> <p class="p2"><span class="s1">REBEL EM: <a href="http://rebelem.com/stroke-workflow-in-2018/"><span class="s3">Stroke Workflow in 2018</span></a></span></p> [caption id="attachment_7311" align="aligncenter" width="2560"]<img class="size-full wp-image-7311" src="https://coreem.net/content/uploads/2018/05/Stroke-Workflow-2018-Final.png" alt="" width="2560" height="1441" /> Stroke Workflow 2017 (REBEL EM)[/caption] <p class="p4"><strong><span class="s4">References</span></strong></p> <p class="p4"><span class="s4">Sadeghirad B et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials BMJ 2017; 358 :j3887. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/28931508"><span class="s2">28931508</span></a></span></p>
Jun 18, 2018
Episode 149.0 – Simplified Approach to Peds Trauma
15:40
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-149-0/" title="Episode 149.0 – Simplified Approach to Peds Trauma" rel="bookmark"> <img width="718" height="719" src="https://coreem.net/content/uploads/2018/06/Podcast-Image-149.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/06/Podcast-Image-149.0.png 718w, https://coreem.net/content/uploads/2018/06/Podcast-Image-149.0-150x150.png 150w, https://coreem.net/content/uploads/2018/06/Podcast-Image-149.0-300x300.png 300w, https://coreem.net/content/uploads/2018/06/Podcast-Image-149.0-500x500.png 500w" sizes="(max-width: 718px) 100vw, 718px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week the podcast features a lecture from Dr. Frosso Admakos - Assistant Residency Director at Metropolitan Hospital in NYC </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7187-86" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_149_0_Final_Cut.m4a?_=86" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_149_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_149_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_149_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-149-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/all-nyc-em/" rel="tag">All NYC EM</a>, <a href="https://coreem.net/tag/pediatrics/" rel="tag">Pediatrics</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">While peds traumas and severe traumas are uncommon, stay cool and collected - you’ve run many resuscitations in the past and resuscitating a kid is no different. You’ve got this</span></li> <li class="li1"><span class="s2">When it comes to access, think 1, 2 IO. 2 shots at a peripheral line and if you don’t get it, go to IO</span></li> <li class="li1"><span class="s2">Tachycardia should be assumed to be compensated shock until proven otherwise. Don’t write tachycardia off as anxiety</span></li> <li class="li1"><span class="s2">Failed airway approach - place an 18 gauge catheter into the neck - hopefully through the cricothyroid membrane and bag through that. If you still have difficult getting an airway from above, consider a retrograde intubation over a wire</span></li> </ol> <p class="p1"><strong><span class="s2">Read More</span></strong></p> <p class="p1"><span class="s2">University of Maryland EM: <a href="https://www.youtube.com/watch?v=JYMwy1-MwMU"><span class="s3">Retrograde Intubation</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-149-0/">Read More</a>
Jun 11, 2018
Episode 148.0 – ACEP VTE Clinical Policy 2018
10:16
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/podcast-episode-148-0/" title="Episode 148.0 – ACEP VTE Clinical Policy 2018" rel="bookmark"> <img width="722" height="720" src="https://coreem.net/content/uploads/2018/05/Podcast-Image-148.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/05/Podcast-Image-148.0.png 722w, https://coreem.net/content/uploads/2018/05/Podcast-Image-148.0-150x150.png 150w, https://coreem.net/content/uploads/2018/05/Podcast-Image-148.0-300x300.png 300w, https://coreem.net/content/uploads/2018/05/Podcast-Image-148.0-500x500.png 500w" sizes="(max-width: 722px) 100vw, 722px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This episode reviews the highlights from the recent ACEP clinical policy on acute VTE management in the ED. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7134-92" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_148_0_Final_Cut.m4a?_=92" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_148_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_148_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_148_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/podcast-episode-148-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/deep-venous-thrombosis/" rel="tag">Deep Venous Thrombosis</a>, <a href="https://coreem.net/tag/dvt/" rel="tag">DVT</a>, <a href="https://coreem.net/tag/pe/" rel="tag">PE</a>, <a href="https://coreem.net/tag/pulmonary-embolism/" rel="tag">Pulmonary Embolism</a>, <a href="https://coreem.net/tag/vte/" rel="tag">VTE</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Take Home Points</span></strong></p> <ol class="ol1"> <li class="li1"><span class="s1">The PERC risk stratifies low risk PE patients (~10%) to a level low enough (1.9%) as to obviate the need for additional testing.</span></li> <li class="li1"><span class="s1">Age-adjusted D-dimers are ready for use and it doesn’t matter if your assay uses FEU (cutoff 500) or DDU (cutoff 250). For FEU use an upper limit of 10 X age and for DDU use an upper limit of 5 X age.</span></li> <li class="li1"><span class="s1">For now, subsegmental PEs should continue to routinely be anticoagulated even in the absence of a DVT. Keep an eye out for more research on this area.</span></li> <li class="li1"><span class="s1">Although outpatient management of select PE patients (using sPESI or Hestia criteria) may be standard practice, the evidence wasn’t strong enough for ACEP to give it’s support</span></li> <li class="li2"><span class="s1">Patients with DVT can be started on a NOAC and discharged from the ED</span></li> </ol> [caption id="attachment_7115" align="aligncenter" width="501"]<img class="size-full wp-image-7115" src="https://coreem.net/content/uploads/2018/07/sPESI-Tool.png" alt="" width="501" height="587" /> sPESI Tool (MDCalc.com)[/caption] [caption id="attachment_7114" align="aligncenter" width="508"]<img class="size-full wp-im...
Jun 04, 2018
Episode 147.0 – Salicylate Toxicity
10:05
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-147-0/" title="Episode 147.0 – Salicylate Toxicity" rel="bookmark"> <img width="723" height="723" src="https://coreem.net/content/uploads/2018/05/Podcast-Image-147.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/05/Podcast-Image-147.0.png 723w, https://coreem.net/content/uploads/2018/05/Podcast-Image-147.0-150x150.png 150w, https://coreem.net/content/uploads/2018/05/Podcast-Image-147.0-300x300.png 300w, https://coreem.net/content/uploads/2018/05/Podcast-Image-147.0-500x500.png 500w" sizes="(max-width: 723px) 100vw, 723px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This episode reviews the identification and management of patients with salicylate toxicity. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7139-98" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_147_0_Final_Cut.m4a?_=98" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_147_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_147_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_147_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-147-0/#comments">4 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/aspirin/" rel="tag">Aspirin</a>, <a href="https://coreem.net/tag/salicylate/" rel="tag">Salicylate</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ul class="ul1"> <li class="li1"><span class="s2">Always consider salicylate toxicity:</span> <ul class="ul2"> <li class="li1"><span class="s2">In patients with tachypnea, hyperpnea, AMS and clear lungs</span></li> <li class="li1"><span class="s2">In the presence of an anion gap metabolic acidosis with a respiratory alkalosis</span></li> </ul> </li> <li class="li1"><span class="s2">Treat salicylate toxicity by alkalinizing the blood and urine to increase excretion</span></li> <li class="li1"><span class="s2">Avoid intubation until absolutely necessary. If you do have to intubate, minimize apneic time and consider awake intubation and nake sure your ventilator settings match the patient’s necessary high minute ventilation</span></li> <li class="li1"><span class="s2">Think about chronic salicylate toxicity in unexplained altered mental status, tachypnea or metabolic acidosis in elderly</span></li> <li class="li1"><span class="s2">Know indications for hemodialysis in salicylate toxic patients</span></li> </ul> <p class="p4"><span class="s2"><b>Read More</b></span></p> <ul class="ul1"> <li class="li1"><span class="s2">REBEL EM: <a href="http://rebelem.com/salicylate-toxicity/"><span class="s3">Salicylate Toxicity</span></a></span></li> <li class="li5"><span class="s5">LITFL: <a href="https://lifeinthefastlane.com/tox-library/toxicant/analgesia-and-anti-inflammatories/salicylates/"><span class="s6">Salicylates</span></a></span></li> <li class="li5"><span class="s5">Wiki EM:<b> </b><a href="ht...
May 28, 2018
Episode 146.0 – Morning Report Pearls V
7:33
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-146-0/" title="Episode 146.0 – Morning Report Pearls V" rel="bookmark"> <img width="722" height="719" src="https://coreem.net/content/uploads/2018/04/Podcast-Image-146.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/04/Podcast-Image-146.0.png 722w, https://coreem.net/content/uploads/2018/04/Podcast-Image-146.0-150x150.png 150w, https://coreem.net/content/uploads/2018/04/Podcast-Image-146.0-300x300.png 300w" sizes="(max-width: 722px) 100vw, 722px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> More pearls from our fantastic morning report series at Bellevue. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7048-104" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_146_0_Final_Cut.m4a?_=104" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_146_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_146_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_146_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-146-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/endocarditis/" rel="tag">Endocarditis</a>, <a href="https://coreem.net/tag/ludwigs-angina/" rel="tag">Ludwig's Angina</a>, <a href="https://coreem.net/tag/penetrating-neck-trauma/" rel="tag">Penetrating Neck Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Take Home Points</span></strong></p> <ol class="ol1"> <li class="li1"><span class="s1">In patients with neck pain, consider Ludwig’s angina particularly if they have any swelling, fever, truisms or respiratory difficulty. Consider early airway management and get your consultants involved early for operative management</span></li> <li class="li1"><span class="s1">Endocarditis is a tricky diagnosis and will often be subtle. Any patient with a prosthetic valve and a fever has endocarditis until proven otherwise. Suspect it in any patient with fever and a murmur, get lots of cultures and remember that TEE is the gold standard but, TTE is highly specific</span></li> <li class="li1"><span class="s1">Finally, penetrating neck trauma. Patients with hard signs - airway compromise, ongoing brisk bleeding, an expanding/pulsatile hematoma, neurologic compromise, shock or hematemesis should go directly to the OR and don’t probe the wounds!</span></li> </ol> [caption id="attachment_7050" align="aligncenter" width="814"]<img class="size-full wp-image-7050" src="https://coreem.net/content/uploads/2018/04/Hard-Signs-in-Penetrating-Neck-Injury-Sperry-2013.png" alt="" width="814" height="392" /> Hard Signs in Penetrating Neck Injury (Sperry 2013)[/caption] [caption id="attachment_7051" align="aligncenter" width="1040"]<img class="size-full wp-image-7051" src="https://coreem.net/content/uploads/2018/04/WTA-Management-Algorithm-for-Penetrating-Neck-Injury-Sperry-2013.png" alt="" width="1040" height="809" /> Management Algorithm for Penetrating Neck Injury (Sperry 2013)[/capti...
May 21, 2018
Episode 145.0 – All NYC EM 14 Pearls
10:27
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-145-0-all-nyc-em-14-pearls/" title="Episode 145.0 – All NYC EM 14 Pearls" rel="bookmark"> <img width="720" height="721" src="https://coreem.net/content/uploads/2018/04/Podcast-Image-145.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/04/Podcast-Image-145.0.png 720w, https://coreem.net/content/uploads/2018/04/Podcast-Image-145.0-150x150.png 150w, https://coreem.net/content/uploads/2018/04/Podcast-Image-145.0-300x300.png 300w, https://coreem.net/content/uploads/2018/04/Podcast-Image-145.0-500x500.png 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss some pearls from the 14th All NYC EM Conference. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7102-110" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_145_0_Final_Cut.m4a?_=110" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_145_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_145_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_145_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-145-0-all-nyc-em-14-pearls/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/documentation/" rel="tag">Documentation</a>, <a href="https://coreem.net/tag/major-trauma/" rel="tag">Major Trauma</a>, <a href="https://coreem.net/tag/massive-transfusion-protocol/" rel="tag">Massive Transfusion Protocol</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <a href="http://www.allnycem.com/">All NYC EM Conference</a> <strong>Read More</strong> <p class="p1"><span class="s1">Core EM: <a href="https://coreem.net/podcast/episode-77-0-give-txa-now/"><span class="s2">Episode 77.0 - Give TXA Now!</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-145-0-all-nyc-em-14-pearls/">Read More</a>
May 14, 2018
Episode 144.0 – Acute Rhinosinusitis
9:58
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-144-0/" title="Episode 144.0 – Acute Rhinosinusitis" rel="bookmark"> <img width="721" height="720" src="https://coreem.net/content/uploads/2018/04/Podcast-Image-144.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/04/Podcast-Image-144.0.png 721w, https://coreem.net/content/uploads/2018/04/Podcast-Image-144.0-150x150.png 150w, https://coreem.net/content/uploads/2018/04/Podcast-Image-144.0-300x300.png 300w, https://coreem.net/content/uploads/2018/04/Podcast-Image-144.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into rhinosinusitis exploring the recommendations of who needs antibiotics and who doesn't. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7095-116" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_144_0_Final_Cut.m4a?_=116" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_144_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_144_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_144_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-144-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/acute-bacterial-sinusitis/" rel="tag">Acute Bacterial Sinusitis</a>, <a href="https://coreem.net/tag/ent/" rel="tag">ENT</a>, <a href="https://coreem.net/tag/sinusitis/" rel="tag">Sinusitis</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul class="ul1"> <li class="li1"><span class="s1">Acute rhinosinusitis is a clinical diagnosis</span></li> <li class="li1"><span class="s1">The vast majority of acute rhinosinusitis cases are viral in nature and do not require antibiotics</span></li> <li class="li1"><span class="s1">Consider the use of antibiotics in select groups with severe disease or worsening symptoms after initial improvement.</span></li> </ul> <p class="p1"><span class="s1"><b>Read More</b></span></p> Core EM: <a href="https://coreem.net/core/acute-rhinosinusitis/">Acute Rhinosinusitis</a> <p class="p1"><span class="s1">The<a href="http://NNT.com">NNT.com</a>: <a href="http://www.thennt.com/nnt/antibiotics-for-clinically-diagnosed-acute-sinusitis/">Antibiotics for Clinically Diagnosed Acute Sinusitis in Adults</a> </span></p> <p class="p1"><span class="s1">The<a href="http://NNT.com">NNT.com</a>: <a href="http://www.thennt.com/nnt/antibiotics-for-radiologically-diagnosed-sinusitis/">Antibiotics for Radiologically-Diagnosed Acute Maxillary Sinusitis</a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-144-0/">Read More</a>
May 07, 2018
Episode 143.0 – Testicular Torsion
9:22
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-143-0/" title="Episode 143.0 – Testicular Torsion" rel="bookmark"> <img width="721" height="720" src="https://coreem.net/content/uploads/2018/04/Podcast-Image-143.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/04/Podcast-Image-143.0.png 721w, https://coreem.net/content/uploads/2018/04/Podcast-Image-143.0-150x150.png 150w, https://coreem.net/content/uploads/2018/04/Podcast-Image-143.0-300x300.png 300w, https://coreem.net/content/uploads/2018/04/Podcast-Image-143.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review the presentation, examination and diagnosis of testicular torsion. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-7029-122" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_143_0_Final_Cut.m4a?_=122" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_143_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_143_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_143_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-143-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/acute-scrotal-pain/" rel="tag">Acute Scrotal Pain</a>, <a href="https://coreem.net/tag/torsion/" rel="tag">Torsion</a>, <a href="https://coreem.net/tag/urology/" rel="tag">Urology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul class="ul1"> <li class="li1"><span class="s1">Consider the diagnosis of testicular torsion in all patients with acute testicular pain</span></li> <li class="li1"><span class="s1">Testicular torsion is a surgical emergency that requires immediate urologic consultation to increase the rate of tissue salvage.</span></li> <li class="li1"><span class="s1">History, physical examination and ultrasound are all flawed in making the diagnosis. The gold standard is surgical exploration</span></li> <li class="li1"><span class="s1">Consider manual detorsion in patients where consultation will be delayed</span></li> </ul> <p class="p3"><span class="s1"><b>Show Notes</b></span></p> <p class="p3">Core EM: <a href="https://coreem.net/core/testicular-torsion/">Testicular Torsion</a></p> <p class="p1"><span class="s1">Ben-Israel T et al. Clinical predictors for testicular torsion as seen in the pediatric ED. <i>Am J Emerg Med </i>2010; 28:786-789. </span></p> <p class="p1"><span class="s1">Sidler D et al. A 25-year review of the acute scrotum in children. S Afr Med J. 1997;87(12) 1696-8. PMID:</span></p> <p class="p1"><span class="s1">Mellick LB. Torsion of the testicle: It is time to stopping tossing the dice. Pediatric Emer Care 2012; 28: 80-6. PMID: </span></p> <p class="p1"><span class="s1">Ban KM, Easter JS: Selected Urologic Problems; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby,
Apr 30, 2018
Episode 142.0 – Morning Report Pearls IV
7:48
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-142-0/" title="Episode 142.0 – Morning Report Pearls IV" rel="bookmark"> <img width="723" height="721" src="https://coreem.net/content/uploads/2018/03/Podcast-Image-142.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/03/Podcast-Image-142.0.png 723w, https://coreem.net/content/uploads/2018/03/Podcast-Image-142.0-150x150.png 150w, https://coreem.net/content/uploads/2018/03/Podcast-Image-142.0-300x300.png 300w, https://coreem.net/content/uploads/2018/03/Podcast-Image-142.0-500x500.png 500w" sizes="(max-width: 723px) 100vw, 723px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss more pearls from our morning report conference on APE, SAH and caustic ingestions. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6962-128" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_142_0_Final_Cut.m4a?_=128" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_142_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_142_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_142_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-142-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ape/" rel="tag">APE</a>, <a href="https://coreem.net/tag/cardiology/" rel="tag">Cardiology</a>, <a href="https://coreem.net/tag/caustic-ingestions/" rel="tag">Caustic Ingestions</a>, <a href="https://coreem.net/tag/chf/" rel="tag">CHF</a>, <a href="https://coreem.net/tag/sah/" rel="tag">SAH</a>, <a href="https://coreem.net/tag/scape/" rel="tag">SCAPE</a>, <a href="https://coreem.net/tag/subarachnoid-hemorrhage/" rel="tag">Subarachnoid Hemorrhage</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">In patients with APE, give high-dose nitro to decrease after load and preload quickly. 400-500 mcg/min for the first 4-5 minutes is my standard approach</span></li> <li class="li1"><span class="s2">Consider DSI to facilitate pre-oxygenation. Ketamine is your go to drug here</span></li> <li class="li1"><span class="s2">A NCHCT performed within 6 hours of symptom onset is extremely sensitive for ruling out SAH but, nothing is 100%. If you’ve got a high-risk patient, you should still consider LP</span></li> <li class="li1"><span class="s2">Patients with caustic ingestions can have rapidly deteriorating airways. Prepare early and be ready to take over the airway at a moments notice</span></li> </ol> <strong>Read More</strong> <p class="p1"><span class="s1">Core EM: <a href="https://coreem.net/core/ape/"><span class="s2">Acute Pulmonary Edema</span></a></span></p> <p class="p1"><span class="s1">EMCrit: <a href="https://emcrit.org/racc/scape/"><span class="s2">Sympathetic Crashing Acute Pulmonary Edema (SCAPE)</span></a></span></p> <p class="p1"><span class="s1">EMCrit: <a href="https://emcrit.
Apr 23, 2018
Episode 141.0 – Journal Update
11:17
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-141-0/" title="Episode 141.0 – Journal Update" rel="bookmark"> <img width="721" height="721" src="https://coreem.net/content/uploads/2018/03/Podcast-Image-141.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/03/Podcast-Image-141.0.png 721w, https://coreem.net/content/uploads/2018/03/Podcast-Image-141.0-150x150.png 150w, https://coreem.net/content/uploads/2018/03/Podcast-Image-141.0-300x300.png 300w, https://coreem.net/content/uploads/2018/03/Podcast-Image-141.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss some recent publications relevant to EM: ADRENAL, Idarucizumab and Time to Furosemide. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6969-134" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_141_0_Final_Cut.m4a?_=134" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_141_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_141_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_141_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-141-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/adrenal/" rel="tag">ADRENAL</a>, <a href="https://coreem.net/tag/chf/" rel="tag">CHF</a>, <a href="https://coreem.net/tag/corticosteroids/" rel="tag">Corticosteroids</a>, <a href="https://coreem.net/tag/furosemide/" rel="tag">Furosemide</a>, <a href="https://coreem.net/tag/idarucizumab/" rel="tag">Idarucizumab</a>, <a href="https://coreem.net/tag/journal-club/" rel="tag">Journal Club</a>, <a href="https://coreem.net/tag/journal-update/" rel="tag">Journal Update</a>, <a href="https://coreem.net/tag/sepsis/" rel="tag">Sepsis</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p3"><span class="s1">Core EM: <a href="https://coreem.net/journal-reviews/idarucizumab/"><span class="s2">Idarucizumab for Reversal of Dabigitran</span></a></span></p> <p class="p3"><span class="s1">Core EM: <a href="https://coreem.net/journal-reviews/idarucizumab-full/"><span class="s2">Idarucizumab for Reversal of Dabigitran II</span></a></span></p> <p class="p3"><span class="s1">First10EM: <a href="https://first10em.com/idarucizumab/"><span class="s2">Idarucizumab: Plenty of Optimism, Not Enough Science</span></a></span></p> <p class="p5"><span class="s3">EM Lit of Note: <a href="http://www.emlitofnote.com/?p=3939"><span class="s4">The Door-to-Lasix Quality Measure</span></a></span></p> <p class="p5"><span class="s3">EMS MED: <a href="http://www.naemsp-blog.com/emsmed/2017/9/13/when-its-more-complicated-than-a-tweet-door-to-furosemide-and-ems"><span class="s4">When It’s More Complicated Than A Tweet: Door-To-Furosemide And EMS</span></a></span></p> <p class="p5"><span class="s3">REBEL EM: <a href="http://rebelem.com/door-to-furosemide-d2f-in-acute-chfreally/"><span class="s4">Door to Furosemide (D2F) in ...
Apr 16, 2018
Episode 140.0 Disutility of Orthostatics in volume Loss
7:23
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-140-0/" title="Episode 140.0 Disutility of Orthostatics in volume Loss" rel="bookmark"> <img width="722" height="723" src="https://coreem.net/content/uploads/2018/02/Podcast-Image-140.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/02/Podcast-Image-140.0.png 722w, https://coreem.net/content/uploads/2018/02/Podcast-Image-140.0-150x150.png 150w, https://coreem.net/content/uploads/2018/02/Podcast-Image-140.0-300x300.png 300w, https://coreem.net/content/uploads/2018/02/Podcast-Image-140.0-500x500.png 500w" sizes="(max-width: 722px) 100vw, 722px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the disutility of orthostatic vital signs as a diagnostic tool in patients with suspected volume loss. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6907-140" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_140_0_Final_Cut.m4a?_=140" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_140_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_140_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_140_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-140-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cardiology/" rel="tag">Cardiology</a>, <a href="https://coreem.net/tag/orthostatic-hypotension/" rel="tag">Orthostatic Hypotension</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Summary: </b>Based on the limited available evidence, it’s unlikely orthostatic vital sign measurement can be used to determine which patients have volume loss and which do not. The baseline prevalence of orthostatic vital signs is common and patients will not always develop orthostatic vital signs in response to volume loss. Therefore, there will both be patients who are orthostatic by numbers without volume loss and there will be patients with volume loss who are not orthostatic by numbers. Symptoms, with the exception of inability to stand to have orthostatics performed, are not useful either.</span></p> <p class="p1"><span class="s1"><b>Bottom Line: </b>Based on the low overall sensitivity of orthostatic vital sign measurements, they should not be used to influence clinical decision making.</span></p> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">REBEL EM: <a href="http://rebelem.com/orthostatic-hypo%E2%80%A6volume-depletion/"><span class="s3">Orthostatic Hypotension in Volume Depletion</span></a></span></p> <p class="p5"><span class="s1"><b>References:</b></span></p> <span class="s1">Skinner JE et al. Orthostatic heart rate and blood pressure in adolescents: reference ranges. J Child Neuro 2010; 25(10): 1210-5. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/20197269"><span class="s4">20197269</span></a></span> <span class="s1">Stewart JM. Transient orthostatic hypotension is common in adolescents. J Pediatr 2002; 140: 418-24. PMID: <a href="https://www.ncbi.nlm.nih.
Apr 09, 2018
Episode 139.0 – Ear Foreign Body Removal
13:06
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-139-0/" title="Episode 139.0 – Ear Foreign Body Removal" rel="bookmark"> <img width="721" height="721" src="https://coreem.net/content/uploads/2018/02/Podcast-Image-139.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/02/Podcast-Image-139.0.png 721w, https://coreem.net/content/uploads/2018/02/Podcast-Image-139.0-150x150.png 150w, https://coreem.net/content/uploads/2018/02/Podcast-Image-139.0-300x300.png 300w, https://coreem.net/content/uploads/2018/02/Podcast-Image-139.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we welcome back Andy Little from Doctors Hospital in Columbus, Ohio to chat about ear foreign body removal. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6853-146" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_139_0_Final_Cut.m4a?_=146" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_139_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_139_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_139_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-139-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ent/" rel="tag">ENT</a>, <a href="https://coreem.net/tag/foreign-body/" rel="tag">Foreign Body</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p2"><span class="s1">DiMuzio J, Deschler, DG. Emergency department management of foreign bodies of the external ear canal in children. Otol Neurotol. 2002; 23(4):473-5. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/12170148"><span class="s2">12170148</span></a></span></p> <p class="p4"><span class="s3">Leffler S et al. Chemical immobilization and killing of intra-aural roaches: an in-vitro comparative study. Ann Emerg Med. 1993; 22(12):1795-8. PMID: <a href="https://www.ncbi.nlm.nih.gov/m/pubmed/8239097/"><span class="s4">8239097</span></a></span></p> <p class="p5"><span class="s5">ALiEM: <a href="https://www.aliem.com/2015/08/trick-of-the-trade-ear-foreign-body-removal-with-modified-suction-setup/"><span class="s6">Trick of the Trade: Ear Foreign Body Removal with Modified Suction Setup</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-139-0/">Read More</a>
Apr 02, 2018
Episode 138.0 – EEMCrit Pearls
11:07
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-138-0/" title="Episode 138.0 – EEMCrit Pearls" rel="bookmark"> <img width="721" height="719" src="https://coreem.net/content/uploads/2018/03/Podcast-Image-138.0-1.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/03/Podcast-Image-138.0-1.png 721w, https://coreem.net/content/uploads/2018/03/Podcast-Image-138.0-1-150x150.png 150w, https://coreem.net/content/uploads/2018/03/Podcast-Image-138.0-1-300x300.png 300w, https://coreem.net/content/uploads/2018/03/Podcast-Image-138.0-1-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review pearls from the EEMCrit conference back in January 2018. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6922-152" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_138_0_Final_Cut.m4a?_=152" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_138_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_138_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_138_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-138-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/brash/" rel="tag">BRASH</a>, <a href="https://coreem.net/tag/hyperkalemia/" rel="tag">Hyperkalemia</a>, <a href="https://coreem.net/tag/ttp/" rel="tag">TTP</a>, <a href="https://coreem.net/tag/ventricular-tachycardia/" rel="tag">Ventricular Tachycardia</a>, <a href="https://coreem.net/tag/vtach/" rel="tag">VTach</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Show Notes</b></span></p> <p class="p3"><span class="s2">Core EM: <a href="https://coreem.net/journal-reviews/procamio/"><span class="s3">Procainamide vs Amiodarone in Stable Wide QRS Tachydysrhythmias (PROCAMIO)</span></a></span></p> <p class="p4"><span class="s4">PulmCrit: <a href="https://emcrit.org/pulmcrit/myth-busting-lactated-ringers-is-safe-in-hyperkalemia-and-is-superior-to-ns/"><span class="s5">Myth-Buesting: Lactated Ringers is Safe in Hyperkalemia, and Is Superior to NS</span></a></span></p> <p class="p4"><span class="s2">PulmCrit: <a href="https://emcrit.org/pulmcrit/brash-syndrome-bradycardia-renal-failure-av-blocker-shock-hyperkalemia/"><span class="s5">BRASH Syndrome</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-138-0/">Read More</a>
Mar 26, 2018
Episode 137.0 – How to Build a Great Presentation
35:11
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-137-0/" title="Episode 137.0 – How to Build a Great Presentation" rel="bookmark"> <img width="719" height="716" src="https://coreem.net/content/uploads/2018/01/Podcast-Image-137.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/01/Podcast-Image-137.0.png 719w, https://coreem.net/content/uploads/2018/01/Podcast-Image-137.0-150x150.png 150w, https://coreem.net/content/uploads/2018/01/Podcast-Image-137.0-300x300.png 300w" sizes="(max-width: 719px) 100vw, 719px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This podcast discusses an 8 step process for building better presentations. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6757-158" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_137_0_Final_Cut.m4a?_=158" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_137_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_137_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_137_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-137-0/#comments">One Comment</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Resources:</strong> <a href="http://ffolliet.com/">P Cubed Presentations</a> <a href="http://www.presentationzen.com/">Presentation Zen</a> Presentation Zen: <a href="https://www.amazon.com/Presentation-Zen-Simple-Design-Delivery/dp/0321811984">Simple Ideas on Presentation Design and Delivery</a> <a href="http://keynotable.net">Keynotable</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-137-0/">Read More</a>
Mar 19, 2018
Episode 136.0 HIV Related Infections in the ED
9:56
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-136-0/" title="Episode 136.0 HIV Related Infections in the ED" rel="bookmark"> <img width="720" height="721" src="https://coreem.net/content/uploads/2018/01/Podcast-Image-136.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/01/Podcast-Image-136.0.png 720w, https://coreem.net/content/uploads/2018/01/Podcast-Image-136.0-150x150.png 150w, https://coreem.net/content/uploads/2018/01/Podcast-Image-136.0-300x300.png 300w, https://coreem.net/content/uploads/2018/01/Podcast-Image-136.0-500x500.png 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss some pearls and pitfalls when caring for HIV+ patients in the ED. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6762-164" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_136_0_Final_Cut.m4a?_=164" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_136_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_136_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_136_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-136-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/aids/" rel="tag">AIDS</a>, <a href="https://coreem.net/tag/hiv/" rel="tag">HIV</a>, <a href="https://coreem.net/tag/infectious-diseases/" rel="tag">Infectious Diseases</a>, <a href="https://coreem.net/tag/pcp/" rel="tag">PCP</a>, <a href="https://coreem.net/tag/tb/" rel="tag">TB</a>, <a href="https://coreem.net/tag/tuberculosis/" rel="tag">Tuberculosis</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> [caption id="attachment_6764" align="aligncenter" width="742"]<img class="size-full wp-image-6764" src="https://coreem.net/content/uploads/2018/01/HIV-Associated-Infxn-at-CD4-Counts.png" alt="" width="742" height="407" /> HIV Associated Infections Based on CD4 Count (cooperhealth.org)[/caption] <strong>Total Lymphocyte Count</strong> <span class="s1"> = (% lymphocytes x WBC count)/100</span> <ul class="ul1"> <li class="li1"><span class="s1">TLC 1200 cells/mm</span><span class="s3"><sup>3</sup></span><span class="s1"> correlated with CD4 count of < 200 cells/mm</span><span class="s3"><sup>3</sup></span><span class="s1"> with a maximal sensitivity of 72.2%, and specificity of 100%</span></li> <li class="li1"><span class="s1">TLC1500 cells/mm</span><span class="s3"><sup>3</sup></span><span class="s1"> correlated with CD4 count of 200 – 499 cells/mm</span><span class="s3"><sup>3</sup></span><span class="s1"> with a maximal sensitivity of 96.7% and specificity of 100%</span></li> <li class="li1"><span class="s1">TLC 1900 cells/mm</span><span class="s3"><sup>3</sup></span><span class="s1"> correlated with CD4 count of ≥ 500 cells/mm</span><span class="s3"><sup>3</sup></span><span class="s1"> with a maximal sensitivity of 98.5% and specificity of 100%</span></li> </ul> <p class="p1"><span class="s1"><b>Show Notes</b></span></p>
Mar 12, 2018
Episode 135.0 – Occult Causes of Non-Response to Vasopressors
10:25
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-135-0/" title="Episode 135.0 – Occult Causes of Non-Response to Vasopressors" rel="bookmark"> <img width="723" height="720" src="https://coreem.net/content/uploads/2018/01/Screen-Shot-2018-01-09-at-3.15.59-PM.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/01/Screen-Shot-2018-01-09-at-3.15.59-PM.png 723w, https://coreem.net/content/uploads/2018/01/Screen-Shot-2018-01-09-at-3.15.59-PM-150x150.png 150w, https://coreem.net/content/uploads/2018/01/Screen-Shot-2018-01-09-at-3.15.59-PM-300x300.png 300w" sizes="(max-width: 723px) 100vw, 723px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This podcast reviews how clinicians should think about patients who's shock isn't responding to our typical management options. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6670-170" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_135_0_Final_Cut.m4a?_=170" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_135_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_135_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_135_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-135-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/critical-care/" rel="tag">Critical Care</a>, <a href="https://coreem.net/tag/resuscitation/" rel="tag">Resuscitation</a>, <a href="https://coreem.net/tag/shock/" rel="tag">Shock</a>, <a href="https://coreem.net/tag/vasopressors/" rel="tag">Vasopressors</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2>   <img class="size-full wp-image-6671 aligncenter" src="https://coreem.net/content/uploads/2018/01/Occult-Causes-of-Non-Response-to-Pressors-Graphic.png" alt="" width="1022" height="740" /> <strong>Read More</strong> <p class="p3"><span class="s2">Core EM: <a href="https://coreem.net/core/non-response-vasopressors/"><span class="s3">Occult Causes of Non-Response to Vasopressors</span></a></span></p> <p class="p3"><span class="s2">Emergency <a href="http://emupdates.com/2013/06/22/hypotension-differential-diagnosis/"><span class="s3">Medicine Updates: Hypotension: Differential Diagnosis</span></a></span></p> <p class="p3"><span class="s2">EMCrit: <a href="https://emcrit.org/racc/steroids-for-septic-shock-preadrenal/"><span class="s3">Steroids in Septic Shock - PRE-ADRENAL</span></a></span></p> <p class="p3"><span class="s2">The Bottom Line: <a href="http://www.thebottomline.org.uk/blog/steroids-in-sepsis/"><span class="s3">Steroids in Sepsis</span></a></span></p> <p class="p3"><span class="s2">EMCrit: <a href="https://emcrit.org/rush-exam/"><span class="s3">RUSH Exam</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-135-0/">Read More</a>
Mar 05, 2018
Episode 134.0 – Morning Report Pearls III
7:22
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-134-0/" title="Episode 134.0 – Morning Report Pearls III" rel="bookmark"> <img width="723" height="723" src="https://coreem.net/content/uploads/2018/01/Podcast-Image-134.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/01/Podcast-Image-134.0.png 723w, https://coreem.net/content/uploads/2018/01/Podcast-Image-134.0-150x150.png 150w, https://coreem.net/content/uploads/2018/01/Podcast-Image-134.0-300x300.png 300w, https://coreem.net/content/uploads/2018/01/Podcast-Image-134.0-500x500.png 500w" sizes="(max-width: 723px) 100vw, 723px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> More pearls from our fantastic morning report series. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6644-176" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_134_0_Final_Cut.m4a?_=176" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_134_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_134_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_134_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-134-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/all/" rel="tag">ALL</a>, <a href="https://coreem.net/tag/altered-mental-status/" rel="tag">Altered Mental Status</a>, <a href="https://coreem.net/tag/hyperleukocytosis/" rel="tag">Hyperleukocytosis</a>, <a href="https://coreem.net/tag/hyponatremia/" rel="tag">Hyponatremia</a>, <a href="https://coreem.net/tag/leukostasis/" rel="tag">Leukostasis</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Take Home Points <p class="p1"><span class="s1">1. When seeing patients with AMS, think of the 5 broad categories of pathologies - VS abnormalities, toxic-metabolic, infectious causes, CNS abnormalities and, lastly as a diagnosis of exclusion - psychiatric issues</span></p> <p class="p1"><span class="s1">2. In kids with AMS, think of zebra diagnoses and toxic ingestions and remember that primary psychosis is rare</span></p> <p class="p1"><span class="s1">3. Patients with ALL are susceptible to developing hyperleukocytosis. If the WBC is > 100K, think about getting hematology on the line to initiate chemo induction and leukopheresis</span></p> <p class="p1"><span class="s1">4. Always think about electrolyte disorders, particularly hypoNa in patients with global AMS. Remember </span><span class="s1">to treat severe hypoNa w/ hypertonic saline and, to correct slowly as to avoid ODS</span></p> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">LITFL: <a href="https://lifeinthefastlane.com/ccc/hsv-encephalitis/"><span class="s3">HSV Encephalitis</span></a></span></p> EM Cases: <a href="https://emergencymedicinecases.com/episode-60-emergency-management-hyponatremia/">Episode 60 - Emergency Management of Hyponatremia</a> <p class="p3"><span class="s2">Core EM: <a href="https://coreem.net/core/severe-hyponatremia/"><span class="s3">Severe Hyponatremia</span></a></span></p>
Feb 26, 2018
Episode 133.0 – Initial Trauma Assessment
18:08
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-133-0/" title="Episode 133.0 – Initial Trauma Assessment" rel="bookmark"> <img width="721" height="721" src="https://coreem.net/content/uploads/2018/01/Podcast-Image-133.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/01/Podcast-Image-133.0.png 721w, https://coreem.net/content/uploads/2018/01/Podcast-Image-133.0-150x150.png 150w, https://coreem.net/content/uploads/2018/01/Podcast-Image-133.0-300x300.png 300w, https://coreem.net/content/uploads/2018/01/Podcast-Image-133.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive in to the initial trauma assessment. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6663-182" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_133_0_Final_Cut.m4a?_=182" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_133_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_133_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_133_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-133-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/abcdes/" rel="tag">ABCDEs</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol> <li><span class="s2">Development of a systematic approach is essential to rapidly assessing the wide diversity of trauma patients and minimizes missed injures</span></li> <li><span class="s2">Prepare with whatever information is available before the patient arrives and remember to get a good handoff from the pre-hospital team</span></li> <li><span class="s2">Complete the primary survey (ABCDEs) and address immediate life threats</span></li> <li><span class="s2">Round out your assessment with a good medical history and remember to complete a comprehensive head-to-toe exam</span></li> </ol> <p class="p1"><span class="s2"><b>Read More</b></span></p> <p class="p3"><span class="s2">Shlamovitz GZ, et al. Poor test characteristics for the digital rectal examination in trauma patients. Ann Emerg Med. 2007;50(1):25-33, 33.e1. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/17391807"><span class="s6">17391807</span></a></span></p> <p class="p5"><span class="s7">ER Cast: <a href="http://blog.ercast.org/gunshot-groin-kenji-inaba/"><span class="s6">Gunshot to the Groin with Kenji Inaba</span></a></span></p> <p class="p5"><span class="s7">EM:RAP: <a href="https://www.emrap.org/episode/feb2016emrap/dowestillneed"><span class="s6">Do We Still Need The C-Collar</span></a>?</span></p> <p class="p5"><span class="s7">YouTube: <a href="https://www.youtube.com/watch?v=KlPgz1DTDfA"><span class="s6">Death of the Dinosaur: Debunking Trauma Myths by Dr. S.V. Mahadevan</span></a></span></p> <p class="p6"><span class="s7">REBEL EM: <a href="http://rebelem.com/atls-wrong-palpable-blood-pressure-estimates/"><span class="s6">Is ATLS wrong about palpable blood pres...
Feb 19, 2018
Episode 132.0 – Air Embolism
8:58
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-132-0/" title="Episode 132.0 – Air Embolism" rel="bookmark"> <img width="723" height="725" src="https://coreem.net/content/uploads/2018/01/Podcast-Image-132.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/01/Podcast-Image-132.0.png 723w, https://coreem.net/content/uploads/2018/01/Podcast-Image-132.0-150x150.png 150w, https://coreem.net/content/uploads/2018/01/Podcast-Image-132.0-300x300.png 300w, https://coreem.net/content/uploads/2018/01/Podcast-Image-132.0-500x500.png 500w" sizes="(max-width: 723px) 100vw, 723px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into the rare but potentially fatal, and difficult to diagnose, air embolism. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6649-188" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_132_0_Final_Cut.m4a?_=188" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_132_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_132_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_132_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-132-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/air-embolism/" rel="tag">Air Embolism</a>, <a href="https://coreem.net/tag/central-lines/" rel="tag">Central Lines</a>, <a href="https://coreem.net/tag/hyperbaric-oxygen/" rel="tag">Hyperbaric Oxygen</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Air embolism is a rare but potentially fatal complication of central line placement and some surgical procedures and of course of as the result of barotrauma.</span></li> <li class="li1"><span class="s2">Recognizing the signs and symptoms of air embolism can be tricky because it will look like any other ischemic process.<span class="Apple-converted-space">  </span>Consider air embolism if you have a patient that rapidly decompensates after placement of a central line, the most likely culprit for those of us in the ED.</span></li> <li class="li1"><span class="s2">Treatment should focus on supportive cares.<span class="Apple-converted-space">  </span>Give supplemental O2, IV fluids and hemodynamic support and consider hyperbarics and cardiopulmonary bypass for the super sick patient.</span></li> </ol> <p class="p3"><span class="s2"><b>Show Notes</b></span></p> <p class="p5"><span class="s4">Core EM: <a href="https://coreem.net/core/air-embolism/"><span class="s5">Air Embolism</span></a></span></p> <p class="p3"><span class="s2">Blanc et al. Iatrogenic cerebral air embolism: importance of an early hyperbaric oxygenation. </span><span class="s6">Intensive Care Med. 2002; 28(5): 559-63. PMID <a href="https://www.ncbi.nlm.nih.gov/pubmed/12029402"><span class="s7">12029402</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-132-0/">Read More</a>
Feb 12, 2018
Episode 131.0 – Spontaneous Bacterial Peritonitis (SBP)
8:59
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-131-0/" title="Episode 131.0 – Spontaneous Bacterial Peritonitis (SBP)" rel="bookmark"> <img width="723" height="720" src="https://coreem.net/content/uploads/2018/01/Podcast-Image-131.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/01/Podcast-Image-131.0.png 723w, https://coreem.net/content/uploads/2018/01/Podcast-Image-131.0-150x150.png 150w, https://coreem.net/content/uploads/2018/01/Podcast-Image-131.0-300x300.png 300w" sizes="(max-width: 723px) 100vw, 723px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we explore the presentation, diagnosis and management of SBP. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6656-194" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_131_0_Final_Cut.m4a?_=194" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_131_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_131_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_131_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-131-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/gastroenterology/" rel="tag">Gastroenterology</a>, <a href="https://coreem.net/tag/infectious-diseases/" rel="tag">Infectious Diseases</a>, <a href="https://coreem.net/tag/sbp/" rel="tag">SBP</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul class="ul1"> <li class="li1"><span class="s1">SBP is a difficult diagnosis to make because presentations are variable. Consider a diagnostic paracentesis in all patients presenting to the ED with ascites from cirrhosis</span></li> <li class="li1"><span class="s1">An ascites PMN count > 250 cells/mm</span><span class="s2"><sup>3</sup></span><span class="s1"> is diagnostic of SBP but treatment should be considered in any patient with ascites and abdominal pain or fever</span></li> <li class="li1"><span class="s1">Treatment of SBP is with a 3rd generation cephalosporin with the addition of albumin infusion in any patient meeting AASLD criteria (Cr > 1.0 mg/dL, BUN > 30 mg/dL or Total bilirubin > 4 mg/dL)</span></li> </ul> <p class="p5"><span class="s1"><b>Read More</b></span></p> <p class="p7"><span class="s1">Oyama LC: Disorders of the liver and biliary tract, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 90: p 1186-1205.</span></p> REBEL EM: <a href="http://rebelem.com/spontaneous-bacterial-peritonitis/">Spontaneous Bacterial Peritonitis</a> <p class="p9"><span class="s4">EMRAP: <a href="https://www.emrap.org/episode/emraplive5/videodebutpara"><span class="s5">C3 Live Paracentesis Video</span></a></span></p> <p class="p9"><span class="s6">LITFL: <a href="https://lifeinthefastlane.com/ccc/spontaneous-bacterial-peritonitis/"><span class="s7">Spontaneous Bacterial Peritonitis</span></a></span></p> <p class="p9"><span class="s6">SinaiEM: <a href="http://sin...
Feb 05, 2018
Episode 130.0 – Morning Report Pearls II
6:02
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/podcast-episode-130-0/" title="Episode 130.0 – Morning Report Pearls II" rel="bookmark"> <img width="723" height="719" src="https://coreem.net/content/uploads/2017/12/Podcast-Image-130.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/12/Podcast-Image-130.0.png 723w, https://coreem.net/content/uploads/2017/12/Podcast-Image-130.0-150x150.png 150w, https://coreem.net/content/uploads/2017/12/Podcast-Image-130.0-300x298.png 300w" sizes="(max-width: 723px) 100vw, 723px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Another set of high-yield pearls coming out of our morning report conferences. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6509-200" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_130_0_Final_Cut.m4a?_=200" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_130_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_130_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_130_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/podcast-episode-130-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/babesiosis/" rel="tag">Babesiosis</a>, <a href="https://coreem.net/tag/carbon-monoxide/" rel="tag">Carbon Monoxide</a>, <a href="https://coreem.net/tag/doxycycline/" rel="tag">Doxycycline</a>, <a href="https://coreem.net/tag/myasthenia-gravis/" rel="tag">Myasthenia Gravis</a>, <a href="https://coreem.net/tag/tick-borne-illnesses/" rel="tag">Tick-Borne Illnesses</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Non-specific viral syndromes are usually just that, a viral syndrome but, be cautious as a number of more serious ailments can present similarly. This includes tick borne illnesses, acute HIV and carbon monoxide</span></li> <li class="li1"><span class="s2">Doxycycline is safe in kids. The dental staining seen with tetracycline is specific to that drug, not the class. If doxy is the best drug for the disease, use it.</span></li> <li class="li1"><span class="s2">Lots of meds can lead to a myasthenia gravis exacerbation. Carefully review meds before prescribing for interactions</span></li> </ol> <p class="p3"><span class="s2"><b>Read More</b></span></p> <p class="p6"><span class="s5">CDC: <a href="https://www.cdc.gov/rmsf/doxycycline/index.html"><span class="s6">Research on Doxycycline and Tooth Staining</span></a></span></p> <p class="p6"><span class="s7">Core EM: <a href="https://coreem.net/podcast/episode-96-0-co-tox/"><span class="s8">Episode 96.0 - Carbon Monoxide Poisoning</span></a></span></p> <p class="p6"><span class="s7">Sinai EM: <a href="http://sinaiem.org/succinylcholine-in-myasthenia-gravis/"><span class="s8">Succinycholine in Myasthenia Gravis</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/podcast-episode-130-0/">Read More</a>
Jan 29, 2018
Episode 129.0 – Toxic Alcohols
20:28
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-129-0-toxic-alcohols/" title="Episode 129.0 – Toxic Alcohols" rel="bookmark"> <img width="723" height="721" src="https://coreem.net/content/uploads/2017/12/Podcast-Image-129.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/12/Podcast-Image-129.0.png 723w, https://coreem.net/content/uploads/2017/12/Podcast-Image-129.0-150x150.png 150w, https://coreem.net/content/uploads/2017/12/Podcast-Image-129.0-300x300.png 300w, https://coreem.net/content/uploads/2017/12/Podcast-Image-129.0-500x500.png 500w" sizes="(max-width: 723px) 100vw, 723px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> We welcome Meghan Spyres back to the podcast to discuss toxic alcohol ingestion diagnosis and management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6454-206" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_129_0_Final_Cut.m4a?_=206" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_129_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_129_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_129_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-129-0-toxic-alcohols/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ethylene-glycol/" rel="tag">Ethylene Glycol</a>, <a href="https://coreem.net/tag/fomepizole/" rel="tag">Fomepizole</a>, <a href="https://coreem.net/tag/methanol/" rel="tag">Methanol</a>, <a href="https://coreem.net/tag/toxic-alcohols/" rel="tag">Toxic Alcohols</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol> <li>Suspect a toxic alcohol in any patient with a large osmol gap or a large anion gap metabolic acidosis and consider treating these patients empirically.</li> <li>Fomepizole is the critical antidote for toxic alcohol ingestions but, patients are likely going to require dialysis as well.</li> <li>Call your local poison control center if you suspect a toxic alcohol ingestion to help guide management.</li> </ol> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p2"><span class="s2">LITFL: <a href="https://lifeinthefastlane.com/toxic-alcohol-ingestion/"><span class="s3">Toxic Alcohol Ingestion</span></a></span></p> <p class="p2"><span class="s2">ER Cast: <a href="http://blog.ercast.org/mind-gap-anion-gap-acidosis/"><span class="s3">Mind the Gap: Anion Gap Acidosis</span></a></span></p> <p class="p2"><span class="s2">FOAMCast: <a href="http://foamcast.org/2016/02/18/episode-43-alcohols/"><span class="s3">Episode 43 - Alcohols</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-129-0-toxic-alcohols/">Read More</a>
Jan 22, 2018
Episode 128.0 – Hip Dislocations
17:44
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-128-0/" title="Episode 128.0 – Hip Dislocations" rel="bookmark"> <img width="718" height="717" src="https://coreem.net/content/uploads/2018/01/Podcast-Image-128.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2018/01/Podcast-Image-128.0.png 718w, https://coreem.net/content/uploads/2018/01/Podcast-Image-128.0-150x150.png 150w, https://coreem.net/content/uploads/2018/01/Podcast-Image-128.0-300x300.png 300w, https://coreem.net/content/uploads/2018/01/Podcast-Image-128.0-500x500.png 500w" sizes="(max-width: 718px) 100vw, 718px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week, we sit down with Billy Goldberg - senior faculty at NYU/Bellevue, to discuss some nuances of hip dislocation management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6611-212" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_128_0_Final_Cut.m4a?_=212" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_128_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_128_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_128_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-128-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/orthopedics/" rel="tag">Orthopedics</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">Core EM: <a href="https://coreem.net/core/hip-dislocation/"><span class="s3">Hip Dislocation</span></a></span></p> <p class="p3"><span class="s2">OrthoBullets: <a href="https://www.orthobullets.com/trauma/1035/hip-dislocation"><span class="s3">Hip Dislocation</span></a></span></p> <p class="p3"><span class="s2">EMin5: <a href="https://emin5.com/2016/02/01/hip-dislocation/"><span class="s3">Hip Dislocation</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-128-0/">Read More</a>
Jan 15, 2018
Episode 127.0 – Idiopathic Intracranial Hypertension
14:14
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-127-0/" title="Episode 127.0 – Idiopathic Intracranial Hypertension" rel="bookmark"> <img width="720" height="718" src="https://coreem.net/content/uploads/2017/12/Podcast-Image-127.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/12/Podcast-Image-127.0.png 720w, https://coreem.net/content/uploads/2017/12/Podcast-Image-127.0-150x150.png 150w, https://coreem.net/content/uploads/2017/12/Podcast-Image-127.0-300x300.png 300w, https://coreem.net/content/uploads/2017/12/Podcast-Image-127.0-500x500.png 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we talk about the subacute headache and the dangerous, can't miss diagnoses of cerebral venous thrombosis and IIH </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6450-218" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_127_0_Final_Cut.m4a?_=218" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_127_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_127_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_127_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-127-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cerebral-venous-sinus-thrombosis/" rel="tag">Cerebral Venous Sinus Thrombosis</a>, <a href="https://coreem.net/tag/headache/" rel="tag">Headache</a>, <a href="https://coreem.net/tag/neurology/" rel="tag">Neurology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Take Home Points</span></strong></p> <ul class="ul1"> <li class="li1"><span class="s1">Keep IIH and CVST on the differential for patient’s coming in with a subacute headache, particularly if they have visual or neuro symptoms.</span></li> <li class="li1"><span class="s1">Consider an ocular ultrasound! It’s quick, shockingly easy to do, and can help point you toward a diagnosis you may have otherwise overlooked.<span class="Apple-converted-space">  </span>I have made it my practice now to include a quick look in the physical exam of my patients with a concerning sounding headache or a headache with neurologic symptoms. </span></li> <li class="li1"><span class="s1">Consider IIH particularly in an overweight female of child bearing age with a subacute headache, but remember patients outside that demographic can have IIH as well.</span></li> <li class="li2"><span class="s1">Consider CVST in a patient with a thrombophilic process like cancer, pregnancy or the use of OCPs or androgens or in a patient with a recent facial infection like sinusitis or cellulitis.</span></li> </ul> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p5"><span class="s4">WikEM: <a href="https://wikem.org/w/index.php?title=Idiopathic_intracranial_hypertension&redirect=no"><span class="s5">Idiopathic Intracranial Hypertension</span></a></span></p> <p class="p5"><span class="s4">WikEM: <a href="https://wikem....
Jan 08, 2018
Episode 126.0 – Flexor Tenosynovitis
8:57
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-126-0/" title="Episode 126.0 – Flexor Tenosynovitis" rel="bookmark"> <img width="723" height="723" src="https://coreem.net/content/uploads/2017/12/Podcast-Image-126.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/12/Podcast-Image-126.0.png 723w, https://coreem.net/content/uploads/2017/12/Podcast-Image-126.0-150x150.png 150w, https://coreem.net/content/uploads/2017/12/Podcast-Image-126.0-300x300.png 300w, https://coreem.net/content/uploads/2017/12/Podcast-Image-126.0-500x500.png 500w" sizes="(max-width: 723px) 100vw, 723px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the uncommon but must make diagnosis of flexor tenosynovitis </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6446-224" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_126_0_Final_Cut.m4a?_=224" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_126_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_126_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_126_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-126-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/hand/" rel="tag">Hand</a>, <a href="https://coreem.net/tag/kanavel-signs/" rel="tag">Kanavel Signs</a>, <a href="https://coreem.net/tag/orthopedics/" rel="tag">Orthopedics</a>, <a href="https://coreem.net/tag/soft-tissue-infections/" rel="tag">Soft Tissue Infections</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul class="ul1"> <li class="li2"><span class="s1">Think about flexor tenosynovitis in a patient with atraumatic finger pain.<span class="Apple-converted-space">  </span>They may have any combination of these signs: </span> <ul class="ul1"> <li class="li3"><span class="s1">Tenderness along the course of the flexor tendon</span></li> <li class="li3"><span class="s1">Symmetrical swelling of the finger - often called the sausage digit</span></li> <li class="li3"><span class="s1">Pain on passive extension of the finger and</span></li> <li class="li3"><span class="s1">Patient holds the finger in a flex position at rest for increased comfort</span></li> </ul> </li> <li class="li4"><span class="s1">Give antibiotics to cover staph, strep and possibly gram negatives. </span></li> <li class="li2"><span class="s1">Get your surgeon to see the patient, while we can get the antibiotics started, these patients need admission and may require surgical intervention.</span></li> </ul> <p class="p6"></p> <p class="p6"><span class="s1"><b>Read More</b></span></p> <p class="p9"><span class="s1">Mailhot T, Lyn ET: Hand; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 50: p 534-571</span></p> <p class="p11"><span class="s7">OrthoBullets: <a href="https://www.orthobullets.
Dec 18, 2017
Episode 125.0 – Morning Report Pearls I
5:39
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-125-0/" title="Episode 125.0 – Morning Report Pearls I" rel="bookmark"> <img width="720" height="721" src="https://coreem.net/content/uploads/2017/12/Podcast-Image-125.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/12/Podcast-Image-125.0.png 720w, https://coreem.net/content/uploads/2017/12/Podcast-Image-125.0-150x150.png 150w, https://coreem.net/content/uploads/2017/12/Podcast-Image-125.0-300x300.png 300w, https://coreem.net/content/uploads/2017/12/Podcast-Image-125.0-500x500.png 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss some critical pearls and teaching points from our morning report conference. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6437-230" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_125_0_Final_Cut.m4a?_=230" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_125_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_125_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_125_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-125-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/fluoroquinolones/" rel="tag">Fluoroquinolones</a>, <a href="https://coreem.net/tag/pneumonia/" rel="tag">Pneumonia</a>, <a href="https://coreem.net/tag/spleen/" rel="tag">Spleen</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> FOAMCast: <a href="http://foamcast.org/2014/10/15/episode-17-the-spleen/">Episode 17 - The Spleen!</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-125-0/">Read More</a>
Dec 11, 2017
Episode 124.0 – Metformin-Associated Lactic Acidosis
5:51
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-124-0/" title="Episode 124.0 – Metformin-Associated Lactic Acidosis" rel="bookmark"> <img width="719" height="718" src="https://coreem.net/content/uploads/2017/11/Podcast-Image-124.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/11/Podcast-Image-124.0.png 719w, https://coreem.net/content/uploads/2017/11/Podcast-Image-124.0-150x150.png 150w, https://coreem.net/content/uploads/2017/11/Podcast-Image-124.0-300x300.png 300w, https://coreem.net/content/uploads/2017/11/Podcast-Image-124.0-500x500.png 500w" sizes="(max-width: 719px) 100vw, 719px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss a quick case leading into the management of MALA. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6342-236" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_124_0_Final_Cut.m4a?_=236" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_124_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_124_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_124_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-124-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/metformin/" rel="tag">Metformin</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul class="ul1"> <li class="li1"><span class="s1">In patients with shortness of breath and clear lungs, consider metabolic acidosis with respiratory alkalis as a potential cause</span></li> <li class="li1"><span class="s1">Suspect MALA in any patient on metformin who presents with abdominal pain, nausea and vomiting and/or AMS</span></li> <li class="li1"><span class="s1">Patients with MALA will have a low pH, a high-anion gap metabolic acidosis and high lactate levels</span></li> <li class="li2"><span class="s1">Call your tox consultant to assist with management which will focus on fluid resuscitation with isotonic bicarbonate and dialysis</span></li> </ul> <p class="p4"><span class="s1"><b>Read More</b></span></p> <p class="p7"><span class="s1">Bosse GM. Antidiabetics and Hypoglycemics. In: Hoffman RS, Howland M, Lewin NA, Nelson LS, Goldfrank LR. eds. Goldfrank's Toxicologic Emergencies, 10e New York, NY: McGraw-Hill; 2015. <a href="http://accessemergencymedicine.mhmedical.com.ezproxy.med.nyu.edu/content.aspx?bookid=1163&sectionid=65095317."><span class="s4">Link</span></a> Accessed October 31, 2017</span></p> <p class="p9"><span class="s5">LITFL: <a href="https://lifeinthefastlane.com/ccc/metformin-related-lactic-acidosis/"><span class="s6">Metformin-Associated Lactic Acidosis</span></a></span></p> <p class="p9"><span class="s5">LITFL: <a href="https://lifeinthefastlane.com/tox-library/toxicant/anti-diabetic/metformin/"><span class="s6">Metformin</span></a></span></p> <p class="p9"><span class="s5">The Poison Review: <a href="http://www.
Dec 04, 2017
Episode 123.0 – Paracentesis Journal Update
6:57
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-123-0/" title="Episode 123.0 – Paracentesis Journal Update" rel="bookmark"> <img width="721" height="719" src="https://coreem.net/content/uploads/2017/10/Podcast-Image-123.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/10/Podcast-Image-123.0.png 721w, https://coreem.net/content/uploads/2017/10/Podcast-Image-123.0-150x150.png 150w, https://coreem.net/content/uploads/2017/10/Podcast-Image-123.0-300x300.png 300w, https://coreem.net/content/uploads/2017/10/Podcast-Image-123.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into a recent journal article questioning whether we should tap all ascites. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6304-242" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_123_0_Final_Cut.m4a?_=242" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_123_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_123_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_123_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-123-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/albumin/" rel="tag">Albumin</a>, <a href="https://coreem.net/tag/cirrhosis/" rel="tag">Cirrhosis</a>, <a href="https://coreem.net/tag/paracentesis/" rel="tag">Paracentesis</a>, <a href="https://coreem.net/tag/sbp/" rel="tag">SBP</a>, <a href="https://coreem.net/tag/spontaneous-bacterial-peritonitis/" rel="tag">Spontaneous Bacterial Peritonitis</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">SBP is a difficult diagnosis to make clinically. While patients may have the triad of fever, abdominal pain and increasing ascites, they are far more likely to only have 1 or 2 of these symptoms</span></li> <li class="li1"><span class="s2">In patients admitted to the hospital with ascites, consider performing a diagnostic paracentesis on all patients as limited literature shows an association with decreased mortality and, the procedure is simple and low risk</span></li> <li class="li1"><span class="s2">Once you get the fluid, focus on the cell count: WBC > 500 or PMN > 250 should prompt treatment with a 3rd generation cephalosporin and albumin infusion</span></li> </ol> <p class="p1"><span class="s1">Gaetano et al. The benefit of paracentesis on hospitalized adults with cirrhosis and ascites. Journal of Gastroenterology and Hepatology 2016. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/26642977"><span class="s2">26642977</span></a></span></p> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p4"><span class="s3">EMRAP: <a href="https://www.emrap.org/episode/emraplive5/videodebutpara"><span class="s4">C3 Live Paracentesis Video</span></a></span></p> <p class="p4"><span class="s5">LITFL: <a href="https://lifeinthefastlane.com/ccc/spontaneous-bacterial-peritonitis/"><span class="s2">...
Nov 27, 2017
Episode 122.0 – True Knee Dislocations
7:34
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-122-0/" title="Episode 122.0 – True Knee Dislocations" rel="bookmark"> <img width="720" height="717" src="https://coreem.net/content/uploads/2017/10/Podcast-Image-122.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/10/Podcast-Image-122.0.png 720w, https://coreem.net/content/uploads/2017/10/Podcast-Image-122.0-150x150.png 150w, https://coreem.net/content/uploads/2017/10/Podcast-Image-122.0-300x300.png 300w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the tibio-femoral knee dislocation focusing on identification of the dangerous complications. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6174-248" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_122_0_Final_Cut.m4a?_=248" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_122_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_122_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_122_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-122-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/knee-dislocation/" rel="tag">Knee Dislocation</a>, <a href="https://coreem.net/tag/orthopedics/" rel="tag">Orthopedics</a>, <a href="https://coreem.net/tag/popliteal-artery/" rel="tag">Popliteal Artery</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Take Home Points</span></strong></p> <ol class="ol1"> <li class="li1"><span class="s1">Up to 50% of true knee dislocations will spontaneously reduce prior to arrival. Be suspicious of a dislocation in any patient who describes the joint moving out of place or if they have significant swelling, joint effusion or ecchymosis despite normal X-rays</span></li> <li class="li1"><span class="s1">In all patients with suspected dislocation, perform a neurovascular exam immediately as popliteal artery injury is common. If they’ve got an absent DP or PT pulse, reduce immediately and get a CT angiogram as quickly as possible to assess for popliteal injuries</span></li> <li class="li1"><span class="s1">If distal pulses are intact, you can either do ABIs and if normal, observe and repeat them or get a CTA. If the ABI is abnormal or the patient had an absent or decreased pulse at any point, get the CTA</span></li> </ol> <p class="p3"><span class="s1"><b>Read More</b></span></p> <p class="p7"><span class="s4">OrthoBullets: <a href="https://www.orthobullets.com/trauma/1043/knee-dislocation"><span class="s5">Knee Dislocation</span></a></span></p> <p class="p7"><span class="s4">Radiopaedia: <a href="https://radiopaedia.org/articles/knee-dislocation"><span class="s5">Knee Dislocation</span></a></span></p> <p class="p7"><span class="s4">EM: RAP: <a href="https://www.emrap.org/episode/march2015/obesepatientand"><span class="s5">Obese Patient and Knee Dislocations</span></a></span></p> <p class="p7"><span class="s6">Core EM: <a href="https://c...
Nov 20, 2017
Episode 121.0 – Pancreatitis
13:41
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-121-0/" title="Episode 121.0 – Pancreatitis" rel="bookmark"> <img width="717" height="720" src="https://coreem.net/content/uploads/2017/10/Podcast-Image-121.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/10/Podcast-Image-121.0.png 717w, https://coreem.net/content/uploads/2017/10/Podcast-Image-121.0-150x150.png 150w, https://coreem.net/content/uploads/2017/10/Podcast-Image-121.0-300x300.png 300w" sizes="(max-width: 717px) 100vw, 717px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into the diagnosis and management of pancreatitis in the ED </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6136-254" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_121_0_Final_Cut.m4a?_=254" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_121_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_121_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_121_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-121-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/gastroenterology/" rel="tag">Gastroenterology</a>, <a href="https://coreem.net/tag/gi/" rel="tag">GI</a>, <a href="https://coreem.net/tag/pancreatitis/" rel="tag">Pancreatitis</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> [caption id="attachment_6188" align="aligncenter" width="593"]<img class="size-full wp-image-6188" src="http://coreem.net/content/uploads/2017/11/Ransons-Criteria-for-Pancreatitis-Associated-Mortality-Rosens.png" alt="" width="593" height="582" /> Ranson's Criteria for Pancreatitis-Associated Mortality (Rosen's)[/caption] <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul> <li class="li2"><span class="s1">Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipsae 3x normal, CT scan)</span></li> <li class="li2"><span class="s1">A RUQ US should be performed looking for gallstones as this finding significantly alters management</span></li> <li class="li2"><span class="s1">The focus of management is on supportive care. IV fluids, while central to therapy, should be given judiciously and titrated to end organ perfusion</span></li> <li class="li3"><span class="s1">Patients will mild pancreatitis who are tolerating oral intake and can reliably follow up, can be discharged home</span></li> </ul> <p class="p5"><span class="s1"><b>Read More</b></span></p> <p class="p5"><span class="s1">Hemphill RR, Santen SA: Disorders of the Pancreas; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 91: p 1205-1226</span></p> <p class="p9"><span class="s4">PulmCrit: <a href="https://emcrit.org/pulmcrit/the-myth-of-large-volume-resuscitation-in-acute-pancreatitis/"><span class="s5">The Myth of Large-Volume Resuscitation in Acute Pancreatitis</span></a></span></p>
Nov 13, 2017
Episode 120.0 – Bites and Stings
8:43
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-120-0/" title="Episode 120.0 – Bites and Stings" rel="bookmark"> <img width="721" height="721" src="https://coreem.net/content/uploads/2017/09/Podcast-Image-120.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/09/Podcast-Image-120.0.png 721w, https://coreem.net/content/uploads/2017/09/Podcast-Image-120.0-150x150.png 150w, https://coreem.net/content/uploads/2017/09/Podcast-Image-120.0-300x300.png 300w, https://coreem.net/content/uploads/2017/09/Podcast-Image-120.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss common bites, stings and envenomations. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6104-260" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_120_0_Final_Cut.m4a?_=260" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_120_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_120_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_120_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-120-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/bee-sting/" rel="tag">Bee Sting</a>, <a href="https://coreem.net/tag/black-widow/" rel="tag">Black Widow</a>, <a href="https://coreem.net/tag/brown-recluse-spider/" rel="tag">Brown Recluse Spider</a>, <a href="https://coreem.net/tag/hymenoptera/" rel="tag">Hymenoptera</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">The most common bites and stings you will see are by bees and ants.<span class="Apple-converted-space">  </span>These can present as a local reaction, toxic reaction, anaphylaxis or delayed reaction.<span class="Apple-converted-space">  </span>For all of these, treat with local wound care and epinephrine for any systemic symptoms.</span></li> <li class="li1"><span class="s2">The brown recluse spider is found in the Midwest and presents as local pain and swelling but carries the risk of a necrotic ulcer</span></li> <li class="li1"><span class="s2">The black widow spider is found all around the US and presents with either localized or generalized muscle cramping, localized sweating and potentially tachycardia and hypertension.<span class="Apple-converted-space">  </span>Treatment is symptom management with analgesics and benzos.</span></li> <li class="li1"><span class="s2">The bark scorpion usually presents with localized pain and swelling, but particularly in children, may present with a serious systemic presentation including jerking muscle movements, cranial nerve dysfunction, hypersalivation, ataxia and opsoclonus, which is the rapid, involuntary movement of the eyes in all directions. Treatment is supportive cares, but remember to call your poison center to ask about antivenin.</span></li> </ol> <p class="p3"><span class="s2"><b>Read More</b></span></p> <p class="p5"><span class="s5">WikEM: <a href="https://wikem.
Nov 06, 2017
Episode 119.0 – Journal Update
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-119-0-journal-update/" title="Episode 119.0 – Journal Update" rel="bookmark"> <img width="721" height="720" src="https://coreem.net/content/uploads/2017/09/Podcast-Image-119.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/09/Podcast-Image-119.0.png 721w, https://coreem.net/content/uploads/2017/09/Podcast-Image-119.0-150x150.png 150w, https://coreem.net/content/uploads/2017/09/Podcast-Image-119.0-300x300.png 300w, https://coreem.net/content/uploads/2017/09/Podcast-Image-119.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review 4 articles discussed in our conference in the last month. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6087-266" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_119_0_Final_Cut.m4a?_=266" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_119_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_119_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_119_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-119-0-journal-update/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/acs/" rel="tag">ACS</a>, <a href="https://coreem.net/tag/ami/" rel="tag">AMI</a>, <a href="https://coreem.net/tag/cardiac-arrest/" rel="tag">Cardiac Arrest</a>, <a href="https://coreem.net/tag/cardiology/" rel="tag">Cardiology</a>, <a href="https://coreem.net/tag/oxygen/" rel="tag">Oxygen</a>, <a href="https://coreem.net/tag/pediatrics/" rel="tag">Pediatrics</a>, <a href="https://coreem.net/tag/pocus/" rel="tag">POCUS</a>, <a href="https://coreem.net/tag/syncope/" rel="tag">Syncope</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Tachycardia in peds patients at discharge was associated with more revisits but not with more critical interventions. If your workup is reassuring, isolated tachycardia in and of itself shouldn’t change your disposition.</span></li> <li class="li1"><span class="s2">Supplemental O2 is not necessary in the management of AMI patients with an O2 sat > 90% and, may be harmful</span></li> <li class="li1"><span class="s2">Until further study and prospective validation has been performed, we’re not going to recommend embracing the Canadian decision instrument on predicting dysrhythmias after a syncopal event.</span></li> <li class="li1"><span class="s2">Finally, our agreement on what cardiac standstill is isn’t great. We need a unified definition going forward to teach our trainees and for the purposes of research.</span></li> </ol> <p class="p3"><strong><span class="s2">Read More</span></strong></p> <p class="p5"><span class="s4">Core EM: <a href="https://coreem.net/journal-reviews/reason-study/"><span class="s5">ED POCUS in OHCA - The REASON Study</span></a></span></p> <p class="p6"><span class="s6">ALiEM: <a href="https://www.aliem.
Oct 30, 2017
Episode 118.0 – Acute Cholangitis
7:53
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-118-0/" title="Episode 118.0 – Acute Cholangitis" rel="bookmark"> <img width="716" height="717" src="https://coreem.net/content/uploads/2017/09/Podcast-Image-118.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/09/Podcast-Image-118.0.png 716w, https://coreem.net/content/uploads/2017/09/Podcast-Image-118.0-150x150.png 150w, https://coreem.net/content/uploads/2017/09/Podcast-Image-118.0-300x300.png 300w, https://coreem.net/content/uploads/2017/09/Podcast-Image-118.0-500x500.png 500w" sizes="(max-width: 716px) 100vw, 716px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Part II of II on gallbladder disorders finishing up with acute cholangitis. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6008-272" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_118_0_Final_Cut.m4a?_=272" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_118_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_118_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_118_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-118-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/gallbladder/" rel="tag">Gallbladder</a>, <a href="https://coreem.net/tag/gastroenterology/" rel="tag">Gastroenterology</a>, <a href="https://coreem.net/tag/general-surgery/" rel="tag">General Surgery</a>, <a href="https://coreem.net/tag/gi/" rel="tag">GI</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul class="ol1"> <li class="li1"><span class="s1">Cholangitis is an acute bacterial infection of the bile ducts resulting from common bile duct obstruction and is potentially life-threatening (mortality 5-10%, acute bacterial infection of the bile ducts</span></li> <li class="li1"><span class="s1">Diagnosis is based on clinical findings and while imaging can be supportive, it is frequently non-diagnostic. Look for RUQ tenderness with peritoneal signs and fever</span></li> <li class="li1"><span class="s1">A normal ultrasound does not rule out acute cholangitis</span></li> <li class="li1"><span class="s1">Treatment focuses on supportive care, broad spectrum antibiotics and consultation with a provider that can provide biliary tract decompression (IR, gastroenterology or general surgery)</span></li> </ul> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p2"><span class="s2">Radiopaedia: <a href="http://radiopaedia.org/articles/acute-cholangitis"><span class="s3">Acute cholangitis</span></a></span></p> <p class="p2"><span class="s2">Core EM: <a href="https://coreem.net/core/cholangitis/"><span class="s3">Cholangitis</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-118-0/">Read More</a>
Oct 23, 2017
Episode 117.0 – Acute Cholecystitis
9:27
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-117-0/" title="Episode 117.0 – Acute Cholecystitis" rel="bookmark"> <img width="718" height="718" src="https://coreem.net/content/uploads/2017/09/Podcast-Image-117.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/09/Podcast-Image-117.0.png 718w, https://coreem.net/content/uploads/2017/09/Podcast-Image-117.0-150x150.png 150w, https://coreem.net/content/uploads/2017/09/Podcast-Image-117.0-300x300.png 300w, https://coreem.net/content/uploads/2017/09/Podcast-Image-117.0-500x500.png 500w" sizes="(max-width: 718px) 100vw, 718px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Part I of II on gallbladder pathology starting with cholecystitis. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-6004-278" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_117_0_Final_Cut.m4a?_=278" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_117_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_117_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_117_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-117-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/gallbladder/" rel="tag">Gallbladder</a>, <a href="https://coreem.net/tag/gastroenterology/" rel="tag">Gastroenterology</a>, <a href="https://coreem.net/tag/general-surgery/" rel="tag">General Surgery</a>, <a href="https://coreem.net/tag/gi/" rel="tag">GI</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul> <li class="li2"><span class="s1">Acute cholecystitis is an inflammation of the gallbladder and is a clinical diagnosis. Imaging can be helpful but US and CT can both have false negatives.</span></li> <li class="li2"><span class="s1">Lab tests are insensitive and non-specific and, as such, they can neither rule in or rule out the diagnosis.</span></li> <li class="li2"><span class="s1">Treatment focuses on fluid resuscitation when indicated, supportive care, antibiotics and surgical consultation for cholecystectomy</span></li> <li class="li2"><span class="s1">Although uncommon, be aware that patients can develop gangrene, necrosis and perforation as well as frank sepsis and require aggressive resuscitation</span></li> </ul> <p class="p1"><span class="s1"><b>Read More</b></span></p> <span class="s2">Core EM: <a href="https://coreem.net/core/acute-cholecystitis/"><span class="s3">Acute Cholecystitis</span></a></span> <p class="p2"><span class="s1">Oyama LC: Disorders of the liver and biliary tract, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 90: p 1186-1205.</span></p> <p class="p2"><span class="s1">Leschka S et al. Chapter 5.1: Acute abdominal pain: diagnostic strategies In: Schwartz DT: <i>Emergency Radiology: Case Studies. </i>New York, NY: McGraw-Hill, 2008. </span></p> <p class="p2"><span class="s1">Menu Y, Vuillerme MP.
Oct 16, 2017
Episode 116.0 – Button Battery Ingestion
9:37
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-116-0/" title="Episode 116.0 – Button Battery Ingestion" rel="bookmark"> <img width="716" height="719" src="https://coreem.net/content/uploads/2017/08/Podcast-Image-116.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/08/Podcast-Image-116.0.png 716w, https://coreem.net/content/uploads/2017/08/Podcast-Image-116.0-150x150.png 150w, https://coreem.net/content/uploads/2017/08/Podcast-Image-116.0-300x300.png 300w" sizes="(max-width: 716px) 100vw, 716px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This podcast discusses the presentation and management of button battery ingestions in kids. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5982-284" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_116_0_Final_Cut.m4a?_=284" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_116_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_116_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_116_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-116-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/button-battery/" rel="tag">Button Battery</a>, <a href="https://coreem.net/tag/gi/" rel="tag">GI</a>, <a href="https://coreem.net/tag/pediatrics/" rel="tag">Pediatrics</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> [caption id="attachment_5973" align="aligncenter" width="1050"]<img class="size-full wp-image-5973" src="http://coreem.net/content/uploads/2017/08/NBIH-Button-Battery-Ingestion-Algorithm.png" alt="" width="1050" height="1362" /> NBIH Button Battery Ingestion Algorithm[/caption] [caption id="attachment_5971" align="aligncenter" width="836"]<img class=" wp-image-5971" src="http://coreem.net/content/uploads/2017/08/Button-Battery-XR-scielo.br_.jpg" alt="" width="836" height="392" /> Button Battery XR (scielo.br)[/caption] <img class="aligncenter size-full wp-image-5972" src="http://coreem.net/content/uploads/2017/08/X-ray-Radiographic-Appearance-of-Coings-and-Disk-Batteries-www.hawaii.edu_.png" alt="" width="767" height="518" /> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ol class="ol1"> <li class="li1"><span class="s1">Button battery ingestions are extremely dangerous. Necrosis, perforation and erosion into vessels can occur in as little as 2 hours</span></li> <li class="li1"><span class="s1">ALL esophageal button batteries should be removed within 2 hours of presentation to minimize mucosal damage</span></li> <li class="li1"><span class="s1">Consider button battery ingestion in children presenting with dysphagia, refusal to eat and hematemesis</span></li> <li class="li1"><span class="s1">Co-ingestion of a button battery with a magnet requires emergency removal regardless of where it is in the GI system</span></li> </ol> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">National Capital Poison Center: <a href="http://www.poison.org/battery/guideline"><span class="s3">NBIH But...
Oct 10, 2017
Episode 115.0 – Wernicke’s Encephalopathy
12:12
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-115-0/" title="Episode 115.0 – Wernicke’s Encephalopathy" rel="bookmark"> <img width="716" height="719" src="https://coreem.net/content/uploads/2017/08/Podcast-Image-115.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/08/Podcast-Image-115.0.png 716w, https://coreem.net/content/uploads/2017/08/Podcast-Image-115.0-150x150.png 150w, https://coreem.net/content/uploads/2017/08/Podcast-Image-115.0-300x300.png 300w" sizes="(max-width: 716px) 100vw, 716px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we sit down with toxicologist Meghan Spyres to talk about Wernicke's Encephalopathy. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5930-290" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_115_0_Final_Cut.m4a?_=290" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_115_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_115_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_115_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-115-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/alcohol-abuse/" rel="tag">Alcohol Abuse</a>, <a href="https://coreem.net/tag/thiamine/" rel="tag">Thiamine</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a>, <a href="https://coreem.net/tag/wernickes-encephalopathy/" rel="tag">Wernicke's Encephalopathy</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol> <li>Consider the diagnosis in all patients with nutritional deficiencies, not just alcoholics.</li> <li>Look for ophthalmoplegia, ataxia and confusion in patients that have risk factors for thiamine deficiency.</li> <li>Don't think that it can't be Wernicke's because the triad isn't complete; any two of the components (dietary deficiency, oculomotor abnormalities, cerebellar dysfunction or altered mental status) makes the diagnosis.</li> <li>Treat Wernicke's with an initial dose of 500 mg of thiamine IV and admit for continued parenteral therapy.</li> </ol> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">LITFL: <a href="https://lifeinthefastlane.com/ccc/thiamine-deficiency/"><span class="s3">Thiamine Deficiency</span></a><b> </b></span></p> <p class="p3"><span class="s2">EMRAP: <a href="https://www.emrap.org/episode/thereturn/annalsof"><span class="s3">Remember to Take Your Vitamins</span></a></span></p> <p class="p3"><span class="s2">ALiEM: <a href="https://www.aliem.com/2014/11/mythbusting-banana-bag/"><span class="s3">Mythbusting the Banana Bag</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-115-0/">Read More</a>
Oct 02, 2017
Episode 114.0 – Evaluation of the Alcohol Intoxicated Patient
14:12
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-114-0/" title="Episode 114.0 – Evaluation of the Alcohol Intoxicated Patient" rel="bookmark"> <img width="722" height="721" src="https://coreem.net/content/uploads/2017/08/Podcast-Image-114.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/08/Podcast-Image-114.0.png 722w, https://coreem.net/content/uploads/2017/08/Podcast-Image-114.0-150x150.png 150w, https://coreem.net/content/uploads/2017/08/Podcast-Image-114.0-300x300.png 300w, https://coreem.net/content/uploads/2017/08/Podcast-Image-114.0-500x500.png 500w" sizes="(max-width: 722px) 100vw, 722px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the initial approach to assessment of the alcohol intoxicated patient. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5801-296" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_114_0_Final_Cut.m4a?_=296" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_114_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_114_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_114_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-114-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/alcohol-intoxication/" rel="tag">Alcohol Intoxication</a>, <a href="https://coreem.net/tag/chronic-alcoholism/" rel="tag">Chronic Alcoholism</a>, <a href="https://coreem.net/tag/wernickes-encephalopathy/" rel="tag">Wernicke's Encephalopathy</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ul> <li class="li1"><span class="s2">Chronic drinkers and even just acutely intoxicated patients are at risk of many medical emergencies including life threatening trauma, infections, metabolic derangements and tox exposures.<span class="Apple-converted-space">  </span>Don’t dismiss them as “just drunk”</span></li> <li class="li1"><span class="s2">Undress these patients and perform a thorough head to toe examination, focusing on looking for e/o trauma and infection.<span class="Apple-converted-space">  </span>Get as much history as you can and be sure to ask about their drinking habits and etoh w/d hx to risk stratify them in your brain</span></li> <li class="li1"><span class="s2">Always check FS glucose and replete glucose as needed. </span></li> <li class="li1"><span class="s2">Consider giving your chronic intoxicated patients thiamine injections semi-regularly to prevent WE, and look for e/o the triad in your patients as it can be easily overlooked and deadly if missed!</span></li> </ul> <strong>Read More</strong> <p class="p2"><span class="s2">EM Docs: <a href="http://www.emdocs.net/em3am-alcohol-intoxication/"><span class="s3">EM@3AM Alcohol Intoxication</span></a></span></p> <p class="p4"><span class="s2">EM Updates: <a href="http://emupdates.com/2016/09/03/emergency-management-of-the-agitated-patient/"><span class="s3">Emergency Management of the Agitated Patient</span></a></span></p> <p class="p4"><span class="s2">Life in the Fastlan...
Sep 25, 2017
Episode 113.0 – Preeclampsia + Eclampsia
10:39
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-113-0/" title="Episode 113.0 – Preeclampsia + Eclampsia" rel="bookmark"> <img width="721" height="720" src="https://coreem.net/content/uploads/2017/08/Podcast-Image-113.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/08/Podcast-Image-113.0.png 721w, https://coreem.net/content/uploads/2017/08/Podcast-Image-113.0-150x150.png 150w, https://coreem.net/content/uploads/2017/08/Podcast-Image-113.0-300x300.png 300w, https://coreem.net/content/uploads/2017/08/Podcast-Image-113.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This podcast takes a deep dive into the presentation, diagnosis and management of preeclampsia and eclampsia. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5789-302" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_113_0_Final_Cut.m4a?_=302" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_113_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_113_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_113_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-113-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/eclampsia/" rel="tag">Eclampsia</a>, <a href="https://coreem.net/tag/hypertensive-disorders-of-pregnancy/" rel="tag">Hypertensive Disorders of Pregnancy</a>, <a href="https://coreem.net/tag/obstetrics/" rel="tag">Obstetrics</a>, <a href="https://coreem.net/tag/preeclampsia/" rel="tag">Preeclampsia</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ul> <li class="li1"><span class="s2">Suspect preeclampsia in any pregnant women presenting with epigastric/RUQ pain, severe or persistent headache, visual disturbances, nausea or vomiting, shortness of breath, increased edema or weight gain</span></li> <li class="li1"><span class="s2">Evaluate for preeclampsia by looking at the blood pressure, urine for protein and obtaining a panel to evaluate for HELLP syndrome</span></li> <li class="li1"><span class="s2">Severe preeclampsia and eclampsia are treated with bolus and infusion of MgSO</span><span class="s4"><sub>4</sub></span></li> <li class="li1"><span class="s2">Emergency delivery is the “cure” for preeclampsia and eclampsia. Consult obstetrics early for an evaluation for delivery</span></li> <li class="li2"><span class="s2">Don’t forget to consider preeclampsia and eclampsia in the immediate postpartum period</span></li> </ul> <p class="p6"><span class="s2"><b>Read More</b></span></p> <p class="p8"><span class="s6">Core EM: <a href="https://coreem.net/core/preeclampsia-and-eclampsia/"><span class="s7">Preeclampsia and Eclampsia</span></a></span></p> <p class="p8"><span class="s8">LITFL: <a href="https://lifeinthefastlane.com/ccc/pre-eclampsia-and-eclampsia/"><span class="s9">Preeclampsia and Eclampsia</span></a></span></p> <p class="p8"><span class="s8">LITFL: <a href="https://lifeinthefastlane.
Sep 18, 2017
Episode 112.0 – Herpes Zoster
6:35
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-112-0/" title="Episode 112.0 – Herpes Zoster" rel="bookmark"> <img width="720" height="719" src="https://coreem.net/content/uploads/2017/07/Podcast-Image-112.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/07/Podcast-Image-112.0.png 720w, https://coreem.net/content/uploads/2017/07/Podcast-Image-112.0-150x150.png 150w, https://coreem.net/content/uploads/2017/07/Podcast-Image-112.0-300x300.png 300w, https://coreem.net/content/uploads/2017/07/Podcast-Image-112.0-500x500.png 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the presentation and management of herpes zoster. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5713-308" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_112_0_Final_Cut.m4a?_=308" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_112_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_112_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_112_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-112-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/infectious-diseases/" rel="tag">Infectious Diseases</a>, <a href="https://coreem.net/tag/varicella/" rel="tag">Varicella</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ul> <li class="li1"><span class="s2">Classically, herpes zoster will present with rash and pain in a dermatomal distribution</span></li> <li class="li1"><span class="s2">Immunocompromised patients are at greater risk for significant complications of zoster, including visceral dissemination and zoster ophthalmicus</span></li> <li class="li1"><span class="s2">Appropriate therapy includes antiviral therapy within 72 hours of onset of symptoms and analgesia for acute neuritis</span></li> <li class="li1"><span class="s2">Disseminated zoster and zoster ophthalmicus threatening sight should be treated with IV antivirals</span></li> </ul> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">Emergency Medicine Ireland: <a href="http://emergencymedicineireland.com/2017/07/tasty-morsels-em-073-frcem-varicella/"><span class="s3">Tasty Morsels of EM 073: FRCEM Varicella</span></a></span></p> <p class="p5"><span class="s2">Life in the Fast Lane: <a href="https://lifeinthefastlane.com/ophthalmology-befuddler-011/"><span class="s4">Herpes zoster ophthalmicus</span></a></span></p> <p class="p1"><span class="s1">Core EM: <a href="https://coreem.net/core/herpes-zoster/"><span class="s2">Herpes Zoster</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-112-0/">Read More</a>
Sep 11, 2017
Episode 111.0 – Snake Bites
17:49
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-111-0-snake-bites/" title="Episode 111.0 – Snake Bites" rel="bookmark"> <img width="718" height="720" src="https://coreem.net/content/uploads/2017/07/Podcast-Image-111.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/07/Podcast-Image-111.0.png 718w, https://coreem.net/content/uploads/2017/07/Podcast-Image-111.0-150x150.png 150w, https://coreem.net/content/uploads/2017/07/Podcast-Image-111.0-300x300.png 300w, https://coreem.net/content/uploads/2017/07/Podcast-Image-111.0-500x500.png 500w" sizes="(max-width: 718px) 100vw, 718px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the presentation and management of native US snake bites with Dr. Meghan Spyres </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5699-314" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_111_0_Final_Cut.m4a?_=314" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_111_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_111_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_111_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-111-0-snake-bites/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/rattlesnakes/" rel="tag">Rattlesnakes</a>, <a href="https://coreem.net/tag/snake-bites/" rel="tag">Snake Bites</a>, <a href="https://coreem.net/tag/snake-envenomation/" rel="tag">Snake Envenomation</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a>, <a href="https://coreem.net/tag/vipers/" rel="tag">Vipers</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p3"><span class="s2">ALiEM: <a href="https://www.aliem.com/2017/06/envenomations-snakebites/"><span class="s3">Envenomations: Initial Management of Common US Snakebites</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-111-0-snake-bites/">Read More</a>
Sep 04, 2017
Episode 110.0 – Advanced RSI Topics
9:49
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/podcast-episode-110-0/" title="Episode 110.0 – Advanced RSI Topics" rel="bookmark"> <img width="722" height="718" src="https://coreem.net/content/uploads/2017/07/Podcast-Image-110.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/07/Podcast-Image-110.0.png 722w, https://coreem.net/content/uploads/2017/07/Podcast-Image-110.0-150x150.png 150w, https://coreem.net/content/uploads/2017/07/Podcast-Image-110.0-300x298.png 300w" sizes="(max-width: 722px) 100vw, 722px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into some advanced topics in RSI including patient positioning and pre-intubation resuscitation. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5706-320" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_110_0_Final_Cut.m4a?_=320" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_110_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_110_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_110_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/podcast-episode-110-0/#comments">Leave a Comment</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Bed up head elevated position for intubation may reduce intubation related complications.</span></li> <li class="li1"><span class="s2">Patients who are hypotensive or at risk of hypotension should be aggressively resuscitation prior to intubation with fluids and liberal use of pressors</span></li> <li class="li1"><span class="s2">Shock patients would be intubated with decreased induction agent dose, preferably ketamine, and increased paralytic dose.</span></li> </ol> [caption id="attachment_3153" align="alignright" width="437"]<img class=" wp-image-3153" src="http://coreem.net/content/uploads/2016/04/Screen-Shot-2016-04-17-at-10.36.01-AM.png" alt="" width="437" height="525" /> Bed-Up-Head-Elevated Positioning[/caption] <p class="p1"><strong><span class="s1">Show Notes</span></strong></p> <p class="p2"><span class="s2">EMCrit: <a href="https://emcrit.org/emcrit/intubation-patient-shock/"><span class="s3">Podcast 104 - Laryngosocpe as a Murger Weapon (LAMW) Series - Hemodynamic Kills</span></a></span></p> <p class="p3"><span class="s2">Life in the Fastlane: <a href="https://lifeinthefastlane.com/ccc/rapid-sequence-induction-of-the-shock-patient/"><span class="s3">Intubation, hypotension and shock</span></a></span></p> <p class="p2"><span class="s2">Core EM: <a href="https://coreem.net/procedures/buhe-position/"><span class="s3">Bed Up Head Elevated Position for Airway Management Video</span></a></span></p> <p class="p4"><span class="s4">REBEL EM: <a href="http://rebelem.com/critical-care-updates-resuscitation-sequence-intubation-hypotension-kills-part-1-of-3/"><span class="s5">Critical Care Updates: Resuscitation Sequence Intubation – Hypotension Kills (Part 1 of 3)</span></a></span></p> <p class="p3"><span class="s2">ALiEM: <a href="https://www.aliem.com/2013/06/dirtyepi/"><span class="s3">The Dirty Epi Drip: IV Epinephrine When You Need ...
Aug 21, 2017
Episode 109.0 – Renal + GU Emergencies
7:46
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-109-0/" title="Episode 109.0 – Renal + GU Emergencies" rel="bookmark"> <img width="720" height="720" src="https://coreem.net/content/uploads/2017/07/Podcast-Image-109.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/07/Podcast-Image-109.0.png 720w, https://coreem.net/content/uploads/2017/07/Podcast-Image-109.0-150x150.png 150w, https://coreem.net/content/uploads/2017/07/Podcast-Image-109.0-300x300.png 300w, https://coreem.net/content/uploads/2017/07/Podcast-Image-109.0-500x500.png 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss some quick pearls from our conference covering an array of renal and GU pathologies. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5695-326" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_109_0_Final_Cut.m4a?_=326" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_109_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_109_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_109_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-109-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/gu/" rel="tag">GU</a>, <a href="https://coreem.net/tag/renal/" rel="tag">Renal</a>, <a href="https://coreem.net/tag/urology/" rel="tag">Urology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">Core EM: <a href="https://coreem.net/core/testicular-torsion/"><span class="s3">Testicular Torsion</span></a></span></p> <p class="p3"><span class="s4">Core EM: <a href="https://coreem.net/podcast/episode-92-0/"><span class="s5">Podcast Episode 92.0 - Dialysis Emergencies</span></a></span></p> <p class="p3"><span class="s4">Al Sacchetti: <a href="https://www.youtube.com/watch?v=toFiGSfesZk"><span class="s5">ED Repair of Bleeding Dialysis Shunt</span></a></span></p> <p class="p3"><span class="s4">EM: RAP: <a href="https://www.emrap.org/episode/august2010/dialysis"><span class="s5">Episode 107 - Dialysis Emergencies</span></a></span></p> <p class="p3"><span class="s4">EMBlog Mayo Clinic: <a href="http://emblog.mayo.edu/discussion/how-to-stop-a-post-dialysis-site-bleeding/"><span class="s5">How to Stop a Post-Dialysis Site Bleeding</span></a></span></p> <p class="p3"><span class="s4">emDocs: <a href="http://www.emdocs.net/dialysis-patient-managing-fistula-complications-emergency-department/"><span class="s5">Managing Fistula Complications in the Emergency Department</span></a></span></p> <p class="p5"><span class="s1"><b>References</b></span></p> <p class="p1"><span class="s1">Mellick LB. Torsion of the testicle: It is time to stopping tossing the dice. Pediatric Emer Care 2012; 28: 80-6. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/22217895"><span class="s6">22217895</span></a></span></p> </div> </div> <br/><a href="https://coreem.
Aug 14, 2017
Episode 108.0 – Intubation in In-Hospital Cardiac Arrest
10:59
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-108-0/" title="Episode 108.0 – Intubation in In-Hospital Cardiac Arrest" rel="bookmark"> <img width="717" height="718" src="https://coreem.net/content/uploads/2017/07/Podcast-Image-108.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/07/Podcast-Image-108.0.png 717w, https://coreem.net/content/uploads/2017/07/Podcast-Image-108.0-150x150.png 150w, https://coreem.net/content/uploads/2017/07/Podcast-Image-108.0-300x300.png 300w, https://coreem.net/content/uploads/2017/07/Podcast-Image-108.0-500x500.png 500w" sizes="(max-width: 717px) 100vw, 717px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Should we intubate patients in cardiac arrest? We discuss this topic and some basics of running a good arrest. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5609-332" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_108_0_Final_Cut.m4a?_=332" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_108_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_108_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_108_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-108-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/advanced-airway-management/" rel="tag">Advanced Airway Management</a>, <a href="https://coreem.net/tag/cardiac-arrest/" rel="tag">Cardiac Arrest</a>, <a href="https://coreem.net/tag/critical-care/" rel="tag">Critical Care</a>, <a href="https://coreem.net/tag/resuscitation/" rel="tag">Resuscitation</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Intra-arrest intubation does not appear to improve outcomes. For most patients, support with BVM, or possibly an LMA, is adequate.</span></li> <li class="li1"><span class="s2">Instead of securing an advanced airway, focus on the two things that clearly make a difference in outcomes - good compressions and defibirillation</span></li> <li class="li1"><span class="s2">Good compressions should be fast and hard and you must minimize interruptions in compressions to minimize interruptions in perfusion</span></li> <li class="li1"><span class="s2">Don’t forget that a great resuscitation requires great preparation. Take whatever time you have to discuss with your team and assign roles.</span></li> </ol> <p class="p3"><strong><span class="s2">Read More</span></strong></p> <p class="p5"><span class="s5">Rebel EM:<a href="http://rebelem.com/hospital-cardiac-arrest-first-15-minutes/"><span class="s6"> In-hospital Cardiac Arrest - The First 15 Minues</span></a></span></p> <p class="p6"><span class="s7">Core EM: <a href="https://coreem.net/procedures/defib-pads/"><span class="s8">Proper Defibrillator Pad Placement + Dual Sequential Defibrillation</span></a></span></p> <p class="p6"><span class="s7">REBEL EM: <a href="http://rebelem.com/beyond-acls-cognitively-offloading-cardiac-arrest/"><span class="s8">Beyond ACLS: Cognitively Offlo...
Jul 31, 2017
Episode 107.0 – Angioedema
8:26
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-107-0/" title="Episode 107.0 – Angioedema" rel="bookmark"> <img width="717" height="719" src="https://coreem.net/content/uploads/2017/07/Podcast-Image-107.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/07/Podcast-Image-107.0.png 717w, https://coreem.net/content/uploads/2017/07/Podcast-Image-107.0-150x150.png 150w, https://coreem.net/content/uploads/2017/07/Podcast-Image-107.0-300x300.png 300w, https://coreem.net/content/uploads/2017/07/Podcast-Image-107.0-500x500.png 500w" sizes="(max-width: 717px) 100vw, 717px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Prompted by the recent CAMEO trial publication on icatibant, we dive into angioedema with a focus on airway management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5602-338" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_107_0_Final_Cut.m4a?_=338" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_107_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_107_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_107_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-107-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ace-inhibitors/" rel="tag">ACE Inhibitors</a>, <a href="https://coreem.net/tag/allergyimmunology/" rel="tag">Allergy/Immunology</a>, <a href="https://coreem.net/tag/angioedema/" rel="tag">Angioedema</a>, <a href="https://coreem.net/tag/icatibant/" rel="tag">Icatibant</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Take Home Points</span></strong></p> <ol class="ol1"> <li class="li1"><span class="s1">Airway management is paramount, expect a challenging intubation and consider controlling the airway early</span></li> <li class="li1"><span class="s1">When controlling the airway, consider an awake approach and fiberoptics if available. Always be prepared for the can’t intubate, can’t oxygenate scenario with a double set up.</span></li> <li class="li1"><span class="s1">If the patient has urticaria and pruritus, the process is likely histamine mediated and will respond to typical anaphylaxis treatment</span></li> <li class="li1"><span class="s1">Finally, observe the patient for progression of swelling and don’t forget to stop the inciting medication</span></li> </ol> <p class="p3"><span class="s1">Read More</span></p> <p class="p5"><span class="s4">Core EM: <a href="https://coreem.net/core/angioedema/"><span class="s5">Angioedema</span></a></span></p> <p class="p5"><span class="s4">EMCrit: <a href="https://emcrit.org/emcrit/awakeintubation/"><span class="s5">Podcast 145 – Awake Intubation Lecture from SMACC</span></a></span></p> <p class="p5"><span class="s4">ERCast: <a href="http://blog.ercast.org/angioedema/"><span class="s5">Angioedema</span></a></span></p> <p class="p5"><span class="s4">REBEL EM: <a href="http://rebelem.com/icatibant-doesnt-improve-outcomes-in-ace-i-induced-angioedema/"><span class="s5">Icatibant Doesn’t I...
Jul 24, 2017
Episode 106.0 – Procedural Sedation and Analgesia II
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-106-0/" title="Episode 106.0 – Procedural Sedation and Analgesia II" rel="bookmark"> <img width="896" height="892" src="https://coreem.net/content/uploads/2017/06/Screen-Shot-2017-06-19-at-10.20.33-AM.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/06/Screen-Shot-2017-06-19-at-10.20.33-AM.png 896w, https://coreem.net/content/uploads/2017/06/Screen-Shot-2017-06-19-at-10.20.33-AM-150x150.png 150w, https://coreem.net/content/uploads/2017/06/Screen-Shot-2017-06-19-at-10.20.33-AM-300x300.png 300w, https://coreem.net/content/uploads/2017/06/Screen-Shot-2017-06-19-at-10.20.33-AM-768x765.png 768w" sizes="(max-width: 896px) 100vw, 896px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we drop into some of the nitty gritty on PSA including preparation and patient assessment as well as discuss some common pitfalls. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5572-344" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_106_0_Final_Cut.m4a?_=344" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_106_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_106_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_106_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-106-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/pitfalls/" rel="tag">Pitfalls</a>, <a href="https://coreem.net/tag/procedural-sedation/" rel="tag">Procedural Sedation</a>, <a href="https://coreem.net/tag/psa/" rel="tag">PSA</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong>Take Home Points</strong></p> <ol class="ol1"> <li class="li1"><span class="s2">Always perform a full pre-PSA evaluation including an airway assessment. Time of last meal shouldn’t delay your sedation based on the best available evidence.</span></li> <li class="li1"><span class="s2">Always do a complete setup including consideration of different agents, dosage calculations, preparation of airway equipment and reversal agents.</span></li> <li class="li1"><span class="s2">PSA serious adverse events are rare but you still must be prepared for them. Careful agent selection and dosing can help prevent issues but, know your outs.</span></li> <li class="li1"><span class="s2">If apnea develops, do some basic maneuvers before you reach for the BVM or laryngoscope. Remember OOPS as in “oops, my patient went apneic.” Oxygen on, pull the mandible forward and sit the patient up. This fixes most issues</span></li> </ol> <p class="p1"><span class="s1"><b>Show Notes</b></span></p> <p class="p3"><span class="s2">Core EM: <a href="https://coreem.net/core/procedural-sedation-and-analgesia-resources/"><span class="s3">Procedural Sedation and Analgesia Resources</span></a></span></p> <p class="p1"><span class="s1">EM Updates:<a href="http://emupdates.com/2013/11/28/emergency-department-procedural-sedation-checklist-v2/">Emergency Department Procedural Sedation Checklist v2</a></span></p>
Jul 17, 2017
Episode 105.0 – Initial Antibiotic Choice in Cellulitis
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-105-0/" title="Episode 105.0 – Initial Antibiotic Choice in Cellulitis" rel="bookmark"> <img width="720" height="716" src="https://coreem.net/content/uploads/2017/06/Podcast-Image-105.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/06/Podcast-Image-105.0.png 720w, https://coreem.net/content/uploads/2017/06/Podcast-Image-105.0-150x150.png 150w, https://coreem.net/content/uploads/2017/06/Podcast-Image-105.0-300x298.png 300w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dissect a JAMA article on the whether it's necessary to add TMP-SMX to cephalexin in the treatment of uncomplicated cellulitis </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5534-350" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_105_0_Final_Cut.m4a?_=350" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_105_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_105_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_105_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-105-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cellulitis/" rel="tag">Cellulitis</a>, <a href="https://coreem.net/tag/idsa/" rel="tag">IDSA</a>, <a href="https://coreem.net/tag/infectious-diseases/" rel="tag">Infectious Diseases</a>, <a href="https://coreem.net/tag/mrsa/" rel="tag">MRSA</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> [caption id="attachment_5536" align="aligncenter" width="857"]<img class="size-full wp-image-5536" src="http://coreem.net/content/uploads/2017/06/SSTI-Flow-Diagram-Stevens-2014.png" alt="" width="857" height="605" /> SSTI Flow Diagram (Stevens 2014)[/caption] <p class="p3"><span class="s2">EM Lit of Note: <a href="http://www.emlitofnote.com/?p=3896"><span class="s3">Double Coverage, Cellulitis Edition</span></a></span></p> <p class="p3"><span class="s2">Pharm ER Tox Guy: <a href="https://pharmertoxguy.com/2017/05/26/uncomplicated-cellulitis-consider-strep-only-coverage/"><span class="s3">Uncomplicated Cellulitis? Consider Strep-Only Coverage</span></a></span></p> <p class="p3"><span class="s2">Core EM: <a href="https://coreem.net/core/cellulitis/"><span class="s3">Cellulitis</span></a></span></p> <p class="p5"><span class="s1">Stevens DL et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. Clin Infect Dis 2014; 59(2): e10-52. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/24973422"><span class="s4">24973422</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-105-0/">Read More</a>
Jul 10, 2017
Episode 104.0 – Procedural Sedation and Analgesia
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-104-0/" title="Episode 104.0 – Procedural Sedation and Analgesia" rel="bookmark"> <img width="721" height="714" src="https://coreem.net/content/uploads/2017/06/Podcast-Image-104.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/06/Podcast-Image-104.0.png 721w, https://coreem.net/content/uploads/2017/06/Podcast-Image-104.0-150x150.png 150w, https://coreem.net/content/uploads/2017/06/Podcast-Image-104.0-300x297.png 300w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into the various common agents used in procedural sedation and analgesia in the ED. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5530-356" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_104_0_Final_Cut.m4a?_=356" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_104_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_104_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_104_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-104-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/anesthesia/" rel="tag">Anesthesia</a>, <a href="https://coreem.net/tag/critical-care/" rel="tag">Critical Care</a>, <a href="https://coreem.net/tag/procedural-sedation/" rel="tag">Procedural Sedation</a>, <a href="https://coreem.net/tag/psa/" rel="tag">PSA</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Show Notes</b></span></p> <p class="p2"><span class="s2">Core EM : <a href="https://coreem.net/core/parenteral-benzodiazepines/"><span class="s3">Parenteral Benzodiazepines</span></a></span></p> <p class="p2"><span class="s2">Core EM: <a href="https://coreem.net/core/procedural-sedation-and-analgesia-resources/"><span class="s3">Procedural Sedation and Analgesia Resources</span></a></span></p> <p class="p2"><span class="s2">EM Updates: <a href="http://emupdates.com/2013/12/25/the-ketamine-brain-continuum/"><span class="s3">Ketamine Brain Continuum</span></a></span></p> <p class="p2"><span class="s2">First 10 EM: <a href="https://first10em.com/2016/03/03/laryngospasm-2/"><span class="s3">Managing laryngospasm in the emergency department</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-104-0/">Read More</a>
Jul 03, 2017
Episode 103.0 – Priapism
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-103-0/" title="Episode 103.0 – Priapism" rel="bookmark"> <img width="718" height="717" src="https://coreem.net/content/uploads/2017/06/Podcast-Image-103.0-1.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/06/Podcast-Image-103.0-1.png 718w, https://coreem.net/content/uploads/2017/06/Podcast-Image-103.0-1-150x150.png 150w, https://coreem.net/content/uploads/2017/06/Podcast-Image-103.0-1-300x300.png 300w, https://coreem.net/content/uploads/2017/06/Podcast-Image-103.0-1-500x500.png 500w" sizes="(max-width: 718px) 100vw, 718px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we talk about priapism focusing on emergency department management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5460-362" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_103_0_Final_Cut.m4a?_=362" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_103_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_103_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_103_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-103-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/gu/" rel="tag">GU</a>, <a href="https://coreem.net/tag/priapism/" rel="tag">Priapism</a>, <a href="https://coreem.net/tag/urology/" rel="tag">Urology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><img class="aligncenter size-full wp-image-5465" src="http://coreem.net/content/uploads/2017/06/Dorsal-Penile-Nerve-Block-Image.jpeg" alt="" width="540" height="363" /></p> <p class="p1"><b>Read More</b></p> <p class="p3"><span class="s2">Dr. Mutara Jubara: <a href="https://www.youtube.com/watch?v=lCZq-LEcrjA"><span class="s3">Ultrasound Guided Dorsal Penile Nerve Block</span></a></span></p> <p class="p1"><span class="s1">McCollough M, Sharieff GQ: Genitourinary and Renal Tract Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 174: p 2205-2223.</span></p> <p class="p1"><span class="s1">Davis JE, Silverman MA. Urologic Procedures; in Roberts JR: Roberts and Hedges’ Clinical Procedures in Emergency Medicine, ed 6. 2014, (Ch) 55: p 1113-1154</span></p> <p class="p1"><span class="s1">Govier FE et al. Oral terbutaline for the treatment of priapism. J Urol 1994;151: 878-9. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/8126815"><span class="s4">8126815</span></a></span></p> <p class="p1"><span class="s1">Priyadarshi S. Oral terbutaline in the management of pharmacologically induced prolonged erection. Int J Impot Res. 2004;16:424-426. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/14999218"><span class="s4">14999218</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-103-0/">Read More</a>
Jun 26, 2017
Episode 102.0 – Valsalva Maneuver in SVT
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-102-0/" title="Episode 102.0 – Valsalva Maneuver in SVT" rel="bookmark"> <img width="716" height="722" src="https://coreem.net/content/uploads/2017/06/Podcast-Image-102.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/06/Podcast-Image-102.0.png 716w, https://coreem.net/content/uploads/2017/06/Podcast-Image-102.0-150x150.png 150w, https://coreem.net/content/uploads/2017/06/Podcast-Image-102.0-298x300.png 298w" sizes="(max-width: 716px) 100vw, 716px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we welcome Andy Little onto the show to discuss the modified Valsalva maneuver for breaking SVT. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5453-368" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_102_0-AVNRT_Final_Cut.m4a?_=368" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_102_0-AVNRT_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_102_0-AVNRT_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_102_0-AVNRT_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-102-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/adenosine/" rel="tag">Adenosine</a>, <a href="https://coreem.net/tag/avnrt/" rel="tag">AVNRT</a>, <a href="https://coreem.net/tag/cardiology/" rel="tag">Cardiology</a>, <a href="https://coreem.net/tag/svt/" rel="tag">SVT</a>, <a href="https://coreem.net/tag/tachydysrhythmia/" rel="tag">Tachydysrhythmia</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p3"><span class="s2">Rebel EM: <a href="http://www.apple.com"><span class="s3">The REVERT Trial - A Modified Valsalva Maneuver to Convert SVT</span></a></span></p> <p class="p3"><span class="s2">SGEM: <a href="http://thesgem.com/2016/02/sgem147-this-is-a-svt-and-im-gonna-revert-it-using-a-modified-valsalva-manoeuvre/"><span class="s3">This is a SVT and I’m Gonna Revert It Using a Modified Valsalva Manoeuvre</span></a> </span></p> [embed]https://www.youtube.com/watch?v=8DIRiOA_OsA[/embed] <p class="p4"><span class="s1">Appelboam A et al. Postural Modification to the Standard Valsalva Manoeuvre for Emergency Treatment of Supraventricular Tachycardias (REVERT): A Randomised Controlled Trial. Lancet 2015. <a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract"><span class="s4">PMID: 26314489</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-102-0/">Read More</a>
Jun 19, 2017
Episode 101.0 – Major Burns
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-101-0-major-burns/" title="Episode 101.0 – Major Burns" rel="bookmark"> <img width="709" height="718" src="https://coreem.net/content/uploads/2017/05/Podcast-Image-101.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/05/Podcast-Image-101.0.png 709w, https://coreem.net/content/uploads/2017/05/Podcast-Image-101.0-296x300.png 296w" sizes="(max-width: 709px) 100vw, 709px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into some of the initial considerations in the resuscitation of major burn patients. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5395-374" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_101_0_Final_Cut.m4a?_=374" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_101_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_101_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_101_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-101-0-major-burns/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/carbon-monoxide/" rel="tag">Carbon Monoxide</a>, <a href="https://coreem.net/tag/cyanide/" rel="tag">Cyanide</a>, <a href="https://coreem.net/tag/major-burns/" rel="tag">Major Burns</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong>Take Home Points</strong></p> <ul> <li class="li1"><span class="s2">Be prepared to intubate early, the patency of the airway can decline quickly and without warning. If there is any concern for burns to face/neck or smoke inhalation, consider taking control of the airway early.</span></li> <li class="li1"><span class="s2">Review the rule of 9s and the parkland formula to direct your large volume fluid resus.<span class="Apple-converted-space">  </span>Remember the parkland formula directs you to use 4 mL x %TBSA x weight (kg).<span class="Apple-converted-space">  </span>Half in the first 8 hours and the second half over the next 16 hours.<span class="Apple-converted-space">  </span>Given the large volume here it’s probably best to use LR or another balanced solution.</span></li> <li class="li1"><span class="s2">Do a thorough trauma eval to make sure you don’t miss any other injuries and be sure to watch for developing compartment syndrome</span></li> <li class="li1"><span class="s2">And last, consider the need to treat for CO and/or cyanide poisoning.<span class="Apple-converted-space">  </span>Poor cardiac function, cardiac arrest or a high lactate can be clues to cyanide poisoning and just start 100% O2 while you wait for a co-ox, since CO tox is pretty likely.</span></li> </ul> [caption id="attachment_5397" align="aligncenter" width="823"]<img class="size-full wp-image-5397" src="http://coreem.net/content/uploads/2017/05/Rule-of-9s.jpg" alt="" width="823" height="607" /> Rule of 9's[/caption] <p class="p1"><strong><span class="s1">Read More</span></strong></p>
Jun 12, 2017
Episode 100.0 – Our 100th Episode!
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-100-0/" title="Episode 100.0 – Our 100th Episode!" rel="bookmark"> <img width="711" height="707" src="https://coreem.net/content/uploads/2017/05/Podcast-Image-100.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/05/Podcast-Image-100.0.png 711w, https://coreem.net/content/uploads/2017/05/Podcast-Image-100.0-150x150.png 150w, https://coreem.net/content/uploads/2017/05/Podcast-Image-100.0-300x298.png 300w" sizes="(max-width: 711px) 100vw, 711px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> It's been 2 years and 100 podcasts. Jenny and Swami take a minute to talk about the Core EM project and our future directions. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5318-380" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_100_0_Final_Cut.m4a?_=380" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_100_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_100_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_100_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-100-0/#comments">One Comment</a> </span> </span> </div> </div> <br/><a href="https://coreem.net/podcast/episode-100-0/">Read More</a>
Jun 05, 2017
Episode 99.0 – Journal Update
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-99-0-journal-update/" title="Episode 99.0 – Journal Update" rel="bookmark"> <img width="717" height="712" src="https://coreem.net/content/uploads/2017/05/Podcast-Image-99.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/05/Podcast-Image-99.0.png 717w, https://coreem.net/content/uploads/2017/05/Podcast-Image-99.0-150x150.png 150w, https://coreem.net/content/uploads/2017/05/Podcast-Image-99.0-300x298.png 300w" sizes="(max-width: 717px) 100vw, 717px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss 3 articles recently reviewed in our conference - LOV-ED study, Validation of Step-By-Step and Therapeutic Hypothermia. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5304-386" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_99_0_Final_Cut.m4a?_=386" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_99_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_99_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_99_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-99-0-journal-update/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ards/" rel="tag">ARDS</a>, <a href="https://coreem.net/tag/cardiac-arrest/" rel="tag">Cardiac Arrest</a>, <a href="https://coreem.net/tag/lung-protective-ventilation/" rel="tag">Lung Protective Ventilation</a>, <a href="https://coreem.net/tag/mechanical-ventilation/" rel="tag">Mechanical Ventilation</a>, <a href="https://coreem.net/tag/ohca/" rel="tag">OHCA</a>, <a href="https://coreem.net/tag/step-by-step-protocol/" rel="tag">Step-By-Step Protocol</a>, <a href="https://coreem.net/tag/therapeutic-hypothermia/" rel="tag">Therapeutic Hypothermia</a>, <a href="https://coreem.net/tag/ttm/" rel="tag">TTM</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Take Home Points <ol class="ol1"> <li class="li1"><span class="s2">The step-by-step approach to managing febrile infants is a reliable decision instrument to identify patients at low risk for invasive bacterial infections. Caution in the group of patients 22-28 days of age.</span></li> <li class="li1"><span class="s2">The LOV-ED study shows an association between employing a lung-protective ventilation strategy in the ED and decreased complications from mechanical ventilation. Best available evidence says that we should embrace this approach in the ED.</span></li> <li class="li1"><span class="s2">Cooling to 33 degrees is no better than cooling to 36 degrees. However, shooting 36 degrees is more difficult than we may have thought. We have to continue to be vigilant about maintaining patients in the target temperature range and avoiding fever.</span></li> </ol> [caption id="attachment_5306" align="aligncenter" width="500"]<img class="size-full wp-image-5306" src="http://coreem.net/content/uploads/2017/05/Step-By-Step-Algorithm.png" alt="" width="500" height="685" /> The Step-By-Step Algorithm[/caption] [caption id="attachment_5307" align="aligncenter" width="500...
May 29, 2017
Episode 98.0 – Cardioversion in Recent Onset AF
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-98-0/" title="Episode 98.0 – Cardioversion in Recent Onset AF" rel="bookmark"> <img width="720" height="720" src="https://coreem.net/content/uploads/2017/03/Podcast-Image-98.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/03/Podcast-Image-98.0.png 720w, https://coreem.net/content/uploads/2017/03/Podcast-Image-98.0-150x150.png 150w, https://coreem.net/content/uploads/2017/03/Podcast-Image-98.0-300x300.png 300w, https://coreem.net/content/uploads/2017/03/Podcast-Image-98.0-500x500.png 500w" sizes="(max-width: 720px) 100vw, 720px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we delve into the argument for cardioversion in recent-onset AF as well as the logistics of getting it done. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5088-392" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_98_0_Final_Cut.m4a?_=392" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_98_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_98_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_98_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-98-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/atrial-fibrillation/" rel="tag">Atrial Fibrillation</a>, <a href="https://coreem.net/tag/atrial-flutter/" rel="tag">Atrial Flutter</a>, <a href="https://coreem.net/tag/cardiology/" rel="tag">Cardiology</a>, <a href="https://coreem.net/tag/cardioversion/" rel="tag">Cardioversion</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1">Read More</p> <p class="p1">Core EM: <a href="https://coreem.net/podcast/episode-64-0/">Podcast 64.0 - Rate Control in AF</a></p> <p class="p1">Core EM: <a href="http://coreem.net/core/recent-onset-atrial-fibrillation/"><span class="s2">Recent Onset Atrial Fibrillation</span></a></p> <p class="p1">Core EM: <a href="https://coreem.net/journal-reviews/outcomes-af/">30-Day Outcomes After Aggressive AF Management in the ED</a></p> <p class="p1">The SGEM: <a href="http://thesgem.com/2014/09/sgem88-shock-through-the-heart-ottawa-aggressive-atrial-fibrillation-protocol/">SGEM#88: Shock Through the Heart (Ottawa Aggressive Atrial Fibrillation Protocol</a></p> <p class="p1"><strong><span class="s1">References</span></strong></p> <p class="p1"><span class="s1">Nuito I et al. Time to cardioversion for acute atrial fibrillation and thromboembolic complications. JAMA 2014; 312(6): 647-9. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/25117135"><span class="s2">25117135</span></a></span></p> <p class="p3"><span class="s1">Stiell IG et al. Association of the Ottawa aggressive protocol with rapid discharge of emergency department patients with recent-onset atrial fibrillation and flutter. Can J Emerg Med 2010; 12(3): 181-91. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/20522282"><span class="s2">20522282</span></a></span></p> <p class="p4"><span class="s1">Stiell IG et al.
May 22, 2017
Episode 97.0 – Methemoglobinemia
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/podcast-episode-97-0/" title="Episode 97.0 – Methemoglobinemia" rel="bookmark"> <img width="711" height="712" src="https://coreem.net/content/uploads/2017/04/Podcast-Image-97.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/04/Podcast-Image-97.0.png 711w, https://coreem.net/content/uploads/2017/04/Podcast-Image-97.0-150x150.png 150w, https://coreem.net/content/uploads/2017/04/Podcast-Image-97.0-300x300.png 300w, https://coreem.net/content/uploads/2017/04/Podcast-Image-97.0-500x500.png 500w" sizes="(max-width: 711px) 100vw, 711px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the rare but life-threatening methemoglobinemia with a focus on recognition and use of the antidote. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5181-398" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_97_0_Final_Cut.m4a?_=398" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_97_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_97_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_97_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/podcast-episode-97-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/methemoglobin/" rel="tag">Methemoglobin</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul> <li class="li1"><span class="s1">MetHb –emia occurs as a results of various medications including amyl nitrite, dapsone, nitroprusside, phenazopyridine, sodium nitrite and topical anesthetics like benzocaine</span></li> <li class="li1"><span class="s1">Patients will present with cyanosis, short of breath, fatigue, dizziness, weakness and ultimately CNS depression and death at higher concentrations.</span></li> <li class="li1"><span class="s1">If you have a cyanotic/hypoxic patient that does not respond to supplemental oxygen, be concerned for MetHb and send a co-oximetry panel.</span></li> <li class="li1"><span class="s1">If the level is <25% and the patient is asymptomatic you can observe, but if the level is >25% or the patient is symptomatic, you will treat with the antidote methylene blue given as a bolus of 1-2 mg/kg over 5 minutes</span></li> <li class="li1"><span class="s1">And as always, make sure to call your local poison center to get your toxicologists involved. They can help with dosing, and they are also an important player of the public health component in cases such as these, to make sure this is an isolated incident and we don’t have a repeat of the 11 blue men situation.</span></li> </ul> <p class="p1"><span class="s1">Price DP. Chapter 127. Methemoglobin Inducers. In: Nelson LS, Lewin NA, Howland M, Hoffman RS, Goldfrank LR, Flomenbaum NE. eds. <i>Goldfrank's Toxicologic Emergencies, 9e </i>New York, NY: McGraw-Hill; 2011. Accessed April 19, 2017.</span></p>
May 15, 2017
Episode 96.0 – Carbon Monoxide Poisoning
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-96-0-co-tox/" title="Episode 96.0 – Carbon Monoxide Poisoning" rel="bookmark"> <img width="692" height="708" src="https://coreem.net/content/uploads/2017/04/Podcast-Image-96.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/04/Podcast-Image-96.0.png 692w, https://coreem.net/content/uploads/2017/04/Podcast-Image-96.0-293x300.png 293w" sizes="(max-width: 692px) 100vw, 692px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we do a brief review on recognizing CO monoxide poisoning and expertly managing it. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5174-404" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_96_0_Final_Cut.m4a?_=404" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_96_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_96_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_96_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-96-0-co-tox/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/co/" rel="tag">CO</a>, <a href="https://coreem.net/tag/inhaled-toxins/" rel="tag">Inhaled Toxins</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Take Home Points</b></span></p> <ul> <li class="li1"><span class="s1">CO poisoning happens most often from common are accidental exposures from faulty home heaters, camp stoves and indoor use of gas powered generators, structure fires and intentional exposure like in suicide attempts.</span></li> <li class="li1"><span class="s1">Patients with a mild exposure will present with symptoms like headache, nausea, vomiting, dizziness, vision blurring, palpitations, confusion or myalgias.<span class="Apple-converted-space">  </span>More severe exposures may produce Altered mental status. seizures, coma, dysrythmias, myocardial ischemia, metabolic acidosis, syncope and vital sign abnormalities including hypotension and, eventually, cardiac arrest.</span></li> <li class="li1"><span class="s1">To help distinguish the vague symptoms of a patient who may have chronic exposure ask about things like whether symptoms improve in different environments or whether they have sick pets, as human viral illness generally don’t affect our dogs and cats.</span></li> <li class="li1"><span class="s1">If you’re concerned about CO send a co-ox panel.<span class="Apple-converted-space">  </span>City dwellers may have a baseline carboxyhemoglobin of 1-2% and smokers around 6-10% but others should really have no carboxyhemoglobin.</span></li> <li class="li1"><span class="s1">Treatment is supplemental O2 which can be stopped when symptoms improve.<span class="Apple-converted-space">  </span>For severe symptoms and for pregnant patients, consider hyperbarics to prevent long term sequelae and to protect the fetus.<span class="Apple-converted-space">  </span>As always, consider discussing the case with your local pois...
May 08, 2017
Episode 95.0 – Local Anesthetic Systemic Toxicity (LAST)
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-95-0/" title="Episode 95.0 – Local Anesthetic Systemic Toxicity (LAST)" rel="bookmark"> <img width="718" height="715" src="https://coreem.net/content/uploads/2017/03/Podcast-Image-95.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/03/Podcast-Image-95.0.png 718w, https://coreem.net/content/uploads/2017/03/Podcast-Image-95.0-150x150.png 150w, https://coreem.net/content/uploads/2017/03/Podcast-Image-95.0-300x300.png 300w" sizes="(max-width: 718px) 100vw, 718px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the identification, prevention and treatment of local anesthetic systemic toxicity. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5071-410" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_95_0_Final_Cut.m4a?_=410" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_95_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_95_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_95_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-95-0/#comments">6 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/antidote/" rel="tag">Antidote</a>, <a href="https://coreem.net/tag/bupivicaine/" rel="tag">Bupivicaine</a>, <a href="https://coreem.net/tag/intralipid/" rel="tag">Intralipid</a>, <a href="https://coreem.net/tag/lidocaine/" rel="tag">Lidocaine</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/ccc/local-anaesthetic-toxicity/"><span class="s2">Local Anesthetic Toxicity</span></a></span></p> <p class="p1"><span class="s1">Wiki EM: <a href="https://wikem.org/wiki/Local_anesthetic_systemic_toxicity"><span class="s2">Local Anesthetic Systemic Toxicity</span></a></span></p> <p class="p3"><span class="s3"><b>References: </b></span></p> <p class="p3"><span class="s3">Schwartz DR, Kaufman B. Local Anesthetics. In: Hoffman RS, Howland M, Lewin NA, Nelson LS, Goldfrank LR. eds. Goldfrank's Toxicologic Emergencies, 10e New York, NY: McGraw-Hill; 2015. <a href="http://accessemergencymedicine.mhmedical.com.ezproxy.med.nyu.edu/content.aspx?bookid=1163&sectionid=65097021"><span class="s4">Link</span></a></span></p> <p class="p3"><span class="s3">Neal JM et al, American Society of Regional Anesthesia and Pain Medicine. American Society of Regional Anesthesia and Pain Medicine checklist for managing local anesthetic systemic toxicity: 2012 version. Reg Anesth Pain Med 2012;37:16–8. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/22189574"><span class="s5">22189574</span></a></span></p> <p class="p3"><span class="s3">Cao D et al. Intravenous lipid emulsion in the emergency department: a systematic review. J Emerg Med 2015; 48(3): 387-97. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/25534900"><span class="s5">25534900</span></a></span></p> </div> </div> <br/><a href="https://coreem.
May 01, 2017
Episode 94.0 – Mammal Bites
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-94-0/" title="Episode 94.0 – Mammal Bites" rel="bookmark"> <img width="718" height="717" src="https://coreem.net/content/uploads/2017/03/Podcast-Image-94.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/03/Podcast-Image-94.0.png 718w, https://coreem.net/content/uploads/2017/03/Podcast-Image-94.0-150x150.png 150w, https://coreem.net/content/uploads/2017/03/Podcast-Image-94.0-300x300.png 300w, https://coreem.net/content/uploads/2017/03/Podcast-Image-94.0-500x500.png 500w" sizes="(max-width: 718px) 100vw, 718px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we talk about mammal bites - dogs, cats and humans - with a focus on wound closure, antibiotics and rabies prophylaxis. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5046-416" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_94_0_Final_Cut.m4a?_=416" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_94_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_94_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_94_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-94-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/infectious-diseases/" rel="tag">Infectious Diseases</a>, <a href="https://coreem.net/tag/mammal-bites/" rel="tag">Mammal Bites</a>, <a href="https://coreem.net/tag/rabies/" rel="tag">Rabies</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">EM:RAP: <a href="https://www.emrap.org/episode/animalbitesa/animalbitesa"><span class="s2">Animal Bites – A Short Board Review</span></a></span></p> <p class="p1"><span class="s1">EM:RAP: <a href="https://www.emrap.org/episode/august2010/mammalianbites"><span class="s2">Episode 107 Mammalian Bites</span></a></span></p> <p class="p1"><span class="s1">Rebel EM: <a href="http://rebelem.com/myths-management-dog-bites/"><span class="s2">Medical Myths in the Management of Dog Bites</span></a></span></p> <p class="p3"><span class="s4">CDC: <a href="https://www.cdc.gov/rabies/exposure/index.html"><span class="s5">Rabies Info</span></a></span></p> <p class="p4"><strong><span class="s3">References</span></strong></p> <p class="p4"><span class="s3">Chen E et al. Primary Closure of Mammalian Bites. Acad EM 2000; 7(2): 157- 162. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/10691074"><span class="s6">10691074</span></a></span></p> <p class="p4"><span class="s3">Paschos NK et al. Primary closure versus non-closure of dog bite wounds. A radomised controlled trial. Injury 2014 45(1): 237-40. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/23916901"><span class="s6">23916901</span></a></span></p> <p class="p4"><span class="s3">Medeiros IM, Saconato H. Antibiotic prophylaxis for mammalian bite (Review). Cochrane Database of Systematic Reviews 2008 (3); PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/11406003"><span class="s6">11406003</span></a></span></p> </div> </div> <br/><a href="https://coreem.
Apr 24, 2017
Episode 93.0 – Meningitis
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-93-0/" title="Episode 93.0 – Meningitis" rel="bookmark"> <img width="716" height="717" src="https://coreem.net/content/uploads/2017/03/Podcast-Image-93.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/03/Podcast-Image-93.0.png 716w, https://coreem.net/content/uploads/2017/03/Podcast-Image-93.0-150x150.png 150w, https://coreem.net/content/uploads/2017/03/Podcast-Image-93.0-300x300.png 300w, https://coreem.net/content/uploads/2017/03/Podcast-Image-93.0-500x500.png 500w" sizes="(max-width: 716px) 100vw, 716px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we cover a workshop from our conference on CNS infections focusing on meningitis. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-5040-422" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_93_0_Final_Cut.m4a?_=422" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_93_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_93_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_93_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-93-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/bacterial-meningitis/" rel="tag">Bacterial Meningitis</a>, <a href="https://coreem.net/tag/cns-infections/" rel="tag">CNS Infections</a>, <a href="https://coreem.net/tag/infectious-diseases/" rel="tag">Infectious Diseases</a>, <a href="https://coreem.net/tag/meningitis/" rel="tag">Meningitis</a>, <a href="https://coreem.net/tag/neurology/" rel="tag">Neurology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> [caption id="attachment_5041" align="aligncenter" width="948"]<img class="size-full wp-image-5041" src="http://coreem.net/content/uploads/2017/03/Screen-Shot-2017-03-21-at-3.32.23-PM.png" alt="" width="948" height="525" /> CSF Analysis (LITFL)[/caption] <p class="p1"><span class="s1">EM Lyceum: <a href="https://emlyceum.com/2012/03/02/viral-meningitis-answers/"><span class="s2">Viral Meningitis “Answers”</span></a></span></p> <p class="p1"><span class="s1">EM RAP: <a href="https://www.emrap.org/episode/october2006/meningitis"><span class="s2">Meningitis</span></a></span></p> <p class="p1"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/ccc/bacterial-meningitis/"><span class="s2">Bacterial Meningitis</span></a></span></p> <p class="p1"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/investigations/csf-analysis/"><span class="s2">CSF Analysis</span></a></span></p> <p class="p1"><span class="s1">The NNT: <a href="http://www.thennt.com/nnt/steroids-for-meningitis/"><span class="s2">Glucocorticoid Steroids for Bacterial Meningitis</span></a></span></p> <p class="p3"><strong><span class="s3">References</span></strong></p> <p class="p3"><span class="s3">Attia J et al. Does this adult patient have acute meningitis. JAMA 1999; 281(2): 175-81. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/10411200"><span class="s4">10411200</span></a></span></p>
Apr 17, 2017
Episode 92.0 – Dialysis Emegencies
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-92-0/" title="Episode 92.0 – Dialysis Emegencies" rel="bookmark"> <img width="721" height="721" src="https://coreem.net/content/uploads/2017/03/Podcast-Image-92.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/03/Podcast-Image-92.0.png 721w, https://coreem.net/content/uploads/2017/03/Podcast-Image-92.0-150x150.png 150w, https://coreem.net/content/uploads/2017/03/Podcast-Image-92.0-300x300.png 300w, https://coreem.net/content/uploads/2017/03/Podcast-Image-92.0-500x500.png 500w" sizes="(max-width: 721px) 100vw, 721px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss some of the many dialysis-related emergencies we frequently see in the ED. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4947-428" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_92_0_Final_Cut.m4a?_=428" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_92_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_92_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_92_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-92-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/dialysis/" rel="tag">Dialysis</a>, <a href="https://coreem.net/tag/esrd/" rel="tag">ESRD</a>, <a href="https://coreem.net/tag/nephrology/" rel="tag">Nephrology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong>Take Home Points</strong></p> <ol class="ol1"> <li class="li1"><span class="s2">On any dialysis patient, make sure to do a good assessment of their access site.<span class="Apple-converted-space">  </span>If it’s a fistula, assess for a thrill, for any warmth/induration/erythema and make sure they have distal sensation and perfusion.<span class="Apple-converted-space">  </span>If it’s a catheter, evaluate for any signs of infection—so </span><span class="s3">warmth, erythema or discharge.</span></li> <li class="li2"><span class="s2">Bleeding is a big concern. If the patient is bleeding from their access, start with direct pressure to the bleeding site, then move on to topical thrombotic agents and if needed throw a figure 8 stitch with a 5-0 proline on a non-cutting needle.</span></li> <li class="li2"><span class="s2">Peritoneal dialysis patients are at risk for bacterial peritonitis.<span class="Apple-converted-space">  </span>In a PD patient that appears infected, get a peritoneal fluid sample and start antibiotics</span></li> <li class="li2"><span class="s2">Dialysis patients are susceptible to dialysis disequilibrium syndrome which can present as altered mental status, focal neurological deficits or even frank coma or seizures after dialysis.<span class="Apple-converted-space">  </span>Make sure to consider a broad differential in these patients and start with a solute load such as an amp or two of D50 while starting your work up.</span></li> </ol> <p class="p1"><span class="s1">Core EM: <a href="https://coreem.
Apr 10, 2017
Episode 91.0 – Journal Update – AKI + IV Contrast
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-91-0/" title="Episode 91.0 – Journal Update – AKI + IV Contrast" rel="bookmark"> <img width="713" height="713" src="https://coreem.net/content/uploads/2017/03/Podcast-Image-91.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/03/Podcast-Image-91.0.png 713w, https://coreem.net/content/uploads/2017/03/Podcast-Image-91.0-150x150.png 150w, https://coreem.net/content/uploads/2017/03/Podcast-Image-91.0-300x300.png 300w, https://coreem.net/content/uploads/2017/03/Podcast-Image-91.0-500x500.png 500w" sizes="(max-width: 713px) 100vw, 713px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss a recent article in Annals of EM on contrast induced nephropathy and whether the phenomena is real or dogma. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4938-434" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_91_0_Final_Cut.m4a?_=434" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_91_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_91_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_91_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-91-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/aki/" rel="tag">AKI</a>, <a href="https://coreem.net/tag/cin/" rel="tag">CIN</a>, <a href="https://coreem.net/tag/contrast-induced-nephropathy/" rel="tag">Contrast Induced Nephropathy</a>, <a href="https://coreem.net/tag/journal-update/" rel="tag">Journal Update</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> [caption id="attachment_4940" align="aligncenter" width="673"]<img class="size-full wp-image-4940" src="http://coreem.net/content/uploads/2017/03/ACR-Table-on-CIN-FOAMCast.png" alt="" width="673" height="402" /> ACR Table on CIN - FOAMCast[/caption] <p class="p1"><span class="s1">FOAMCast: <a href="http://foamcast.org/2017/02/28/episode-65-contrast-induced-nephropathy-and-genitourinary-trauma/"><span class="s2">Episode 65 - Contrast Induced Nephropathy and Genitourinary Trauma</span></a></span></p> <p class="p2">REBEL EM: <a href="http://rebelem.com/contrast-induced…hy-cin-fact-myth/">Contrast Induced Nephropahty: Fact or Myth</a></p> <p class="p2">Core EM: <a href="https://coreem.net/journal-reviews/aki-iv-contrast/">Acute Kidney Injury is not Associated with IV Contrast Use in the ED</a></p> <p class="p2"><span class="s3">EM Lit of Note: <a href="http://www.emlitofnote.com/?p=3807"><span class="s4">Punching Holes in CIN</span></a></span></p> <p class="p2"><span class="s3">EMCrit: <a href="https://emcrit.org/pulmcrit/do-ct-scans-cause-contrast-nephropathy/"><span class="s4">Do CT Scans Cause Contrast Nephrophathy?</span></a></span></p> <p class="p1"><span class="s1">EM Lit of Note: <a href="http://www.emlitofnote.com/?p=3807"><span class="s2">Punching Holes in CIN</span></a></span></p> <p class="p2"><span class="s3">EM Docs: <a href="http://www.emdocs.net/contrast-induced-nephropathy-confounding-causation/"><span ...
Apr 03, 2017
Episode 90.0 – Acute Rhinosinusitis
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-90-0/" title="Episode 90.0 – Acute Rhinosinusitis" rel="bookmark"> <img width="718" height="717" src="https://coreem.net/content/uploads/2017/02/Podcast-Image-90.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/02/Podcast-Image-90.0.png 718w, https://coreem.net/content/uploads/2017/02/Podcast-Image-90.0-150x150.png 150w, https://coreem.net/content/uploads/2017/02/Podcast-Image-90.0-300x300.png 300w, https://coreem.net/content/uploads/2017/02/Podcast-Image-90.0-500x500.png 500w" sizes="(max-width: 718px) 100vw, 718px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into acute rhinosinusitis focusing on diagnosis and discussing the absence of utility for antibiotics in most patients. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4801-440" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_90_0_Final_Cut.m4a?_=440" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_90_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_90_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_90_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-90-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ent/" rel="tag">ENT</a>, <a href="https://coreem.net/tag/rhinosinusitis/" rel="tag">Rhinosinusitis</a>, <a href="https://coreem.net/tag/sinusitis/" rel="tag">Sinusitis</a>, <a href="https://coreem.net/tag/uri/" rel="tag">URI</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Sinusitis is a clinical diagnosis. Patients typically present with purulent nasal discharge and facial pain or other URI symptoms.</span></li> <li class="li1"><span class="s2">The vast majority of patients with acute rhino sinusitis will be viral in nature and will not benefit from antibiotics</span></li> <li class="li1"><span class="s2">Patients with prolonged symptoms, more than 7-10 days, without improvement or continued fevers past 2-3 days should be considered for antibiotic treatment as should those who are immunocompromised.</span></li> </ol> <p class="p5"><span class="s2"><b>Show Notes</b></span></p> <p class="p7"><span class="s2">Melio FR, Berge LR. Upper Respiratory Tract Infections, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 75: p 965-79.</span></p> <p class="p8"><span class="s5">The NNT: <a href="http://www.thennt.com/nnt/antibiotics-for-clinically-diagnosed-acute-sinusitis/"><span class="s6">Antibiotics for Clinically Diagnosed Acute Sinusitis in Adults</span></a></span></p> <p class="p8"><span class="s5">The NNT: <a href="http://www.thennt.com/nnt/antibiotics-for-radiologically-diagnosed-sinusitis/"><span class="s6">Antibiotics for Radiologically-Diagnosed Acute Maxillary Sinusitis</span></a></span></p>
Mar 27, 2017
Episode 89.0 – Epistaxis
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-89-0/" title="Episode 89.0 – Epistaxis" rel="bookmark"> <img width="571" height="571" src="https://coreem.net/content/uploads/2017/02/Podcast-Image-89.0-Image.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/02/Podcast-Image-89.0-Image.png 571w, https://coreem.net/content/uploads/2017/02/Podcast-Image-89.0-Image-150x150.png 150w, https://coreem.net/content/uploads/2017/02/Podcast-Image-89.0-Image-300x300.png 300w, https://coreem.net/content/uploads/2017/02/Podcast-Image-89.0-Image-500x500.png 500w" sizes="(max-width: 571px) 100vw, 571px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the ED management of anterior and posterior epistaxis. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4754-446" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_89_0_Final_Cut.m4a?_=446" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_89_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_89_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_89_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-89-0/#comments">3 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ent/" rel="tag">ENT</a>, <a href="https://coreem.net/tag/epistaxis/" rel="tag">Epistaxis</a>, <a href="https://coreem.net/tag/nose-bleeds/" rel="tag">Nose Bleeds</a>, <a href="https://coreem.net/tag/txa/" rel="tag">TXA</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">The first step is managing epistaxis is solid pressure.<span class="Apple-converted-space">  </span>This means holding a tight pinch just distal to the nasal bones and hold, without peaking, for at least 5 minutes.<span class="Apple-converted-space">  </span>This will stop a good deal of the bleeding.</span></li> <li class="li1"><span class="s2">If you need to do more, start by soaking gauze in either oxymetazoline or epinephrine, mix in some lidocaine to help with anesthesia, pack the nare with that and add on some compression.<span class="Apple-converted-space">  </span>Hope fully this stops the bleeding enough that you can see a good bleeder and perform cautery.</span></li> <li class="li1"><span class="s2">Third line of treatment would be to try some soaked gauze, but this time with TXA. Can’t hurt to try!</span></li> <li class="li1"><span class="s2">And then last resort is of course packing. Here make sure the patient is anesthetized with some lidocaine, lubricate the packing well and apply horizonally, no vertically as we are often tempted.</span></li> </ol> [caption id="attachment_4775" align="aligncenter" width="885"]<img class="size-full wp-image-4775" src="http://coreem.net/content/uploads/2017/03/Epistaxis-Tray.png" alt="" width="885" height="537" /> Epistaxis Tray[/caption] <p class="p1"><span class="s1"><b>Show Notes</b></span></p> <p class="p3"><span class="s1">LITFL: <a href="http://lifeinthefastlane.
Mar 20, 2017
Episode 88.0 – Simplified Approach to Tachydysrhythmias
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-88-0/" title="Episode 88.0 – Simplified Approach to Tachydysrhythmias" rel="bookmark"> <img width="569" height="567" src="https://coreem.net/content/uploads/2017/03/Podcast-Image-88.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/03/Podcast-Image-88.0.png 569w, https://coreem.net/content/uploads/2017/03/Podcast-Image-88.0-150x150.png 150w, https://coreem.net/content/uploads/2017/03/Podcast-Image-88.0-300x300.png 300w" sizes="(max-width: 569px) 100vw, 569px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week, we review a simplified approach to determining the rhythm on an EKG with a tachydysrhythmia. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4650-452" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_88_0_Final_Cut.m4a?_=452" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_88_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_88_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_88_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-88-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/atrial-fibrillation/" rel="tag">Atrial Fibrillation</a>, <a href="https://coreem.net/tag/avnrt/" rel="tag">AVNRT</a>, <a href="https://coreem.net/tag/svt/" rel="tag">SVT</a>, <a href="https://coreem.net/tag/tachycardias/" rel="tag">Tachycardias</a>, <a href="https://coreem.net/tag/tachydysrhythias/" rel="tag">Tachydysrhythias</a>, <a href="https://coreem.net/tag/ventricular-tachycardia/" rel="tag">Ventricular Tachycardia</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong>Take Home Points</strong></p> <ol class="ol1"> <li class="li1"><span class="s2">When looking at a tachy rhythm that isn’t sinus tach, quickly differentiate by determining if the QRS complexes is narrow or wide and then determine if the rhythm is regular or irregular. This approach quickly drops the rhythm into 1 of 4 boxes and makes rhythm determination much easier</span></li> <li class="li1"><span class="s2">Each of those 4 categories has a small set of rhythms included. Narrow and irregular - AF, Aflutter with variable block or MFAT. Narrow and regular - SVT or Aflutter. Wide and irregular - Torsades, VF, AF with aberrancy or a BBB. Wide and regular - VTach, SVT with aberrancy or SVT with a BBB.</span></li> <li class="li1"><span class="s2">If you see wide and regular, the top 3 diagnoses are VT, VT and VT. Assuming VT and treating for that will almost never send you astray</span></li> </ol> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p3"><span class="s2">EM: RAP: <a href="https://www.emrap.org/episode/september2008/tachycardia"><span class="s3">Episode 84 - Tachycardia</span></a></span></p> <p class="p3"><span class="s2">Core EM: <a href="https://coreem.net/core/a-simplified-approach-to-tachydysrhythmias/"><span class="s3">A Simplified Approach to Tachydysrhythmias</span></a></span></p>
Mar 13, 2017
Episode 87.0 – Journal Review (Ketorlac Dosing + POKER Trial)
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-87-0/" title="Episode 87.0 – Journal Review (Ketorlac Dosing + POKER Trial)" rel="bookmark"> <img width="571" height="570" src="https://coreem.net/content/uploads/2017/01/Podcast-Image-87.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/01/Podcast-Image-87.0.png 571w, https://coreem.net/content/uploads/2017/01/Podcast-Image-87.0-150x150.png 150w, https://coreem.net/content/uploads/2017/01/Podcast-Image-87.0-300x300.png 300w, https://coreem.net/content/uploads/2017/01/Podcast-Image-87.0-500x500.png 500w" sizes="(max-width: 571px) 100vw, 571px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss two recent journal articles - the POKER trial and the ketorlac analgesic ceiling </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4648-458" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_87_0_Final_Cut.m4a?_=458" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_87_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_87_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_87_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-87-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ketamine/" rel="tag">Ketamine</a>, <a href="https://coreem.net/tag/ketofol/" rel="tag">Ketofol</a>, <a href="https://coreem.net/tag/ketorlac/" rel="tag">ketorlac</a>, <a href="https://coreem.net/tag/poker/" rel="tag">POKER</a>, <a href="https://coreem.net/tag/propofol/" rel="tag">Propofol</a>, <a href="https://coreem.net/tag/psa/" rel="tag">PSA</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong>Take Home Points</strong></p> <ol class="ol1"> <li class="li1"><span class="s2">The POKER trial examined the difference between propofol and ketofol when it comes to adverse respiratory events.<span class="Apple-converted-space">  </span>They found no significant difference between the groups.<span class="Apple-converted-space">  </span>Given the increased risk of medication errors using two medication instead of one, you may want to avoid the mixture.</span></li> <li class="li1"><span class="s2">Ketorolac has an analgesic ceiling effect lower than you may have thought.<span class="Apple-converted-space">  </span>When comparing IV doses of 10mg, 15mg and 30mg they found no difference in analgesic effect.<span class="Apple-converted-space">  </span>Given the risks of side effects may increase with higher doses, you may want to stick to the lower 10mg dose.</span></li> </ol> <p class="p1"><span class="s1">RebelEM: <a href="http://rebelem.com/poker-trial-go-ketofol/"><span class="s2">The POKER Trial: Go All in on Ketofol?</span></a></span></p> <p class="p2"><span class="s1">St. Emlyn’s: <a href="http://stemlynsblog.org/jc-is-ketofol-worth-the-hassle-st-emlyns/"><span class="s3">JC: Is Ketofol with the hassle?</span></a></span></p> <p class="p2"><span class="s4">Core EM: <a href="https://coreem.
Mar 06, 2017
Episode 86.0 – Anti-D Immunoglobulin (RhoGam) in Early Pregnancy
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-86-0/" title="Episode 86.0 – Anti-D Immunoglobulin (RhoGam) in Early Pregnancy" rel="bookmark"> <img width="576" height="575" src="https://coreem.net/content/uploads/2017/01/Podcast-Image-86.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/01/Podcast-Image-86.0.png 576w, https://coreem.net/content/uploads/2017/01/Podcast-Image-86.0-150x150.png 150w, https://coreem.net/content/uploads/2017/01/Podcast-Image-86.0-300x300.png 300w, https://coreem.net/content/uploads/2017/01/Podcast-Image-86.0-500x500.png 500w" sizes="(max-width: 576px) 100vw, 576px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Do patients with 1st trimester bleeding need to get anti-D immunoglobulin if they're Rh negative? We dive into the topic this week. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4603-464" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_86_0_Final_Cut.m4a?_=464" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_86_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_86_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_86_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-86-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/early-pregnancy/" rel="tag">Early Pregnancy</a>, <a href="https://coreem.net/tag/obstetrics/" rel="tag">Obstetrics</a>, <a href="https://coreem.net/tag/rhogam/" rel="tag">RhoGam</a>, <a href="https://coreem.net/tag/vaginal-bleeding/" rel="tag">Vaginal Bleeding</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Take Home Points</span></strong></p> <ol class="ol1"> <li class="li1"><span class="s1">An Rh negative woman can become alloimmunized to Rh antigen if exposed to blood from an Rh positive fetus. Theoretically, this alloimmunization can occur even in early pregnancy</span></li> <li class="li1"><span class="s1">While anti-D immune globulin has clearly been shown to be beneficial in preventing alloimmunization in 2nd and 3rd trimester pregnancy, there is no evidence supporting use specifically in the 1st trimester</span></li> <li class="li1"><span class="s1">Despite the absence of evidence, RhoGam administration has become routine in many places. At this time, it’s advisable to follow local practice patterns regarding which patients should be given RhoGam.</span></li> </ol> <p class="p3"><strong><span class="s1">References</span></strong></p> <p class="p1"><span class="s1">ACOG Practice Bulletin. Prevention of Rh D Alloimmunization. Int J Gynaecol Obstet 1999; 66(1): 63-70. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/10458556"><span class="s4">10458556</span></a> Recommendations reaffirmed in 2016</span></p> <p class="p1"><span class="s1">Hahn SA et al. Clinical Policy: Critical Issues in the Initial Ealuation and Management of Patients Presenting to the Emergency Department in Early Pregnancy. Ann Emerg Med 2012; 60(3): 381-419. PMID: <a href="https://www.ncbi.nlm.nih.
Feb 27, 2017
Episode 85.0 – Challenging Deliveries
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-85-0/" title="Episode 85.0 – Challenging Deliveries" rel="bookmark"> <img width="574" height="574" src="https://coreem.net/content/uploads/2017/01/Podcast-Image-85.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/01/Podcast-Image-85.0.png 574w, https://coreem.net/content/uploads/2017/01/Podcast-Image-85.0-150x150.png 150w, https://coreem.net/content/uploads/2017/01/Podcast-Image-85.0-300x300.png 300w, https://coreem.net/content/uploads/2017/01/Podcast-Image-85.0-500x500.png 500w" sizes="(max-width: 574px) 100vw, 574px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss three common complications of delivery: cord prolapse, nuchal cord and shoulder dystocia. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4593-470" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_85_0_Final_Cut.m4a?_=470" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_85_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_85_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_85_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-85-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cord-prolapse/" rel="tag">Cord Prolapse</a>, <a href="https://coreem.net/tag/nuchal-cord/" rel="tag">Nuchal Cord</a>, <a href="https://coreem.net/tag/obstetrics/" rel="tag">Obstetrics</a>, <a href="https://coreem.net/tag/shoulder-dystocia/" rel="tag">Shoulder Dystocia</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Take Home Points</span></strong></p> <ol class="ol1"> <li class="li1"><span class="s1">If you have a patient with a cord prolapse, elevate the presenting part to take pressure off the cord, place the patient in trendelenburg and fill the bladder. Then, redline it to the OR for a c-section.</span></li> <li class="li1"><span class="s1">Nuchal cord is common but likely not too dangerous. Just gently unwrap the umbilical cord and the fetus should be just fine</span></li> <li class="li1"><span class="s1">Shoulder dystocia isn’t common but it’s a true emergency as the fetus can suffer severe hypoxia or death. You’ve got a bout 5 minutes to deliver. Immediately call for help from OB, place a foley catheter to drain the bladder and place the mom’s legs so that her knees are pressed into her chest. This helps to open up the pelvis and give more room for the shoulder to be delivered. If that doesn’t work, you can try the wood’s screw maneuver or place the mom on all 4s. If you’ve got an OR ready, pushing the head back in is also an option but only if you have an OR available</span></li> </ol> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p3"><span class="s4">Core EM: <a href="https://coreem.net/core/shoulder-dystocia/"><span class="s5">Shoulder Dystocia</span></a></span></p> <p class="p3"><span class="s1">emDocs: <a href="http://www.emdocs.net/the-complicated-delivery-what-do-you-do/"><span class="s5"...
Feb 20, 2017
Episode 84.0 – Traumatic ICH Management
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-84-0/" title="Episode 84.0 – Traumatic ICH Management" rel="bookmark"> <img width="579" height="572" src="https://coreem.net/content/uploads/2016/12/Podcast-Image-84.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/12/Podcast-Image-84.0.png 579w, https://coreem.net/content/uploads/2016/12/Podcast-Image-84.0-300x296.png 300w" sizes="(max-width: 579px) 100vw, 579px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we look at TBI and discuss some of the pitfalls and pearls in early management of traumatic ICH. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4518-476" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_84_0_Final_Cut.m4a?_=476" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_84_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_84_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_84_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-84-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/head-injury/" rel="tag">Head Injury</a>, <a href="https://coreem.net/tag/hyperosmolar-therapy/" rel="tag">Hyperosmolar Therapy</a>, <a href="https://coreem.net/tag/ich/" rel="tag">ICH</a>, <a href="https://coreem.net/tag/resuscitation/" rel="tag">Resuscitation</a>, <a href="https://coreem.net/tag/rsi/" rel="tag">RSI</a>, <a href="https://coreem.net/tag/tbi/" rel="tag">TBI</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">If you get a heads up from EMS on an incoming trauma, take the lead time you get to clearly delineate everyone’s roles to help ensure the resuscitation runs smoothly.</span></li> <li class="li1"><span class="s2">In the severe TBI patient, the key is in preventing secondary injury to the brain. We do this by guarding against hypoxia, hypercarbia, hypotension and aspiration. Max your pre-ox, get the ETT in quickly to prevent oxygenation and ventilation issues and keep the head up if possible</span></li> <li class="li1"><span class="s2">Hypotension is rarely seen in isolated head trauma. If the patient is or becomes hypotensive, reassess for any sources of hemorrhagic shock that may have been missed and consider whether the meds you gave may have caused the problem.</span></li> <li class="li1"><span class="s2">Hypertension is much more common and despite extensive research, we haven’t shown that dropping the patient to normal levels is beneficial. Keeping the SBP < 180 seems reasonable but check your local protocol as well.</span></li> <li class="li1"><span class="s2">If the patient’s ICP spikes or your concerned about herniation, administer mannitol or hypertonic saline and get your neurosurgeon to the bedside since the patient is gonna need decompression</span></li> <li class="li1"><span class="s2">Finally, make sure to reverse any anticoagulant the patient may have on board ...
Feb 13, 2017
Episode 83.0 – Lumbar Radiculopathy
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-83-0/" title="Episode 83.0 – Lumbar Radiculopathy" rel="bookmark"> <img width="573" height="572" src="https://coreem.net/content/uploads/2016/12/Podcast-Image-83.0.png" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/12/Podcast-Image-83.0.png 573w, https://coreem.net/content/uploads/2016/12/Podcast-Image-83.0-150x150.png 150w, https://coreem.net/content/uploads/2016/12/Podcast-Image-83.0-300x300.png 300w, https://coreem.net/content/uploads/2016/12/Podcast-Image-83.0-500x500.png 500w" sizes="(max-width: 573px) 100vw, 573px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss a bit about back pain and specifically, lumbar radiculopathy with a focus on causes and red flags. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4488-482" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_83_0_Final_Cut.m4a?_=482" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_83_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_83_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_83_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-83-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/back-pain/" rel="tag">Back Pain</a>, <a href="https://coreem.net/tag/low-back-pain/" rel="tag">Low Back Pain</a>, <a href="https://coreem.net/tag/musculoskeletal/" rel="tag">Musculoskeletal</a>, <a href="https://coreem.net/tag/steroids/" rel="tag">Steroids</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p2"><span class="s2">St. Emlyn’s: <a href="http://stemlynsblog.org/back-to-basics-back-pain-in-the-ed/"><span class="s3">Back to Basics: Back Pain in the ED</span></a></span></p> <p class="p4"><span class="s1">Edlow JA. Managing nontraumatic acute back pain. Ann Emerg Med 2015; 66: 148-53. PMID: <a href="http://www.apple.com"><span class="s4">25578887</span></a></span></p> <p class="p4"><span class="s1">Goldberg H et al. Oral steroids for acute radiculopathy due to a herniated lumbar disk: a randomized clinical trial. JAMA 2015; 313 (19): 1915-23. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/25988461"><span class="s4">25988461</span></a></span></p> <p class="p4"><span class="s1">Friedman BW et al. Naproxen with cyclobenzaprine, oxycodone/acetaminophen, or placebo for treating acute low back pain: a randomized clinical trial. JAMA 2015; 314 (15): 1572-80. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/26501533"><span class="s4">26501533</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-83-0/">Read More</a>
Feb 06, 2017
Episode 82.0 – ED Management of Seizures
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-82-0/" title="Episode 82.0 – ED Management of Seizures" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2017/01/podcast_82.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/01/podcast_82.jpg 1000w, https://coreem.net/content/uploads/2017/01/podcast_82-150x150.jpg 150w, https://coreem.net/content/uploads/2017/01/podcast_82-300x300.jpg 300w, https://coreem.net/content/uploads/2017/01/podcast_82-768x768.jpg 768w, https://coreem.net/content/uploads/2017/01/podcast_82-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the ED management of seizures focusing on treatment and workup particularly of a 1st seizure episode. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4431-488" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_82_0_Final_Cut.m4a?_=488" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_82_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_82_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_82_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-82-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/neurology/" rel="tag">Neurology</a>, <a href="https://coreem.net/tag/seizure/" rel="tag">Seizure</a>, <a href="https://coreem.net/tag/status-epilepticus/" rel="tag">Status Epilepticus</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Take Home Points</span></strong></p> <ol class="ol1"> <li class="li1"><span class="s1">Get a detailed history to tease out whether the patient had a seizure or a syncopal event. Regardless, get an EKG on 1st time seizures in case it was actually syncope.</span></li> <li class="li1"><span class="s1">BZDs are first line therapy for seizure termination. If you don’t have IV access, go with 10 mg of midazolam or 2-4 mg of lorazepam IM</span></li> <li class="li1"><span class="s1">Always review the 5 main categories for causes of seizures in order to make sure you’re not missing anything. Those categories once again are vital sign abnormalities, CNS infections, toxic/metabolic issues, CNS space occupying lesions including masses and bleeds and finally epilepsy. </span></li> <li class="li1"><span class="s1">In patients with a first time seizure without a particular cause and return to baseline neurologic status, there’s unlikely to be any benefit to a NCHCT or to starting an AED. Scheduling close follow up with a neurologist is very reasonable. The key is to do a thorough examination and make sure you’re not missing a subtle abnormality.</span></li> <li class="li1"><span class="s1">Finally, in status epilepticus hit the patient with 2-3 hefty doses of BZDs and if the seizure is still ongoing, strongly consider moving to propofol and intubation in order to rapidly control the seizure activity.</span></li> </ol>
Jan 30, 2017
Podcast 81.0 – Visualization
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/podcast-81-0/" title="Podcast 81.0 – Visualization" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2017/01/podcast_81.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/01/podcast_81.jpg 1000w, https://coreem.net/content/uploads/2017/01/podcast_81-150x150.jpg 150w, https://coreem.net/content/uploads/2017/01/podcast_81-300x300.jpg 300w, https://coreem.net/content/uploads/2017/01/podcast_81-768x768.jpg 768w, https://coreem.net/content/uploads/2017/01/podcast_81-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week, the podcast features a talk on Visualization given at the All NYC EM conference in October 2016. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4413-494" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_81_0_Final_Cut.m4a?_=494" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_81_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_81_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_81_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/podcast-81-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/all-nyc-em/" rel="tag">All NYC EM</a>, <a href="https://coreem.net/tag/human-factors/" rel="tag">Human Factors</a>, <a href="https://coreem.net/tag/performance-psychology/" rel="tag">Performance Psychology</a>, <a href="https://coreem.net/tag/sports-psychology/" rel="tag">Sports Psychology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Read More EMCrit: <a href="https://emcrit.org/blogpost/ehpr-part-5-using-mental-practice-visualization-exercises-mike-lauria/">EHPR Part 5: Using Mental Practice and Visualization Exercises by Mike Lauria</a> </div> </div> <br/><a href="https://coreem.net/podcast/podcast-81-0/">Read More</a>
Jan 23, 2017
Episode 80.0 – Penetrating Chest Trauma
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-80-0/" title="Episode 80.0 – Penetrating Chest Trauma" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2017/01/podcast_80.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/01/podcast_80.jpg 1000w, https://coreem.net/content/uploads/2017/01/podcast_80-150x150.jpg 150w, https://coreem.net/content/uploads/2017/01/podcast_80-300x300.jpg 300w, https://coreem.net/content/uploads/2017/01/podcast_80-768x768.jpg 768w, https://coreem.net/content/uploads/2017/01/podcast_80-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we feature a short primer on penetrating chest trauma focusing on circulation first over airway and breathing. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4405-500" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_80_0_Final_Cut.m4a?_=500" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_80_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_80_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_80_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-80-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ed-thoracotomy/" rel="tag">ED Thoracotomy</a>, <a href="https://coreem.net/tag/efast/" rel="tag">EFAST</a>, <a href="https://coreem.net/tag/resuscitative-thoracotomy/" rel="tag">Resuscitative Thoracotomy</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a>, <a href="https://coreem.net/tag/ultrasound/" rel="tag">Ultrasound</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Don’t rush to the airway. In most situations, you have some time so resuscitate before you intubate. Give blood products and get the BP up a bit to give yourself a little better physiologic situation in which to intubate.</span></li> <li class="li1"><span class="s2">Start your massive transfusion immediately if the patient is shocked. There’s always a delay in getting products but the earlier you start, the shorter the delay.</span></li> <li class="li1"><span class="s2">Include US in your primary survey. Your E-FAST should start with the cardiac window, then go to the lungs and then, finally, the abdomen. This order focuses on finding pathology you can fix immediately.</span></li> <li class="li1"><span class="s2">If the patient is shocked and peri-arrest or recently lost vitals, open the chest and look for a fixable injury. Start with opening the pericardium to relieve tamponade, identify and repair cardiac wounds and cross clamp the aorta.</span></li> </ol> <p class="p3"><strong><span class="s2">Read More</span></strong></p> <p class="p5"><span class="s5">Larry Mellick: <a href="https://www.youtube.com/watch?v=8BlPxQI2C90"><span class="s6">Open Thoracotomy Video</span></a></span></p>
Jan 16, 2017
Episode 79.0 – The Traumatized Airway
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-79-0/" title="Episode 79.0 – The Traumatized Airway" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2017/01/podcast_79.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/01/podcast_79.jpg 1000w, https://coreem.net/content/uploads/2017/01/podcast_79-150x150.jpg 150w, https://coreem.net/content/uploads/2017/01/podcast_79-300x300.jpg 300w, https://coreem.net/content/uploads/2017/01/podcast_79-768x768.jpg 768w, https://coreem.net/content/uploads/2017/01/podcast_79-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss facial trauma and the disasters it can cause to your airway management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4362-506" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_79_0_Final_Cut.m4a?_=506" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_79_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_79_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_79_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-79-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/airway/" rel="tag">Airway</a>, <a href="https://coreem.net/tag/cricothyroidotomy/" rel="tag">Cricothyroidotomy</a>, <a href="https://coreem.net/tag/rsi/" rel="tag">RSI</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">In a patient with significant head and neck trauma, EACH step of the airway management can be more difficulty. BVM may be hard, LMA may be hard, RSI may be hard, so don’t be afraid to ask for help early.</span></li> <li class="li1"><span class="s2">Decide whether the patient has an actual obstruction of their airway. If they are obstructed above the larynx, don’t bother with your usual airway maneuvers, go directly to the surgical airway.</span></li> <li class="li1"><span class="s2">When you do attempt RSI, have double suction and multiple airway techniques set up. This is the time to have your friend standing at your side, scalpel in hand and ready to move directly down the difficult airway algorithm if trouble arises. </span></li> <li class="li1"><span class="s2">Finally, consider keeping the patient awake and preserving their own respiratory drive as it may give you more time to secure the airway.</span></li> </ol> <p class="p1"><strong><span class="s1">Read more</span></strong></p> <p class="p2"><span class="s2">LITFL: <a href="http://lifeinthefastlane.com/ccc/facial-trauma/"><span class="s3">Facial Trauma</span></a></span></p> <p class="p2"><span class="s2">LITFL: <a href="http://lifeinthefastlane.com/ccc/airway-in-facial-trauma/"><span class="s3">Airway in Maxillofacial Trauma</span></a></span></p> <p class="p2"><span class="s2">EMCrit: <a href="http://emcrit.
Jan 09, 2017
Episode 78.0 – Effect of Conservative vs. Conventional Oxygen Use on Mortality
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-78-0/" title="Episode 78.0 – Effect of Conservative vs. Conventional Oxygen Use on Mortality" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2017/01/podcast_78.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2017/01/podcast_78.jpg 1000w, https://coreem.net/content/uploads/2017/01/podcast_78-150x150.jpg 150w, https://coreem.net/content/uploads/2017/01/podcast_78-300x300.jpg 300w, https://coreem.net/content/uploads/2017/01/podcast_78-768x768.jpg 768w, https://coreem.net/content/uploads/2017/01/podcast_78-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the OXYGEN-ICU trial exploring the effect of excess oxygen on ICU mortality. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4327-512" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_78_0_Final_Cut.m4a?_=512" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_78_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_78_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_78_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-78-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/critical-care/" rel="tag">Critical Care</a>, <a href="https://coreem.net/tag/icu/" rel="tag">ICU</a>, <a href="https://coreem.net/tag/oxygen-icu-study/" rel="tag">OXYGEN-ICU Study</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p1"><span class="s1">The Bottom Line: <a href="http://www.thebottomline.org.uk/summaries/icm/oxygen-icu/"><span class="s2">Normal Oxygen Versus Hyperoxia in the Intensive Care Unit (ICU) (OXYGEN-ICU)</span></a></span></p> <p class="p1"><span class="s1">ScanCrit: <a href="http://www.scancrit.com/2014/11/26/avoid-oxygen/"><span class="s2">Avoid the Oxygen Reflex</span></a></span></p> <p class="p1"><span class="s1">REBEL EM: <a href="http://rebelem.com/july-2015-rebelcast/"><span class="s2">July 2015 REBEL Cast</span></a></span></p> <p class="p1"><span class="s1"><b>References</b></span></p> <p class="p3"><span class="s3">Giradis M et al. Effect of Conservative vs Conventional Oxygen Therapy on Mortality Among Patients in an Intensive Care Unit: The Oxygen-ICU Randomized Clinical Trial. JAMA. 316(15):1583-1589. 2016. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/27706466"><span class="s4">27706466</span></a> </span></p> <p class="p3"><span class="s1">Meyhoff CS et al. PROXI Trial Group. Effect of high perioperative oxygen fraction on surgical site infection and pulmonary complications after abdominal surgery: the PROXI randomized clinical trial. JAMA. 2009; 302(14):1543-1550. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/19826023"><span class="s5">19826023 </span></a></span></p> <p class="p3"><span class="s1">Stub D et al. AVOID Investigators.
Jan 02, 2017
Episode 77.0 – Give TXA Now!
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-77-0-give-txa-now/" title="Episode 77.0 – Give TXA Now!" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/12/podcast_77.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/12/podcast_77.jpg 1000w, https://coreem.net/content/uploads/2016/12/podcast_77-150x150.jpg 150w, https://coreem.net/content/uploads/2016/12/podcast_77-300x300.jpg 300w, https://coreem.net/content/uploads/2016/12/podcast_77-768x768.jpg 768w, https://coreem.net/content/uploads/2016/12/podcast_77-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week the podcast features a talk Jenny Beck-Esmay gave at the 11th All NYC EM Conference entitled "Give TXA Now!" </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4400-518" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_77_0_Final_Cut.m4a?_=518" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_77_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_77_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_77_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-77-0-give-txa-now/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/all-nyc-em/" rel="tag">All NYC EM</a>, <a href="https://coreem.net/tag/crash-2/" rel="tag">CRASH-2</a>, <a href="https://coreem.net/tag/massive-transfusion-protocol/" rel="tag">Massive Transfusion Protocol</a>, <a href="https://coreem.net/tag/matters/" rel="tag">MATTERS</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a>, <a href="https://coreem.net/tag/txa/" rel="tag">TXA</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Take Home Points <ol> <li>Giving TXA provides a significant mortality benefit to the any trauma patient requiring massive transfusion with an NNT = 7 for mortality</li> <li>TXA must be given early. Give within 1 hour of injury if possible but the benefit remains up to 3 hours out</li> <li>TXA administration: 1 gram as a bolus followed by 1 gram over the next 8 hours</li> </ol> <strong>Show Notes</strong> Intensive Care Network: <a href="http://intensivecarenetwork.com/karim-brohi-on-tranexamic-acid-in-trauma/">Karim Brohi on TXA in Trauma</a> EMCrit: <a href="http://emcrit.org/podcasts/tranexamic-acid-trauma/">Podcast 67 - Tranexamic Acid (TXA)</a> Core EM: <a href="https://coreem.net/journal-reviews/crash-2-tranexamic-acid-in-major-trauma/">CRASH-2 Tranexamic Acid in Major Trauma</a> <strong>References</strong> <p class="p1"><span class="s1">CRASH-2 trial collaborators. Effects of tanexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a ransomised placebo-controlled trial. Lancet 2010; 376: 23-32. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/20554319"><span class="s2">20554319</span></a></span></p> <p class="p1"><span class="s1">Guerriero C et al.
Dec 19, 2016
Episode 76.0 – The Lisfranc Injury
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-76-0/" title="Episode 76.0 – The Lisfranc Injury" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/12/podcast_76.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/12/podcast_76.jpg 1000w, https://coreem.net/content/uploads/2016/12/podcast_76-150x150.jpg 150w, https://coreem.net/content/uploads/2016/12/podcast_76-300x300.jpg 300w, https://coreem.net/content/uploads/2016/12/podcast_76-768x768.jpg 768w, https://coreem.net/content/uploads/2016/12/podcast_76-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss Lisfranc injuries with a focus on a diagnostic pathway and management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4234-524" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_76_0_Final_Cut.m4a?_=524" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_76_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_76_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_76_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-76-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/lisfranc-fracture/" rel="tag">Lisfranc Fracture</a>, <a href="https://coreem.net/tag/lisfranc-injury/" rel="tag">Lisfranc Injury</a>, <a href="https://coreem.net/tag/orthopedics/" rel="tag">Orthopedics</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">A Lisfranc injury is a midfoot injury that results in displacement of one or more of the metatarsal bones from tarsus. </span></li> <li class="li1"><span class="s2">XR will show widening of the space between the 1</span><span class="s4"><sup>st</sup></span><span class="s2"> and 2</span><span class="s4"><sup>nd</sup></span><span class="s2"> metatarsals. Getting contralateral XR may help you identify this.</span></li> <li class="li1"><span class="s2">Even if you don’t see that widening on the XR, the patient could still have a Lisfranc injury. If they cannot walk due to pain, get a weight bearing XR or CT scan to look further.</span></li> <li class="li1"><span class="s2">Once the injury is identified, the patient must be strict non-weightbearing. Place them in a posterior splint and get orthopedics involved either in the ED or for prompt follow up as the patient will probably need surgery.</span></li> </ol> [caption id="attachment_4236" align="aligncenter" width="571"]<img class="size-full wp-image-4236" src="http://coreem.net/content/uploads/2016/11/Foot-Skeleton-Superior-View-Google-Images.png" alt="Foot Bones (Google Images)" width="571" height="645" /> Foot Bones (Google Images)[/caption] [caption id="attachment_4237" align="aligncenter" width="801"]<img class="size-full wp-image-4237" src="http://coreem.
Dec 12, 2016
Episode 75.0 – Fluid Responsiveness + Resuscitation
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-75-0/" title="Episode 75.0 – Fluid Responsiveness + Resuscitation" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/12/podcast_75.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/12/podcast_75.jpg 1000w, https://coreem.net/content/uploads/2016/12/podcast_75-150x150.jpg 150w, https://coreem.net/content/uploads/2016/12/podcast_75-300x300.jpg 300w, https://coreem.net/content/uploads/2016/12/podcast_75-768x768.jpg 768w, https://coreem.net/content/uploads/2016/12/podcast_75-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we do a little spaced repetition on adrenal insufficiency and then discuss fluid responsiveness and resuscitation. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4226-530" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_75_0_Final_Cut.m4a?_=530" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_75_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_75_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_75_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-75-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/adrenal-insufficiency/" rel="tag">Adrenal Insufficiency</a>, <a href="https://coreem.net/tag/critical-care/" rel="tag">Critical Care</a>, <a href="https://coreem.net/tag/fluid-responsiveness/" rel="tag">Fluid Responsiveness</a>, <a href="https://coreem.net/tag/fluid-resuscitation/" rel="tag">Fluid Resuscitation</a>, <a href="https://coreem.net/tag/sepsis/" rel="tag">Sepsis</a>, <a href="https://coreem.net/tag/septic-shock/" rel="tag">Septic Shock</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p1"><span class="s1">Marik PE. Fluid responsiveness and the six guiding principles of fluid resuscitation. Crit Care Med 2016. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/26571187"><span class="s2">26571187</span></a></span></p> <p class="p1"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/ccc/adrenal-insufficency/"><span class="s3">Adrenal Insufficiency</span></a></span></p> <p class="p1">EMCrit: <a href="http://emcrit.org/podcasts/fluid-responsiveness-with-dr-paul-marik/">Podcast 64 - Assessing Fluid Responsiveness with Dr. Paul Marik</a></p> <p class="p1"><span class="s1">Core EM: <a href="https://coreem.net/core/adrenal-crisis/"><span class="s3">Adrenal Crisis</span></a></span></p> <p class="p1"><span class="s1">Core EM: <a href="https://coreem.net/podcast/episode-15-0-adrenal-crises-d-dimer-in-aortic-dissection/"><span class="s3">Episode 15.0 - Adrenal Crisis</span></a></span></p> <p class="p3"><span class="s1"><b>References</b></span></p> <p class="p3"><span class="s1">Cavallaro F et al. Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systemic review and meta...
Dec 05, 2016
Episode 74.0 – Gastroesophogeal Reflux (GERD)
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-74-0/" title="Episode 74.0 – Gastroesophogeal Reflux (GERD)" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/11/podcast_74.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/11/podcast_74.jpg 1000w, https://coreem.net/content/uploads/2016/11/podcast_74-150x150.jpg 150w, https://coreem.net/content/uploads/2016/11/podcast_74-300x300.jpg 300w, https://coreem.net/content/uploads/2016/11/podcast_74-768x768.jpg 768w, https://coreem.net/content/uploads/2016/11/podcast_74-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review some pearls in the diagnosis and management of acid reflux. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4221-536" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_74_0_GERD_Final_Cut.m4a?_=536" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_74_0_GERD_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_74_0_GERD_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_74_0_GERD_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-74-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/acid-reflux/" rel="tag">Acid Reflux</a>, <a href="https://coreem.net/tag/gastrointestinal/" rel="tag">Gastrointestinal</a>, <a href="https://coreem.net/tag/gerd/" rel="tag">GERD</a>, <a href="https://coreem.net/tag/gi/" rel="tag">GI</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">GERD pain can mimic or co-exist with the more deadly causes of chest pain.<span class="Apple-converted-space">  </span>Be sure to consider all the serious causes of chest pain, get an EKG and maybe a chest XR while you go about symptom management.</span></li> <li class="li1"><span class="s2">Respond to a treatment doesn’t prove a diagnosis.<span class="Apple-converted-space">  </span>GERD pain may get better with nitro and ACS pain may get better with a GI cocktail.<span class="Apple-converted-space">  </span>Keep an open mind while seeing these patients.</span></li> <li class="li1"><span class="s2">Standard treatment for GERD includes an antacid and H2 blocker and maybe a PPI.<span class="Apple-converted-space">  </span>Keep in mind that a PPI takes a while to work, so be sure to give something faster acting in the ED</span></li> <li class="li1"><span class="s2">And last, for these patients, take those few extra minutes for some counseling on lifestyle modifications.<span class="Apple-converted-space">  </span>All medications come with side effects, so be sure to address things like diet, smoking and weight loss while you have a captive audience. </span></li> </ol> </div> </div> <br/><a href="https://coreem.net/podcast/episode-74-0/">Read More</a>
Nov 28, 2016
Episode 73.0 – PE in Syncope Study
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-73-0/" title="Episode 73.0 – PE in Syncope Study" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/11/podcast_73.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/11/podcast_73.jpg 1000w, https://coreem.net/content/uploads/2016/11/podcast_73-150x150.jpg 150w, https://coreem.net/content/uploads/2016/11/podcast_73-300x300.jpg 300w, https://coreem.net/content/uploads/2016/11/podcast_73-768x768.jpg 768w, https://coreem.net/content/uploads/2016/11/podcast_73-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into the controversies surrounding the PESIT study looking at the prevalence of PE in admitted patients with syncope </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4119-542" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_73_0_Final_Cut.m4a?_=542" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_73_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_73_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_73_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-73-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cardiovascular/" rel="tag">Cardiovascular</a>, <a href="https://coreem.net/tag/journal-club/" rel="tag">Journal Club</a>, <a href="https://coreem.net/tag/pe/" rel="tag">PE</a>, <a href="https://coreem.net/tag/pulmonary/" rel="tag">Pulmonary</a>, <a href="https://coreem.net/tag/pulmonary-embolism/" rel="tag">Pulmonary Embolism</a>, <a href="https://coreem.net/tag/syncope/" rel="tag">Syncope</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1"><b>Read More</b></span></p> <p class="p1"><span class="s3">EMLit of Note: <a href="http://www.emlitofnote.com/?p=3640"><span class="s4">The Impending Pulmonary Embolism Apocolypse</span></a></span></p> <p class="p1"><span class="s3">St. Emlyn’s: JC – <a href="http://stemlynsblog.org/prevalence-of-pe-in-patients-with-syncope-st-emlyns/"><span class="s4">Prevelance of PE in Patients with Syncope</span></a></span></p> <p class="p1"><span class="s1">EM Nerd (EMCrit): <a href="http://emcrit.org/emnerd/the-case-of-the-incidental-bystander/"><span class="s6">The Case of the Incidental Bystander</span></a></span></p> <p class="p1">Pulm CCM: <a href="http://pulmccm.org/main/2016/n-engl-j-med-review/pesit-investigators-pulmonary-embolus-incidence-hospitalized-following-first-syncope/">PESIT Investigators: The Incidence of PE in Those Hospitalized Following First Syncope</a></p> <p class="p1"><strong><span class="s1">References</span></strong></p> <p class="p2"><span class="s1">Hutchinson BD et al. Overdiagnosis of pulmonary embolism by pulmonary CT angiography. Am J Rad 2015; 205(2):271-7. PMID: <a href="https://www.ncbi.nlm.nih.gov/pubmed/26204274">26204274</a></span></p> </div> </div> <br/><a href="https://coreem.
Nov 21, 2016
Episode 72.0 – Upper GI Bleeding
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-72-0/" title="Episode 72.0 – Upper GI Bleeding" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/11/podcast_72.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/11/podcast_72.jpg 1000w, https://coreem.net/content/uploads/2016/11/podcast_72-150x150.jpg 150w, https://coreem.net/content/uploads/2016/11/podcast_72-300x300.jpg 300w, https://coreem.net/content/uploads/2016/11/podcast_72-768x768.jpg 768w, https://coreem.net/content/uploads/2016/11/podcast_72-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss upper GI bleeding pearls from a workshop we did in our weekly conference. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-4099-548" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_72_0-UGIB_Final_Cut.m4a?_=548" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_72_0-UGIB_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_72_0-UGIB_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_72_0-UGIB_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-72-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/aortoenteric-fistula/" rel="tag">Aortoenteric Fistula</a>, <a href="https://coreem.net/tag/gastric-ulcer/" rel="tag">Gastric Ulcer</a>, <a href="https://coreem.net/tag/gastrointestinal/" rel="tag">Gastrointestinal</a>, <a href="https://coreem.net/tag/gi/" rel="tag">GI</a>, <a href="https://coreem.net/tag/ugib/" rel="tag">UGIB</a>, <a href="https://coreem.net/tag/variceal-bleeding/" rel="tag">Variceal Bleeding</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Respect the UGIB. These patients can bleed a lot. Even if they’re not actively hemorrhagic in front of you, realize that they can open up at any time and decompensate</span></li> <li class="li1"><span class="s2">Get your consultants on board early. A skilled endoscopist is your friend as they can get control of bleeding. Don’t forget IR for TIPS in variceal bleeds and general surgery in bleeding ulcers.</span></li> <li class="li1"><span class="s2">Activate your massive transfusion protocol if the patient is unstable and give the patient PRBCs, FFP and platelets as indicated. Reverse any anticoagulants as well.</span></li> <li class="li1"><span class="s2">Give all patients with confirmed or suspected variceal bleeding antibiotics - typically, ceftriaxone. This intervention saves lives and decreases morbidity.</span></li> </ol> <strong>Read More</strong> <p class="p1"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/ebm-upper-gi-haemorrhage/"><span class="s2">EBM Upper GI Haemorrhage</span></a></span></p> <p class="p1"><span class="s1">EMCrit: <a href="http://emcrit.org/practicalevidence/acute-upper-gi-bleeding-guidelines/"><span class="s2">Episode 5: Upper GI Bleed Guidelines</span></a></sp...
Nov 14, 2016
Episode 71.0 – Acute Pulmonary Edema
22:36
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-71-0/" title="Episode 71.0 – Acute Pulmonary Edema" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/11/podcast_71.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/11/podcast_71.jpg 1000w, https://coreem.net/content/uploads/2016/11/podcast_71-150x150.jpg 150w, https://coreem.net/content/uploads/2016/11/podcast_71-300x300.jpg 300w, https://coreem.net/content/uploads/2016/11/podcast_71-768x768.jpg 768w, https://coreem.net/content/uploads/2016/11/podcast_71-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we feature a lecture from Anand Swaminathan at our weekly conference on the ED management of acute pulmonary edema </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3966-554" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_71_0_Final_Cut.m4a?_=554" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_71_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_71_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_71_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-71-0/#comments">7 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/acute-decompensated-heart-failure/" rel="tag">Acute Decompensated Heart Failure</a>, <a href="https://coreem.net/tag/acute-pulmonary-edema/" rel="tag">Acute Pulmonary Edema</a>, <a href="https://coreem.net/tag/adhf/" rel="tag">ADHF</a>, <a href="https://coreem.net/tag/ape/" rel="tag">APE</a>, <a href="https://coreem.net/tag/cardiovascular/" rel="tag">Cardiovascular</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <img class="size-full wp-image-3967 aligncenter" src="http://coreem.net/content/uploads/2016/09/Screen-Shot-2016-09-28-at-2.40.06-PM.png" alt="screen-shot-2016-09-28-at-2-40-06-pm" width="670" height="501" /> <strong>Read More</strong> <p class="p1"><span class="s1">Core EM: <a href="http://coreem.net/core/ape/"><span class="s2">Acute Pulmonary Edema</span></a></span></p> <p class="p1"><span class="s1">EMCrit: <a href="http://emcrit.org/podcasts/scape/"><span class="s2">Podcast 1 - Sympathetic Crashing Acute Pulmonary Edema</span></a></span></p> <p class="p1"><span class="s1">REBEL EM: <a href="http://rebelem.com/morphine-kills-in-acute-decompensated-heart-failure/"><span class="s2">Morphine Kills in Acute Decompensated Heart Failure</span></a></span></p> <p class="p1"><span class="s1">emDocs: <a href="http://www.emdocs.net/furosemide-treatment-acute-pulmonary-edema/"><span class="s2">Furosemide in the Treatment of Acute Pulmonary Edema</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-71-0/">Read More</a>
Nov 07, 2016
Episode 70.0 – Baclofen Withdrawal
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-70-0/" title="Episode 70.0 – Baclofen Withdrawal" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/10/podcast_70.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/10/podcast_70.jpg 1000w, https://coreem.net/content/uploads/2016/10/podcast_70-150x150.jpg 150w, https://coreem.net/content/uploads/2016/10/podcast_70-300x300.jpg 300w, https://coreem.net/content/uploads/2016/10/podcast_70-768x768.jpg 768w, https://coreem.net/content/uploads/2016/10/podcast_70-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the rare, but life-threatening baclofen withdrawal. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3908-560" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_70_0_Final_Cut.m4a?_=560" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_70_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_70_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_70_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-70-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/baclofen/" rel="tag">Baclofen</a>, <a href="https://coreem.net/tag/critical-care/" rel="tag">Critical Care</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a>, <a href="https://coreem.net/tag/withdrawal-syndromes/" rel="tag">Withdrawal Syndromes</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong>Take Home Points</strong></p> <ol class="ol1"> <li class="li1"><span class="s2">Baclofen withdrawal is a rare complication of intrathecal baclofen pumps. It’s presentation mimics sepsis and alcohol withdrawal and is characterized by hemodynamic instability, hyperthermia, increased spasticity, confusion, altered mental status and seizures. Patients can develop rhabdo from the spasticity and, eventually, can develop multi system organ dysfunction.</span></li> <li class="li1"><span class="s2">Treating baclofen withdrawal with oral baclofen is unlikely to work even at large oral doses because only a tiny amount gets into the CSF where it needs to act for withdrawal to be treated</span></li> <li class="li1"><span class="s2">Baclofen withdrawal can be emergently treated with increasing benzodiazepine doses, propofol infusions and baclofen administered via a lumbar puncture. Ultimately, these patients all need consultation with either neurosurgery or interventional pain management to interrogate the device and surgically correct the issue.</span></li> </ol> <p class="p1"><strong><span class="s1">Read more</span></strong></p> <p class="p1"><span class="s1">EM: RAP November 2015: <a href="https://www.emrap.org/episode/nov/linsessions"><span class="s2">Lin Sessions Intrathecal Pumps</span></a></span></p> <p class="p1">REBEL EM: <a href="http://rebelem.com/baclofen-withdrawal/">Baclofen Withdrawal</a></p>
Oct 31, 2016
Episode 69.0 – Antibiotics in COPD Exacerbations
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-69-0/" title="Episode 69.0 – Antibiotics in COPD Exacerbations" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/10/podcast_69.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/10/podcast_69.jpg 1000w, https://coreem.net/content/uploads/2016/10/podcast_69-150x150.jpg 150w, https://coreem.net/content/uploads/2016/10/podcast_69-300x300.jpg 300w, https://coreem.net/content/uploads/2016/10/podcast_69-768x768.jpg 768w, https://coreem.net/content/uploads/2016/10/podcast_69-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss why we use antibiotics in COPD exacerbations and whether we should continue to do so. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3929-566" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_69_0_Final_Cut.m4a?_=566" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_69_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_69_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_69_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-69-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/antibiotics/" rel="tag">Antibiotics</a>, <a href="https://coreem.net/tag/copd/" rel="tag">COPD</a>, <a href="https://coreem.net/tag/copd-exacerbation/" rel="tag">COPD Exacerbation</a>, <a href="https://coreem.net/tag/pulmonary/" rel="tag">Pulmonary</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Most COPD exacerbations are caused by infectious etiologies. While these can be viral, there’s also a decent chance it was caused by an overgrowth of bacteria that chronically colonize these patients.</span></li> <li class="li1"><span class="s2">Strong evidence from systematic reviews demonstrates that antibiotic use reduces in-hospital mortality and decreases treatment failure</span></li> <li class="li1"><span class="s2">The GOLD group recommends antibiotics be given to patients who have increased dyspnea, increased sputum volume and increased sputum purulence or require non-invasive or invasive ventilation for their exacerbation.</span></li> <li class="li1"><span class="s2">Finally, a short course of antibiotics - either ampicillin, doxycycline or azithromycin is adequate for management.</span></li> </ol> <strong>Read More</strong> <p class="p1"><span class="s1">GOLD Reports: <a href="http://goldcopd.org/gold-reports/"><span class="s2">Diagnosis, Management and Prevention 2016</span></a></span></p> <p class="p3"><span class="s3">Berg RMG, Plovsing RR. The hardships of being a Sith Lord: implications of the biopsychosocial model in a space opera. Adv Physiol Educ 2016; 40: 234-6. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/27105743"><span class="s4">27105743</span></a></span></p> <p class="p4"><span class="s3">Johannes M et al.
Oct 24, 2016
Episode 68.0 – Hiccups
7:08
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-68-0/" title="Episode 68.0 – Hiccups" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/10/podcast_68.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/10/podcast_68.jpg 1000w, https://coreem.net/content/uploads/2016/10/podcast_68-150x150.jpg 150w, https://coreem.net/content/uploads/2016/10/podcast_68-300x300.jpg 300w, https://coreem.net/content/uploads/2016/10/podcast_68-768x768.jpg 768w, https://coreem.net/content/uploads/2016/10/podcast_68-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the workup and management of hiccups in the ED </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3917-572" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_68_0_Final_Cut.mp3?_=572" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_68_0_Final_Cut.mp3">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_68_0_Final_Cut.mp3</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_68_0_Final_Cut.mp3" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-68-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/hiccups/" rel="tag">Hiccups</a>, <a href="https://coreem.net/tag/singultus/" rel="tag">Singultus</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Hiccups, or singultus, are caused by a reflex arc involving the vagus nerve, CNS and phrenic nerve.<span class="Apple-converted-space">  </span>If you remember the path of these nerves, you can remember that possible bad pathologies that could cause a patient to present with prolonged hiccups.</span></li> <li class="li1"><span class="s2">Physical maneuvers are the first line for solving the hiccups.<span class="Apple-converted-space">  </span>Try things that will interrupt respiration or stimulate the vagus nerve.<span class="Apple-converted-space">  </span>We like the modified valsalva in which the patient blows on a syringe, because it’s pretty easy to get the patient to do.</span></li> <li class="li1"><span class="s2">Last, medication options for hiccups include antipsychotics, anticonvulsants, muscle relaxers and dopamine agonist.<span class="Apple-converted-space">  </span>Generally, we start with chlorpromazine 25-50 mg PO or IM.</span></li> </ol> <strong>Read More</strong> <p class="p1"><span class="s1">Steger M et al.<span class="Apple-converted-space">  </span>Systemic review: the pathogenesis and pharmacological treatment of hiccups. </span><span class="s2">Aliment Pharmacol Ther 2015; 42(9):1037-50. PMID <a href="https://www.ncbi.nlm.nih.gov/pubmed/26307025"><span class="s3">26307025</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-68-0/">Read More</a>
Oct 17, 2016
Episode 67.0 – Feedback
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-67-0-feedback/" title="Episode 67.0 – Feedback" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/10/podcast_67.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/10/podcast_67.jpg 1000w, https://coreem.net/content/uploads/2016/10/podcast_67-150x150.jpg 150w, https://coreem.net/content/uploads/2016/10/podcast_67-300x300.jpg 300w, https://coreem.net/content/uploads/2016/10/podcast_67-768x768.jpg 768w, https://coreem.net/content/uploads/2016/10/podcast_67-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review pearls from our Grand Rounds from George Willis, MD talking about feedback. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3828-578" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_67_0_Final_Cut.m4a?_=578" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_67_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_67_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_67_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-67-0-feedback/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/resident-education/" rel="tag">Resident Education</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Read More</strong> St. Emlyn's: <a href="http://stemlynsblog.org/ttcnyc-resources-for-feedback-talk/">#TTCNYC Resources for Feedback Talk</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-67-0-feedback/">Read More</a>
Oct 10, 2016
Episode 66.0 – Boerhaave Syndrome
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-66-0/" title="Episode 66.0 – Boerhaave Syndrome" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/10/podcast_66.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/10/podcast_66.jpg 1000w, https://coreem.net/content/uploads/2016/10/podcast_66-150x150.jpg 150w, https://coreem.net/content/uploads/2016/10/podcast_66-300x300.jpg 300w, https://coreem.net/content/uploads/2016/10/podcast_66-768x768.jpg 768w, https://coreem.net/content/uploads/2016/10/podcast_66-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week, we discuss Boerhaave syndrome focusing on making the diagnosis and managing the patient. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3913-584" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_66_0_Final_Cut.m4a?_=584" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_66_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_66_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_66_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-66-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/chest-pain/" rel="tag">Chest Pain</a>, <a href="https://coreem.net/tag/pulmonary/" rel="tag">Pulmonary</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Keep esophageal rupture on your differential for deadly causes of chest, epigastric or back pain.<span class="Apple-converted-space">  </span>We don’t see it often, but it’s a real thing. </span></li> <li class="li1"><span class="s2">Boerhaave Syndrome is the spontaneous rupture of the esophagus that is caused by a sudden increase in intraesophageal pressure, as seen in forceful vomiting.<span class="Apple-converted-space">  </span>So, if the patient presents with the right symptoms and any vomiting in their history, keep this diagnosis in mind.<span class="Apple-converted-space">  </span>Other causes you might see, though less common, are childbirth, seizure, prolonged coughing or laughing, or weightlifting.</span></li> <li class="li1"><span class="s2">ED management is essentially ABCs and broad spectrum antibiotics, and maybe even antifungals.</span></li> <li class="li1"><span class="s2">As soon as you make this diagnosis, get you CT surgeon on board as the length of time to definitive treatment is directly related to mortality. </span></li> </ol> <strong>Read More</strong> <p class="p1"><span class="s1">Radiopaedia: <a href="http://radiopaedia.org/articles/boerhaave-syndrome"><span class="s2">Boerhaave Syndrome</span></a></span></p> <p class="p2"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/pulmonary-puzzle-003/"><span class="s3">Roast Duck and Juniper Beer</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-66-0/">Read More</a>
Oct 03, 2016
Episode 65.0 – Pericarditis
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-65-0-pericarditis/" title="Episode 65.0 – Pericarditis" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/09/podcast_65.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/09/podcast_65.jpg 1000w, https://coreem.net/content/uploads/2016/09/podcast_65-150x150.jpg 150w, https://coreem.net/content/uploads/2016/09/podcast_65-300x300.jpg 300w, https://coreem.net/content/uploads/2016/09/podcast_65-768x768.jpg 768w, https://coreem.net/content/uploads/2016/09/podcast_65-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the diagnosis and management of pericarditis with a focus on not missing the hidden STEMI. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3752-590" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_65_0_Final_Cut.m4a?_=590" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_65_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_65_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_65_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-65-0-pericarditis/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/acs/" rel="tag">ACS</a>, <a href="https://coreem.net/tag/cardiology/" rel="tag">Cardiology</a>, <a href="https://coreem.net/tag/cardiovascular/" rel="tag">Cardiovascular</a>, <a href="https://coreem.net/tag/colchicine/" rel="tag">Colchicine</a>, <a href="https://coreem.net/tag/pericarditis/" rel="tag">Pericarditis</a>, <a href="https://coreem.net/tag/stemi/" rel="tag">STEMI</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Read More</strong> <p class="p1"><span class="s1">ECG Case of the Week (Amal Mattu): Acute STEMI vs. Pericarditis <a href="https://www.youtube.com/watch?v=SkyXii5muBY"><span class="s2">Part 1</span></a> + <a href="https://www.youtube.com/watch?v=0pa_BQzx9uw"><span class="s2">Part 2</span></a></span></p> <p class="p2"><span class="s3">REBEL EM: <a href="http://rebelem.com/colchicine-treatment-pericarditis/"><span class="s4">Colchicine for Treatment of Pericarditis</span></a></span></p> <p class="p2"><span class="s3">SOCMOB: <a href="http://socmob.org/2015/01/pericarditis-treatment-diagnosis-pocket-card/"><span class="s4">Pericarditis: Treatment and Diagnosis Pocket Card</span></a></span></p> <p class="p3"><span class="s1">FOAMcast: <a href="http://foamcast.org/2016/08/08/episode-54-the-pericardium/"><span class="s5">Episode 54 - The Pericardium</span></a></span></p> <p class="p1"><span class="s1">Core EM: <a href="http://coreem.net/core/pericarditis/"><span class="s2">Pericarditis</span></a></span></p> [caption id="attachment_3758" align="aligncenter" width="619"]<img class="size-full wp-image-3758" src="http://coreem.net/content/uploads/2016/08/Pericarditis-Dx-Tx-Card-SOCMOB.org_.jpg" alt="Pericarditis PV Card (Chris Bond (socmob.
Sep 26, 2016
Episode 64.0 – Rate Control in Atrial Fibrillation
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-64-0/" title="Episode 64.0 – Rate Control in Atrial Fibrillation" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/09/podcast_64.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/09/podcast_64.jpg 1000w, https://coreem.net/content/uploads/2016/09/podcast_64-150x150.jpg 150w, https://coreem.net/content/uploads/2016/09/podcast_64-300x300.jpg 300w, https://coreem.net/content/uploads/2016/09/podcast_64-768x768.jpg 768w, https://coreem.net/content/uploads/2016/09/podcast_64-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss an age-old debate: Calcium Channel Blockers or Beta Blockers for rate control in atrial fibrillation. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3796-596" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_64_0_Final_Cut.m4a?_=596" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_64_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_64_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_64_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-64-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/atrial-fibrillation/" rel="tag">Atrial Fibrillation</a>, <a href="https://coreem.net/tag/beta-blocker/" rel="tag">Beta Blocker</a>, <a href="https://coreem.net/tag/calcium-channel-blocker/" rel="tag">Calcium Channel Blocker</a>, <a href="https://coreem.net/tag/cardiology/" rel="tag">Cardiology</a>, <a href="https://coreem.net/tag/rate-control/" rel="tag">Rate Control</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">CoreEM: <a href="http://coreem.net/core/recent-onset-atrial-fibrillation/"><span class="s2">Recent Onset Atrial Fibrillation</span></a></span></p> <p class="p1"><span class="s1">ALiEM: <a href="https://www.aliem.com/2014/atrial-fibrillation-rate-control-calcium-channel-blockers-or-beta-blockers/"><span class="s2">Atrial Fibrillation Rate Control in the ED: Calcium Channel Blockers or Beta Blockers?</span></a></span></p> <p class="p1"><span class="s1">ALiEM: <a href="https://www.aliem.com/2014/beta-blockers-vs-calcium-channel-blockers-atrial-fibrillation-rate-control-thinking-beyond-ed/"><span class="s2">Beta Blockers vs Calcium Channel Blockers for Atrial Fibrillation Rate Control: Thinking Beyond the ED</span></a></span></p> <p class="p3"><span class="s3">Fromm C, et al. Diltiazem vs. Metoprolol in the Management of Atrial Fibrillation or Flutter with Rapid Ventricular Rate in the Emergency Department. <i>J Emerg Med</i>. 2015 Apr 22. PMID <a href="http://www.ncbi.nlm.nih.gov/pubmed/25913166"><span class="s4">25913166</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-64-0/">Read More</a>
Sep 19, 2016
Episode 63.0 – Discharge Glucose Levels
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-63-0/" title="Episode 63.0 – Discharge Glucose Levels" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/09/podcast_63.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/09/podcast_63.0.jpg 1000w, https://coreem.net/content/uploads/2016/09/podcast_63.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/09/podcast_63.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/09/podcast_63.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/09/podcast_63.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss a recent article looking at the relevance of d/c glucose levels to patient revisits and subsequent hospitalization </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3665-602" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_63_0_Final_Cut.m4a?_=602" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_63_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_63_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_63_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-63-0/#comments">Leave a Comment</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">Driver BE et al. Discharge glucose is not associated with short-term adverse outcomes in emergency department patients with moderate to severe hyperglycemia. Ann Emerg Med 2016. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/27353284"><span class="s2">27353284</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-63-0/">Read More</a>
Sep 12, 2016
Episode 62.0 – VFib and Pulseless VTach
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-62-0/" title="Episode 62.0 – VFib and Pulseless VTach" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/09/podcast_62.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/09/podcast_62.0.jpg 1000w, https://coreem.net/content/uploads/2016/09/podcast_62.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/09/podcast_62.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/09/podcast_62.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/09/podcast_62.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the ED management of cardiac arrest with VFib and pulseless VTach. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3638-608" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_62_0_Final_Cut.m4a?_=608" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_62_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_62_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_62_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-62-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cardiac-arrest/" rel="tag">Cardiac Arrest</a>, <a href="https://coreem.net/tag/dual-defibrillation/" rel="tag">Dual Defibrillation</a>, <a href="https://coreem.net/tag/ohca/" rel="tag">OHCA</a>, <a href="https://coreem.net/tag/ventricular-dysrhythmias/" rel="tag">Ventricular Dysrhythmias</a>, <a href="https://coreem.net/tag/ventricular-fibrillation/" rel="tag">Ventricular Fibrillation</a>, <a href="https://coreem.net/tag/ventricular-tachycardia/" rel="tag">Ventricular Tachycardia</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong>Take Home Points</strong></p> <ol class="ol1"> <li class="li1"><span class="s2">In cardiac arrest, the most important interventions are to deliver electricity quickly when it’s indicated and to administer good high-quality compressions with minimal interruptions to maximize your compression fraction. </span></li> <li class="li1"><span class="s2">Medications like epinephrine and amiodarone have never been shown to improve good neurologic outcomes in the ACLS recommended doses. Don’t focus on them.</span></li> <li class="li1"><span class="s2">Consider pre-charging your defibrillator to minimize pauses in CPR and maximize your chance for ROSC</span></li> <li class="li1"><span class="s2">Finally, remember that as Emergency Physicians, we are specialists in the resuscitation of cardiac arrests. ACLS is just a starting point. Push your understanding of taking care of these patients so you can deliver the best care possible</span></li> </ol> <p class="p1"><strong>Additional Reading</strong></p> <p class="p1"><span class="s1">Core EM: <a href="http://coreem.net/core/ventricular-tachycardia/"><span class="s2">Ventricular Tachycardia</span></a></span></p> <p class="p3"><span class="s1">Core EM: <a href="http://c...
Sep 05, 2016
Episode 61.0 – Hypokalemia
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-61-0-hypokalemia/" title="Episode 61.0 – Hypokalemia" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/08/podcast_61.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/08/podcast_61.0.jpg 1000w, https://coreem.net/content/uploads/2016/08/podcast_61.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/08/podcast_61.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/08/podcast_61.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/08/podcast_61.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the presentation and treatment of hypokalemia. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3669-614" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_61_0_Final_Cut.m4a?_=614" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_61_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_61_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_61_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-61-0-hypokalemia/#comments">Leave a Comment</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong>Take Home Points</strong></p> <ol class="ol1"> <li class="li1"><span class="s2">Hypokalemia has a wide variety of presentations ranging from generalized weakness, to paralysis, to cardiac arrhythmia or cardiac arrest.</span></li> <li class="li1"><span class="s2">When you discover hypokalemia, be sure to check and EKG. Think about underlying causes of hypokalemia, because it is rarely a solo event.</span></li> <li class="li1"><span class="s2">Treat with oral potassium supplementation of 40-60 orally every 4-6 hours for mild hypokalemia and 10-20 mEq/hour IV for severe or symptomatic hypokalemia.</span></li> </ol> <p class="p1"><strong>Additional Reading</strong></p> <p class="p1"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/investigations/hypokalaemia/"><span class="s2">Hypokalemia</span></a></span></p> <p class="p2"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/ccc/hypokalaemic-periodic-paralysis/"><span class="s2">Hypokalemic Periodic Paralysis</span></a></span></p> <p class="p2"><span class="s1">Core EM: <a href="http://coreem.net/core/hypokalemia/"><span class="s2">Hypokalemia</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-61-0-hypokalemia/">Read More</a>
Aug 29, 2016
Episode 60.0 – Aggressive Resuscitation of Diabetic Ketoacidosis
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-60-0/" title="Episode 60.0 – Aggressive Resuscitation of Diabetic Ketoacidosis" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/08/podcast_60.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/08/podcast_60.0.jpg 1000w, https://coreem.net/content/uploads/2016/08/podcast_60.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/08/podcast_60.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/08/podcast_60.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/08/podcast_60.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss how to aggressively resuscitate patients with DKA as well as dispelling some dogmatic teachings on the topic. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3579-620" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_60_0_Final_Cut.m4a?_=620" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_60_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_60_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_60_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-60-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cerebral-edema/" rel="tag">Cerebral Edema</a>, <a href="https://coreem.net/tag/dka/" rel="tag">DKA</a>, <a href="https://coreem.net/tag/hypokalemia/" rel="tag">Hypokalemia</a>, <a href="https://coreem.net/tag/insulin/" rel="tag">Insulin</a>, <a href="https://coreem.net/tag/resuscitation/" rel="tag">Resuscitation</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">DKA should be suspected in any patient with altered mental status and hyperglycemia. Get a VBG (ABG not necessary) to confirm the diagnosis. </span></li> <li class="li1"><span class="s2">Hypokalemia kills in DKA. Aggresively replete potassium and consider holding insulin, which drops serum potassium, until K is greater than 3.5</span></li> <li class="li1"><span class="s2">The insulin bolus isn’t necessary and appears to cause more episodes of hypokalemia. Just start insulin as an infusion at 0.14 units/kg</span></li> <li class="li1"><span class="s2">Be vigilant about cerebral edema. Any change or deterioration in mental status should prompt treatment and evaluation. Mannitol in the euvolemic, normotensive patient and 3% hypertonic saline in the hypotensive/hypovolemic patient</span></li> <li class="li1"><span class="s2">Finally, don’t forge to always hunt down the underlying cause of the DKA. Infection and non-compliance is the most common so liberally administer broad spectrum antibiotics if you’ve got even a hint of infection brewing</span></li> </ol> [embed]https://www.youtube.com/watch?v=P9sKk4JZmso[/embed] <p class="p1"><strong>Additional Reading</strong></p>
Aug 22, 2016
Episode 59.0 – Severe Decompensated Hyperthyroidism
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-59-0/" title="Episode 59.0 – Severe Decompensated Hyperthyroidism" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/08/podcast_59.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/08/podcast_59.0.jpg 1000w, https://coreem.net/content/uploads/2016/08/podcast_59.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/08/podcast_59.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/08/podcast_59.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/08/podcast_59.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the recognition, diagnosis and treatment of severe decompensated hyperthyroidism or thyroid storm. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3595-626" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_59_0_Final_Cut.m4a?_=626" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_59_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_59_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_59_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-59-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/thyroid-diseases/" rel="tag">Thyroid Diseases</a>, <a href="https://coreem.net/tag/thyroid-storm/" rel="tag">Thyroid Storm</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Take Home Points</strong> <ol class="ol1"> <li class="li1"><span class="s2">Decompensated hyperthyroidism is a rare, life-threatening condition.<span class="Apple-converted-space">  </span>It can develop in patients with long-standing untreated hyperthyroidism and is often precipitated by another event such as an infection, surgery, or trauma.</span></li> <li class="li1"><span class="s2"> Patients present with tachycardia, fever, altered mental status and GI symptoms.<span class="Apple-converted-space">  </span>Keep thyroid storm in mind if a patient has a history of hyperthyroidism or if things just aren’t making sense with your patient, you can’t find a fever source, they have fever and new afib, things like that. You’re going to use a clinical scoring tool like the Burch-Wartofsky scoring system to make the diagnosis.</span></li> <li class="li1"><span class="s2">Treatment is three-fold. First treat the peripheral effects with propranolol.<span class="Apple-converted-space">  </span>Then prevent further synthesis of thyroid hormone with PTU and corticosteroids.<span class="Apple-converted-space">  </span>And last prevent the further release of thyroid hormone with iodine.<span class="Apple-converted-space">  </span>Be sure to hold off on giving the iodine until at least 1 hour after the patient receives PTU to avoid worsening the hyperthyroid.</span></li> </ol> [caption id="attachment_3597" align="aligncenter" width="778"]<img class="size-full wp-image-3597" src="http://coreem.
Aug 15, 2016
Episode 58.0 – Hyponatremia
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-58-0/" title="Episode 58.0 – Hyponatremia" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/08/podcast_58.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/08/podcast_58.0.jpg 1000w, https://coreem.net/content/uploads/2016/08/podcast_58.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/08/podcast_58.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/08/podcast_58.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/08/podcast_58.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss severe hyponatremia - presentation and treatment. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3498-632" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_58_0_Final_Cut.m4a?_=632" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_58_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_58_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_58_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-58-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/electrolytes/" rel="tag">Electrolytes</a>, <a href="https://coreem.net/tag/hypertonic-saline/" rel="tag">Hypertonic Saline</a>, <a href="https://coreem.net/tag/hyponatremia/" rel="tag">Hyponatremia</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s2">EM Cases: <a href="http://emergencymedicinecases.com/episode-60-emergency-management-hyponatremia/"><span class="s3">Podcast 60: Emergency Management of Hyponatremia</span></a></span></p> <p class="p4"><strong>References</strong></p> <p class="p4"><span class="s1">Adrogue HJ, Maidas NE. Hyponatremia. NEJM 2000; 342(21): 1581-9. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/10824078"><span class="s4">10824078</span></a></span></p> <p class="p4"><span class="s1">Moritz ML, Ayus JC. 100 cc 3% sodium chloride bolus: a novel treatment for hyponatremic encephalopathy. Metab Brain Dis 2010; 25: 91-6. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/20221678"><span class="s4">20221678</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-58-0/">Read More</a>
Aug 08, 2016
Episode 57.0 – Phenobarbital in Alcohol Withdrawal
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-57-0/" title="Episode 57.0 – Phenobarbital in Alcohol Withdrawal" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/07/podcast_57.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/07/podcast_57.jpg 1000w, https://coreem.net/content/uploads/2016/07/podcast_57-150x150.jpg 150w, https://coreem.net/content/uploads/2016/07/podcast_57-300x300.jpg 300w, https://coreem.net/content/uploads/2016/07/podcast_57-768x768.jpg 768w, https://coreem.net/content/uploads/2016/07/podcast_57-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the role of phenobarbital in the management of severe alcohol withdrawal. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3447-638" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_57_0_Final_Cut.m4a?_=638" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_57_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_57_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_57_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-57-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/alcohol-withdrawal/" rel="tag">Alcohol Withdrawal</a>, <a href="https://coreem.net/tag/phenobarbital/" rel="tag">Phenobarbital</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <img class="size-full wp-image-3532 aligncenter" src="http://coreem.net/content/uploads/2016/06/CIWA-Score.png" alt="CIWA Score" width="1028" height="1324" /> <strong>References</strong> <p class="p1">Riggan MA et al. Regarding "Phenobarbital for acute alcohol withdrawal: a prospective randomized double-blind placebo controlled study." J Emerg Med 2016; 50 (6): 895-8. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/27221017">27221017</a></p> <p class="p1"><span class="s1">Rosenson J et al. Phenobarbital for acute alcohol withdrawal: a prospective randomized double-blind placebo controlled study. J Emerg Med 2013; 44(3): 592-8. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/22999778">2299978</a></span></p> <p class="p1"></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-57-0/">Read More</a>
Aug 01, 2016
Episode 56.0 – Sedation of the Agitated Patient
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-56-0/" title="Episode 56.0 – Sedation of the Agitated Patient" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/07/podcast_56.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/07/podcast_56.jpg 1000w, https://coreem.net/content/uploads/2016/07/podcast_56-150x150.jpg 150w, https://coreem.net/content/uploads/2016/07/podcast_56-300x300.jpg 300w, https://coreem.net/content/uploads/2016/07/podcast_56-768x768.jpg 768w, https://coreem.net/content/uploads/2016/07/podcast_56-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss pearls from a talk from Reuben Strayer on sedation of the agitated patient focusing on patient and staff safety. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3492-644" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_56_0_Final_Cut.m4a?_=644" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_56_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_56_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_56_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-56-0/#comments">3 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/agitation/" rel="tag">Agitation</a>, <a href="https://coreem.net/tag/droperidol/" rel="tag">Droperidol</a>, <a href="https://coreem.net/tag/excited-delirium/" rel="tag">Excited Delirium</a>, <a href="https://coreem.net/tag/haloperidol/" rel="tag">Haloperidol</a>, <a href="https://coreem.net/tag/lorazepam/" rel="tag">Lorazepam</a>, <a href="https://coreem.net/tag/midazolam/" rel="tag">Midazolam</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><img class="size-full wp-image-3494 aligncenter" src="http://coreem.net/content/uploads/2016/07/Strayer-Sedation-Continuum-Slide.png" alt="Strayer Sedation Continuum Slide" width="932" height="700" /></p> <p class="p1"><img class="size-full wp-image-3495 aligncenter" src="http://coreem.net/content/uploads/2016/07/Strayer-Summary-Slide.png" alt="Strayer Summary Slide" width="912" height="679" /></p> <p class="p2"><span class="s2">EM Updates: <a href="http://emupdates.com/2013/12/25/the-ketamine-brain-continuum/"><span class="s3">The Ketamine Brain Continuum</span></a></span></p> <p class="p2"><span class="s2">LITFL: <a href="http://lifeinthefastlane.com/behavioural-emergencies/"><span class="s3">Behavioral Emergencies</span></a></span></p> <p class="p2"><span class="s4">Core EM: <a href="http://www.apple.com"><span class="s5">Parenteral Benzodiazepines</span></a></span></p> <p class="p4"><strong><span class="s1">References</span></strong></p> <p class="p4"><span class="s1">Calver L et al. The safety and effectiveness of droperidol for sedation of acute behavioral disturbance in the Emergency Department. Ann Emerg Med 2015; 66(3): 230-8. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/25890395"><span class="s6">25890395</span></a></span></p> </div> </div>
Jul 25, 2016
Episode 55.0 – Platelet Transfusion in Intracerebral Hemorrhage
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-55-0/" title="Episode 55.0 – Platelet Transfusion in Intracerebral Hemorrhage" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/07/podcast_55.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/07/podcast_55.jpg 1000w, https://coreem.net/content/uploads/2016/07/podcast_55-150x150.jpg 150w, https://coreem.net/content/uploads/2016/07/podcast_55-300x300.jpg 300w, https://coreem.net/content/uploads/2016/07/podcast_55-768x768.jpg 768w, https://coreem.net/content/uploads/2016/07/podcast_55-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into the PATCH trial investigating the role of platelet transfusions in patients with spontaneous ICH on antiplatelet meds </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3444-650" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_55_0_Final_Cut.m4a?_=650" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_55_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_55_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_55_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-55-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/intracerebral-hemorrhage/" rel="tag">Intracerebral Hemorrhage</a>, <a href="https://coreem.net/tag/patch-trial/" rel="tag">PATCH Trial</a>, <a href="https://coreem.net/tag/platelets/" rel="tag">Platelets</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><img class="size-full wp-image-3458 aligncenter" src="http://coreem.net/content/uploads/2016/06/index.php_.jpeg" alt="Modified Rankin Scale (mRS)" width="729" height="538" /></p> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p2"><span class="s2">REBEL EM: <a href="http://rebelem.com/patch-trial-hold-platelets-spontaneous-intracerebral-hemorrhage/"><span class="s3">The PATCH Trial: Hold the Platelets in Spontaneous Intracerebral Hemorrhage?</span></a></span></p> <p class="p2"><span class="s2">St. Emlyn’s: <a href="http://stemlynsblog.org/jc-platelets-intracranial-haemorrhage-st-emlyns/"><span class="s3">JC - Platelets for Intracranial Haemorrhage</span></a></span></p> <p class="p2"><span class="s2">EM Lit of Note: <a href="http://www.emlitofnote.com/2016/05/put-platelets-away-in-ich.html"><span class="s3">Put the Platelets Away in ICH</span></a></span></p> <p class="p4"><strong><span class="s1">References</span></strong></p> <p class="p4"><span class="s1">Baharoglu MI et al. Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral hemorrhage associated with anti platelet therapy (PAtCH): a randomized, open-label, phase 3 trial. Lancet 2016. <a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2816%2930392-0/abstract"><span class="s4">ePub</span></a></span></p> </div> </div> <br/><a href="https://coreem.
Jul 18, 2016
Episode 54.0 – Preoxygenation
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-54-0/" title="Episode 54.0 – Preoxygenation" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/07/podcast_54.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/07/podcast_54.jpg 1000w, https://coreem.net/content/uploads/2016/07/podcast_54-150x150.jpg 150w, https://coreem.net/content/uploads/2016/07/podcast_54-300x300.jpg 300w, https://coreem.net/content/uploads/2016/07/podcast_54-768x768.jpg 768w, https://coreem.net/content/uploads/2016/07/podcast_54-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss some of the critical issues in preparation, preoxygenation and positioning in RSI. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3441-656" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_54_0_Final_Cut.m4a?_=656" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_54_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_54_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_54_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-54-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/7-ps/" rel="tag">7 Ps</a>, <a href="https://coreem.net/tag/high-flow-nasal-cannula/" rel="tag">High-flow Nasal Cannula</a>, <a href="https://coreem.net/tag/intubation/" rel="tag">Intubation</a>, <a href="https://coreem.net/tag/preoxygenation/" rel="tag">Preoxygenation</a>, <a href="https://coreem.net/tag/rsi/" rel="tag">RSI</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Read More</strong> <p class="p1"><span class="s1">EM Updates: <a href="http://emupdates.com/2012/07/08/emergency-department-intubation-checklist-v13/">Intubation Checklist</a></span></p> <p class="p1">Core EM: Episode 4.0 - <a href="http://coreem.net/podcast/episode-4-0-perimortem-c-section-procedural-sedation-and-airway-pearls/">Perimortem C-section, Procedural Sedation and Airway Pearls</a></p> <p class="p1">Core EM: Episode 6.0 - <a href="http://coreem.net/podcast/episode-6-0-airway-workshops/">Airway Workshops</a></p> <p class="p1"><span class="s1">Sales JC et al. </span><span class="s2">The Importance of First Pass Success When Performing Orotracheal Intubation in the Emergency Department. Acad Emerg Med 2013; 20(1): 71-8. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/23574475"><span class="s3">23574475</span></a></span></p> [caption id="attachment_3464" align="aligncenter" width="1011"]<img class="size-full wp-image-3464" src="http://coreem.net/content/uploads/2016/06/Screen-Shot-2016-06-28-at-1.22.52-PM.png" alt="LEMON Mnemonic Device" width="1011" height="473" /> LEMON Mnemonic Device[/caption] [caption id="attachment_3463" align="aligncenter" width="1020"]<img class="size-full wp-image-3463" src="http://coreem.net/content/uploads/2016/06/Screen-Shot-2016-06-28-at-1.22.29-PM.png" alt="MOANS Mnemonic Device" width="1020" height="479" /> M...
Jul 11, 2016
Episode 53.0 – Low-dose tPA in Ischemic Stroke
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-53-0/" title="Episode 53.0 – Low-dose tPA in Ischemic Stroke" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/07/podcast_53.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/07/podcast_53.jpg 1000w, https://coreem.net/content/uploads/2016/07/podcast_53-150x150.jpg 150w, https://coreem.net/content/uploads/2016/07/podcast_53-300x300.jpg 300w, https://coreem.net/content/uploads/2016/07/podcast_53-768x768.jpg 768w, https://coreem.net/content/uploads/2016/07/podcast_53-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss a recent study published in the NEJM on low-dose tPA vs standard-dose in acute ischemic stroke. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3317-662" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_53_0_Final_Cut.m4a?_=662" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_53_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_53_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_53_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-53-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/alteplast/" rel="tag">Alteplast</a>, <a href="https://coreem.net/tag/cva/" rel="tag">CVA</a>, <a href="https://coreem.net/tag/ischemic-stroke/" rel="tag">Ischemic Stroke</a>, <a href="https://coreem.net/tag/the-enchanted-trial/" rel="tag">The ENCHANTED Trial</a>, <a href="https://coreem.net/tag/tpa/" rel="tag">tPA</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong>Read More</strong></p> <p class="p1"><span class="s1">Anderson CS et al. Low-dose versus standard-dose intravenous alteplase in acute ischemic stroke. NEJM 2016. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/27161018"><span class="s2">27161018</span></a></span></p> <p class="p3"><span class="s3">EMNerd: <a href="http://emcrit.org/emnerd/case-non-inferior-inferiority-continues/"><span class="s4">The Case of the Non-Inferior Inferiority Continues</span></a></span></p> <p class="p3">REBEL EM: <a href="http://rebelem.com/enchanted-trial/">The ENCHANTED Trial: Is Low-Dose the Right Dose for Intravenous tPA in Acute Ischemic Stroke?</a></p> <p class="p4"><span class="s3">EMCrit: <a href="http://emcrit.org/podcasts/tpa-for-ischemic-stroke-debate/"><span class="s5">Podcast 116 - the tPA for Ischemic Stroke Debate</span></a></span></p> <p class="p4"><span class="s3">EMNerd: <a href="http://emcrit.org/emnerd/secondary-examination-adventure-cardboard-box/"><span class="s5">A Secondary Examination of the Adventure of the Cardboard Box</span></a></span></p> <p class="p4"><span class="s3">SMART EM: <a href="https://itunes.apple.com/us/podcast/smart-em/id512413488?mt=2"><span class="s5">Thrombolytics for Acute Stroke</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-53-0/">Read More</a>
Jul 04, 2016
Episode 52.0 – Anaphylaxis
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-52-0/" title="Episode 52.0 – Anaphylaxis" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/06/podcast_52.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/06/podcast_52.jpg 1000w, https://coreem.net/content/uploads/2016/06/podcast_52-150x150.jpg 150w, https://coreem.net/content/uploads/2016/06/podcast_52-300x300.jpg 300w, https://coreem.net/content/uploads/2016/06/podcast_52-768x768.jpg 768w, https://coreem.net/content/uploads/2016/06/podcast_52-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review anaphylaxis, the importance of epinephrine/adrenaline and how to use it properly. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3269-668" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_52_0_Final_Cut.m4a?_=668" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_52_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_52_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_52_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-52-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/allergic-reactions/" rel="tag">Allergic Reactions</a>, <a href="https://coreem.net/tag/allergy/" rel="tag">Allergy</a>, <a href="https://coreem.net/tag/anaphylaxis/" rel="tag">Anaphylaxis</a>, <a href="https://coreem.net/tag/epinephrine/" rel="tag">Epinephrine</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> [caption id="attachment_3303" align="aligncenter" width="624"]<img class="size-full wp-image-3303" src="http://coreem.net/content/uploads/2016/05/Anaphylaxis-Definition.jpg" alt="Anaphylaxis Definition" width="624" height="443" /> Anaphylaxis Definition[/caption] <strong>Read More</strong> Tran TP, Muelleman RL: Allergy, Hypersensitivity, Angioedema, and Anaphylaxis, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 119: p 1543-1560. <p class="p1"><span class="s1">YouTube: <a href="https://www.youtube.com/watch?v=tjILFYPE3Uw"><span class="s2">Epinephrine Auto-Injector Use</span></a></span></p> <p class="p1"><span class="s1">The SGEM: <a href="http://thesgem.com/2013/12/sgem57-should-i-stay-or-should-i-go-biphasic-anaphylactic-response/"><span class="s2">#57: Should I Stay or Should I Go (Biphasic Anaphylactic Response)</span></a></span></p> <p class="p1"><span class="s1">Core EM: <a href="http://coreem.net/journal-reviews/biphasic-reactions-in-emergency-department-patients-with-allergic-reactions-or-anaphylaxis/"><span class="s2">Biphasic reactions in emergency department patients with allergic reactions or anaphylaxis</span></a></span></p>   <strong>References</strong> <p class="p1"><span class="s1">Grunau BE et al. Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis.
Jun 27, 2016
Episode 51.0 – Analgesia in Renal Colic
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-51-0/" title="Episode 51.0 – Analgesia in Renal Colic" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/06/podcast_51.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/06/podcast_51.jpg 1000w, https://coreem.net/content/uploads/2016/06/podcast_51-150x150.jpg 150w, https://coreem.net/content/uploads/2016/06/podcast_51-300x300.jpg 300w, https://coreem.net/content/uploads/2016/06/podcast_51-768x768.jpg 768w, https://coreem.net/content/uploads/2016/06/podcast_51-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we dive into a recent article on pain control in renal colic and how it affects our management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3232-674" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a?_=674" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-51-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/analgesia/" rel="tag">Analgesia</a>, <a href="https://coreem.net/tag/kidney-stones/" rel="tag">Kidney Stones</a>, <a href="https://coreem.net/tag/renal-colic/" rel="tag">Renal Colic</a>, <a href="https://coreem.net/tag/urology/" rel="tag">Urology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p2"><span class="s2">Core EM: <a href="http://coreem.net/journal-reviews/analgesia-ureteric-colic/"><span class="s3">Optimal First Line Analgesia in Ureteric Colic</span></a></span></p> <p class="p2"><span class="s2">ALiEM: <a href="http://www.aliem.com/2014/top-10-reasons-order-ct-scan-suspected-renal-colic/"><span class="s3">Top 10 reasons NOT to order a CT scan for suspected renal colic</span></a></span></p> <p class="p2"><span class="s2">REBEL EM: <a href="http://rebelem.com/use-tamsulosin-renal-colic-facilitate-stone-passage/"><span class="s3">Does Use of Tamsulosin in Renal Colic Facilitate Stone Passage</span></a></span></p> <p class="p2"><span class="s2">Core EM: <a href="http://coreem.net/journal-reviews/medical-expulsive-therapy-met-in-renal-colic/"><span class="s3">Medical Expulsive Therapy (MET) in Renal Colic</span></a></span></p> <p class="p1"><span class="s1">Wang RC. Managing Urolithiasis. Ann Emerg Med 2015 PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/26616536"><span class="s4">26616536</span></a></span></p> <p class="p4"><strong><span class="s1">References</span></strong></p> <p class="p4"><span class="s1">Pathan SA et al. Delivering safe and effective analgesia for management of renal colic in the emergency department: a double-blind, multi group, randomized controlled trial. Lancet 2016. PMID: <a href="https://www.ncbi.nlm.nih.
Jun 20, 2016
Episode 50.0 – Gastric Lavage
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-50-0/" title="Episode 50.0 – Gastric Lavage" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/06/podcast_50.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/06/podcast_50.jpg 1000w, https://coreem.net/content/uploads/2016/06/podcast_50-150x150.jpg 150w, https://coreem.net/content/uploads/2016/06/podcast_50-300x300.jpg 300w, https://coreem.net/content/uploads/2016/06/podcast_50-768x768.jpg 768w, https://coreem.net/content/uploads/2016/06/podcast_50-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we look at the rarely used, but potentially life-saving, procedure of gastric lavage. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3238-680" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_50_0_Final_Cut.m4a?_=680" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_50_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_50_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_50_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-50-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/gastric-emptying/" rel="tag">Gastric Emptying</a>, <a href="https://coreem.net/tag/gastric-lavage/" rel="tag">Gastric Lavage</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> [caption id="attachment_3240" align="aligncenter" width="653"]<img class="wp-image-3240 size-full" src="http://coreem.net/content/uploads/2016/05/Gastric-Lavage-Indications-Contraindications.png" alt="Gastric Lavage Indications (Goldfrank's Toxicology Ch 7)" width="653" height="584" /> Gastric Lavage Indications (Goldfrank's Toxicologic Emergencies Ch 7)[/caption] [caption id="attachment_3242" align="aligncenter" width="1022"]<img class="size-full wp-image-3242" src="http://coreem.net/content/uploads/2016/05/Gastric-Lavage-Risk-Assessment.png" alt="Gastric Lavage Risk Assessment (Goldfrank's Toxicologic Emergencies Ch 7)" width="1022" height="590" /> Gastric Lavage Risk Assessment (Goldfrank's Toxicologic Emergencies Ch 7)[/caption] [caption id="attachment_3241" align="aligncenter" width="607"]<img class="size-full wp-image-3241" src="http://coreem.net/content/uploads/2016/05/Gastric-Lavage-Placement-Technique.png" alt="Gastric Lavage Placement (Goldfrank's Toxicologic Emergencies Ch 7)" width="607" height="677" /> Gastric Lavage Placement (Goldfrank's Toxicologic Emergencies Ch 7)[/caption] <p class="p1"><strong>References</strong></p> <p class="p1"><span class="s1">Adams BK et al. Prolonged gastric emptying half-time and gastric hypo motility after drug overdose. Am J Emerg Med 2004; 22: 548-554. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/15666259"><span class="s2">15666259</span></a></span></p> <p class="p1"><span class="s1">Benson BE et al. Position paper update: gastric lavage for gastrointestinal decontamination.
Jun 06, 2016
Episode 49.0 – Alcohol Withdrawal
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-49-0/" title="Episode 49.0 – Alcohol Withdrawal" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/05/podcast_49.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/05/podcast_49.jpg 1000w, https://coreem.net/content/uploads/2016/05/podcast_49-150x150.jpg 150w, https://coreem.net/content/uploads/2016/05/podcast_49-300x300.jpg 300w, https://coreem.net/content/uploads/2016/05/podcast_49-768x768.jpg 768w, https://coreem.net/content/uploads/2016/05/podcast_49-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we take a look at alcohol withdrawal with a focus on recognition and management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3235-686" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_49_0_Final_Cut.m4a?_=686" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_49_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_49_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_49_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-49-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/alcohol-withdrawal/" rel="tag">Alcohol Withdrawal</a>, <a href="https://coreem.net/tag/ativan/" rel="tag">Ativan</a>, <a href="https://coreem.net/tag/benzodiazipines/" rel="tag">Benzodiazipines</a>, <a href="https://coreem.net/tag/delirium-tremens/" rel="tag">Delirium Tremens</a>, <a href="https://coreem.net/tag/ethanol/" rel="tag">Ethanol</a>, <a href="https://coreem.net/tag/thaimine/" rel="tag">Thaimine</a>, <a href="https://coreem.net/tag/valium/" rel="tag">Valium</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">Yip L. Chapter 77. Ethanol. In: Nelson LS, Lewin NA, Howland M, Hoffman RS, Goldfrank LR, Flomenbaum NE. eds. Goldfrank's Toxicologic Emergencies, 9e. New York, NY: McGraw-Hill; 2011.</span></p> <p class="p3"><span class="s2">EmCrit Podcast: <a href="http://emcrit.org/podcasts/delirium-tremens/"><span class="s3">Delirium Tremens </span></a></span></p> <p class="p1"><span class="s1">Life in the Fast Lane: <a href="http://lifeinthefastlane.com/ccc/alcohol-withdrawal/"><span class="s4">Alcohol Withdrawal</span></a></span></p> <p class="p3"><span class="s2">The Poison Review: <a href="http://www.thepoisonreview.com/2012/12/15/cpc-alcohol-withdrawal-with-delirium-tremens-and-a-significant-missed-diagnosis/"><span class="s3">CPC: alcohol withdrawal with delirium tremens and a significant missed diagnosis</span></a></span></p> <p class="p3"><span class="s2">EM Updates: <a href="http://emupdates.com/2016/01/28/avoid-alcohol-withdrawal-admissions/"><span class="s3">Avoid Alcohol Withdrawal Admissions</span></a></span></p> <p class="p1"><span class="s1">MDCalc: <a href="http://www.mdcalc.com/ciwa-ar-for-alcohol-withdrawal/"><span class="s4">CIWA</span></a></span></p> </div> </div> <br/><a href="https://coreem.
May 30, 2016
Episode 48.0 – Anticholinergic Poisoning
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-48-0/" title="Episode 48.0 – Anticholinergic Poisoning" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/05/podcast_48.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/05/podcast_48.jpg 1000w, https://coreem.net/content/uploads/2016/05/podcast_48-150x150.jpg 150w, https://coreem.net/content/uploads/2016/05/podcast_48-300x300.jpg 300w, https://coreem.net/content/uploads/2016/05/podcast_48-768x768.jpg 768w, https://coreem.net/content/uploads/2016/05/podcast_48-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we delve into the anticholinergic toxidrome with a focus on management and the use of physostigmine. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3125-692" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_48_0_Final_Cut.m4a?_=692" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_48_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_48_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_48_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-48-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/anticholinergic/" rel="tag">Anticholinergic</a>, <a href="https://coreem.net/tag/diphenhydramine/" rel="tag">Diphenhydramine</a>, <a href="https://coreem.net/tag/physostigmine/" rel="tag">Physostigmine</a>, <a href="https://coreem.net/tag/tca/" rel="tag">TCA</a>, <a href="https://coreem.net/tag/toxicology/" rel="tag">Toxicology</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">Howland M. Antidotes in Depth (A12): Physostigmine Salicylate. In: Nelson LS, Lewin NA, Howland M, Hoffman RS, Goldfrank LR, Flomenbaum NE. eds. Goldfrank's Toxicologic Emergencies, 9e . New York, NY: McGraw-Hill; 2011.</span></p> <p class="p3"><span class="s1">Velez LI, Feng SY: Anticholinergics, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 150: p 1970-5.</span></p> [caption id="attachment_3127" align="aligncenter" width="640"]<img class="size-full wp-image-3127" src="http://coreem.net/content/uploads/2016/04/Screen-Shot-2016-04-13-at-12.30.40-PM.png" alt="Anticholinergic Infographic (BrianandKloss.com)" width="640" height="742" /> Anticholinergic Infographic (BrianandKloss.com)[/caption] [caption id="attachment_3128" align="aligncenter" width="573"]<img class="size-full wp-image-3128" src="http://coreem.net/content/uploads/2016/04/Drugs-Exhibiting-Anticholinergic-Toxicity-Rosens.png" alt="Drugs Exhibiting Anticholinergic Toxicity (Rosen's)" width="573" height="657" /> Drugs Exhibiting Anticholinergic Toxicity (Rosen's)[/caption] </div> </div> <br/><a href="https://coreem.net/podcast/episode-48-0/">Read More</a>
May 23, 2016
Episode 47.0 – TMJ Dislocation
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-47-0/" title="Episode 47.0 – TMJ Dislocation" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/05/podcast_47.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/05/podcast_47.jpg 1000w, https://coreem.net/content/uploads/2016/05/podcast_47-150x150.jpg 150w, https://coreem.net/content/uploads/2016/05/podcast_47-300x300.jpg 300w, https://coreem.net/content/uploads/2016/05/podcast_47-768x768.jpg 768w, https://coreem.net/content/uploads/2016/05/podcast_47-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review mandible dislocations and reduction approahces focusing on the new "syringe" technique. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3119-698" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_47_0_Final_Cut.m4a?_=698" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_47_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_47_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_47_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-47-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/mandible-dislocation/" rel="tag">Mandible Dislocation</a>, <a href="https://coreem.net/tag/oral-surgery/" rel="tag">Oral Surgery</a>, <a href="https://coreem.net/tag/syringe-technique/" rel="tag">Syringe Technique</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Read More</span></strong></p> <p class="p3"><span class="s2">ALiEM: <a href="http://www.aliem.com/2016/trick-of-the-trade-extra-oral-technique-for-reduction-of-anterior-mandible-dislocation/"><span class="s3">Tick of the Trade: Extra-oral reduction technique of anterior mandible dislocation</span></a></span></p> <p class="p1"><span class="s1">Gorchynski J et al.<span class="Apple-converted-space">  </span>The "syringe" technique: a hands-free approach for the reduction of acute nontraumatic temporomandibulardislocations in the emergency department.<span class="Apple-converted-space">  </span>J Emerg Med. 2014; 47(6):676-81. PMID <a href="http://www.ncbi.nlm.nih.gov/pubmed/25278137"><span class="s2">25278137</span></a></span></p>   [caption id="attachment_3121" align="aligncenter" width="598"]<img class="size-full wp-image-3121" src="http://coreem.net/content/uploads/2016/04/Syringe-Technique-Step-1.png" alt="Syringe Technique Step 1" width="598" height="557" /> Syringe Technique Step 1[/caption] [caption id="attachment_3122" align="aligncenter" width="600"]<img class=" wp-image-3122" src="http://coreem.net/content/uploads/2016/04/Syringe-Technique-Step-2.png" alt="Syringe Technique Step 2" width="600" height="556" /> Syringe Technique Step 2[/caption] [caption id="attachment_3123" align="aligncenter" width="595"]<img class=" wp-image-3123" src="http://coreem.net/content/uploads/2016/04/Syringe-Technique-Step-3.
May 16, 2016
Episode 46.0 – Grand Rounds (Ilene Claudius) – Pediatric SOB
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-46-0/" title="Episode 46.0 – Grand Rounds (Ilene Claudius) – Pediatric SOB" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/05/podcast_46.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/05/podcast_46.jpg 1000w, https://coreem.net/content/uploads/2016/05/podcast_46-150x150.jpg 150w, https://coreem.net/content/uploads/2016/05/podcast_46-300x300.jpg 300w, https://coreem.net/content/uploads/2016/05/podcast_46-768x768.jpg 768w, https://coreem.net/content/uploads/2016/05/podcast_46-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week, the podcast features a full length talk from our Grand Rounds series. This talk was given by Ilene Claudius on pediatric SOB </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3076-704" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_46_0_Final_Cut.m4a?_=704" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_46_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_46_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_46_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-46-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/asthma/" rel="tag">Asthma</a>, <a href="https://coreem.net/tag/atropine/" rel="tag">Atropine</a>, <a href="https://coreem.net/tag/bronchiolitis/" rel="tag">Bronchiolitis</a>, <a href="https://coreem.net/tag/croup/" rel="tag">Croup</a>, <a href="https://coreem.net/tag/magnesium/" rel="tag">Magnesium</a>, <a href="https://coreem.net/tag/rsi/" rel="tag">RSI</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Irazuzta JE et al. High-dose magnesium sulfate infusion for severe asthma in the emergency department: efficacy study. Crit Care Med 2016; 17: e29-e33. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/26649938">26649938</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-46-0/">Read More</a>
May 09, 2016
Episode 45.0 – Controversies in SSTI Management
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-45-0/" title="Episode 45.0 – Controversies in SSTI Management" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/03/podcast_45.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/03/podcast_45.jpg 1000w, https://coreem.net/content/uploads/2016/03/podcast_45-150x150.jpg 150w, https://coreem.net/content/uploads/2016/03/podcast_45-300x300.jpg 300w, https://coreem.net/content/uploads/2016/03/podcast_45-768x768.jpg 768w, https://coreem.net/content/uploads/2016/03/podcast_45-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review a number of controversial topics in SSTI management with a focus on the role of antibiotics in abscess management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3024-710" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_45_0_Final_Cut.m4a?_=710" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_45_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_45_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_45_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-45-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/abscess/" rel="tag">Abscess</a>, <a href="https://coreem.net/tag/cellulitis/" rel="tag">Cellulitis</a>, <a href="https://coreem.net/tag/controversy/" rel="tag">Controversy</a>, <a href="https://coreem.net/tag/id/" rel="tag">I+D</a>, <a href="https://coreem.net/tag/irrigation/" rel="tag">Irrigation</a>, <a href="https://coreem.net/tag/tmp-smx/" rel="tag">TMP-SMX</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1">Core EM: <a href="http://coreem.net/journal-reviews/predictors-of-failed-cellulitis-tx/"><span class="s3">Predictors of failed outpatient cellulitis treatment</span></a></p> <p class="p2"><span class="s2">EM Nerd: <a href="http://emnerd.com/case-pragmatic-wound/"><span class="s3">The Case of the Pragmatic Wound</span></a></span></p> <p class="p2"><span class="s2">REBEL EM: <a href="http://rebelem.com/trimethoprim-sulfamethoxazole-for-uncomplicated-skin-abscesses/"><span class="s3">Trimethoprim-sulfamethoxazole for uncomplicated skin abscesses</span></a></span></p> <p class="p2"><span class="s2">EM Lyceum: <a href="http://emlyceum.com/2014/03/31/abscess-answers/"><span class="s3">Abscess, “Answers”</span></a></span></p> <p class="p1"><strong><span class="s1">References</span></strong></p> <p class="p4"><span class="s1">Peterson D et al. Predictors of Failure of Empiric Outpatient Antibiotic Therapy in Emergency Department Patients with Uncomplicated Cellulitis. Acad Emerg Med 2014; 21: 526-31. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/24842503"><span class="s4">24842503</span></a></span></p> <p class="p1"><span class="s1">Talan DA et al. Trimethoprim-Sulfamethoxazole versus placebo for uncomplicated skin abscesses. NEJM 2016; 374(9): 823-32.
May 02, 2016
Episode 44.0 – Tick Borne Illnesses
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-44-0/" title="Episode 44.0 – Tick Borne Illnesses" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/03/podcast_44.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/03/podcast_44.jpg 1000w, https://coreem.net/content/uploads/2016/03/podcast_44-150x150.jpg 150w, https://coreem.net/content/uploads/2016/03/podcast_44-300x300.jpg 300w, https://coreem.net/content/uploads/2016/03/podcast_44-768x768.jpg 768w, https://coreem.net/content/uploads/2016/03/podcast_44-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we touch on some pearls and pitfalls on diagnosis and management of tick borne illnesses. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3027-716" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_44_0_Final_Cut.m4a?_=716" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_44_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_44_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_44_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-44-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/babesiosis/" rel="tag">Babesiosis</a>, <a href="https://coreem.net/tag/ehrlichiosis/" rel="tag">Ehrlichiosis</a>, <a href="https://coreem.net/tag/lyme-disease/" rel="tag">Lyme Disease</a>, <a href="https://coreem.net/tag/rmsf/" rel="tag">RMSF</a>, <a href="https://coreem.net/tag/rocky-mountain-spotted-fever/" rel="tag">Rocky Mountain Spotted Fever</a>, <a href="https://coreem.net/tag/tick/" rel="tag">Tick</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">CDC: <a href="http://www.cdc.gov/ticks/"><span class="s2">Ticks</span></a></span></p> <p class="p2"><span class="s3">CDC: <a href="http://www.cdc.gov/lyme/resources/TickborneDiseases.pdf"><span class="s4">Tick Borne Illnesses of the United States</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-44-0/">Read More</a>
Apr 25, 2016
Episode 43.0 – Delayed ICH in Head Trauma Patients on Blood Thinners
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-43-0-delayed-ich/" title="Episode 43.0 – Delayed ICH in Head Trauma Patients on Blood Thinners" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/04/podcast_43.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/04/podcast_43.jpg 1000w, https://coreem.net/content/uploads/2016/04/podcast_43-150x150.jpg 150w, https://coreem.net/content/uploads/2016/04/podcast_43-300x300.jpg 300w, https://coreem.net/content/uploads/2016/04/podcast_43-768x768.jpg 768w, https://coreem.net/content/uploads/2016/04/podcast_43-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review delayed ICH in patients with head trauma on blood thinners and discuss the role of repeat imaging and admission. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-3018-722" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_43_0_Final_Cut.m4a?_=722" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_43_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_43_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_43_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-43-0-delayed-ich/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/clopidogrel/" rel="tag">Clopidogrel</a>, <a href="https://coreem.net/tag/delayed-intracranial-hemorrhage/" rel="tag">Delayed Intracranial Hemorrhage</a>, <a href="https://coreem.net/tag/head-trauma/" rel="tag">Head Trauma</a>, <a href="https://coreem.net/tag/plavix/" rel="tag">Plavix</a>, <a href="https://coreem.net/tag/warfarin/" rel="tag">Warfarin</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">Nishijima DK et al. Immediate and delayed traumatic intracranial hemorrhage in patients with head trauma and perjury warfarin or clopidogrel use. Ann Emerge Med 2012; 59(6): 460-8. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/22626015"><span class="s2">22626015</span></a></span></p> <p class="p1"><span class="s1">Menditto VG et al. Management of minor head injury in patients receiving oral anticoagulant therapy: a prospective study of a 24-hour observation protocol. Ann Emerg Med 2012; 59(6): 451-5. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/22244878"><span class="s2">22244878</span></a></span></p> <p class="p1"><span class="s1">Miller J et al. Delayed intracranial hemorrhage in the anticoagulated patient: a systematic review. J Trauma Acute Care Surg 2015; 79: 310-3. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/26218702"><span class="s2">26218702</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-43-0-delayed-ich/">Read More</a>
Apr 18, 2016
Episode 42.0 – Ventilation in the Intubated Asthmatic
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-42-0/" title="Episode 42.0 – Ventilation in the Intubated Asthmatic" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/04/podcast_42.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/04/podcast_42.jpg 1000w, https://coreem.net/content/uploads/2016/04/podcast_42-150x150.jpg 150w, https://coreem.net/content/uploads/2016/04/podcast_42-300x300.jpg 300w, https://coreem.net/content/uploads/2016/04/podcast_42-768x768.jpg 768w, https://coreem.net/content/uploads/2016/04/podcast_42-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review how to ventilate the intubated asthmatic patient. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2958-728" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_42_0_Final_Cut.m4a?_=728" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_42_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_42_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_42_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-42-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/asthma/" rel="tag">Asthma</a>, <a href="https://coreem.net/tag/crashing-asthmatic/" rel="tag">Crashing Asthmatic</a>, <a href="https://coreem.net/tag/permissive-hypercapnea/" rel="tag">Permissive Hypercapnea</a>, <a href="https://coreem.net/tag/ventilation/" rel="tag">Ventilation</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> REBEL EM: <a href="http://rebelem.com/rebelcast-crashing-asthmatic/">The Crashing Asthmatic</a> EMCrit: <a href="http://emcrit.org/podcasts/severe-asthmatic/">Podcast 15 - The Severe Asthmatic</a> EMCrit: Dominating the Vent: <a href="http://emcrit.org/archive-podcasts/vent-part-1/">Part I</a> + <a href="http://emcrit.org/podcasts/vent-part-2/">Part II</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-42-0/">Read More</a>
Apr 11, 2016
Episode 41.0 – Non-Genital Herpetic Infections
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-41-0/" title="Episode 41.0 – Non-Genital Herpetic Infections" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/04/podcast_41.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/04/podcast_41.jpg 1000w, https://coreem.net/content/uploads/2016/04/podcast_41-150x150.jpg 150w, https://coreem.net/content/uploads/2016/04/podcast_41-300x300.jpg 300w, https://coreem.net/content/uploads/2016/04/podcast_41-768x768.jpg 768w, https://coreem.net/content/uploads/2016/04/podcast_41-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we look at herpetic infections of the eye and skin focusing on diagnosis and management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2874-734" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_41_0_Final_Cut.m4a?_=734" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_41_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_41_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_41_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-41-0/#comments">One Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/herpes/" rel="tag">Herpes</a>, <a href="https://coreem.net/tag/herpetic-keratitis/" rel="tag">Herpetic Keratitis</a>, <a href="https://coreem.net/tag/shingles/" rel="tag">Shingles</a>, <a href="https://coreem.net/tag/zoster/" rel="tag">Zoster</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Wilhelmus KR. Antiviral treatment and other therapeutic interventions for herpes simplex virus epithelial keratitis. Cochrane Database Syst Rev 2010. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/21154352">21154352</a> American Academy of Ophthalmology: <a href="http://www.aao.org/clinical-statement/herpes-simplex-virus-keratitis-treatment-guideline">Herpes Simplex Virus Keratitis Treatment Guideline</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-41-0/">Read More</a>
Apr 04, 2016
Episode 40.0 – Dental Emergencies
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-40-0/" title="Episode 40.0 – Dental Emergencies" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/03/podcast_40.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/03/podcast_40.jpg 1000w, https://coreem.net/content/uploads/2016/03/podcast_40-150x150.jpg 150w, https://coreem.net/content/uploads/2016/03/podcast_40-300x300.jpg 300w, https://coreem.net/content/uploads/2016/03/podcast_40-768x768.jpg 768w, https://coreem.net/content/uploads/2016/03/podcast_40-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we delve into dental emergencies from infections to trauma as well as discussing dental anesthesia. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2858-740" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_40_0_Final_Cut.m4a?_=740" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_40_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_40_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_40_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-40-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/dental-caries/" rel="tag">Dental Caries</a>, <a href="https://coreem.net/tag/dental-emergencies/" rel="tag">Dental Emergencies</a>, <a href="https://coreem.net/tag/dental-trauma/" rel="tag">Dental Trauma</a>, <a href="https://coreem.net/tag/dentoalveolar-abscess/" rel="tag">Dentoalveolar Abscess</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Taming the SRU: <a href="http://www.tamingthesru.com/head-and-neck-nerve-blocks">Regional Anesthesia of the Face & Mouth</a> ALiEM: <a href="http://www.aliem.com/2011/paucis-verbis-dental-trauma/">Paucis Verbis: Dental trauma</a> ALiEM <a href="http://www.aliem.com/2011/paucis-verbis-dental-infections/">Paucis Verbis: Dental infections</a> ALiEM <a href="http://www.aliem.com/2012/trick-of-trade-dental/">Tricks of the Trade: Dental Avulsion and Subluxation</a> EB Medicine: <a href="http://www.ebmedicine.net/topics.php?paction=showTopic&topic_id=207">Fixing Faces Pain Painlessly: Facial Anesthesia in Emergency Medicine</a> Core EM: <a href="http://coreem.net/procedures/tongue-blade-test/">Tongue Blade Test</a> The Dental Box <a href="http://thedentalbox.com/videos.html">Instructional Videos</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-40-0/">Read More</a>
Mar 28, 2016
Episode 39.0 – Killer Back Pain
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-39-0-killer-back-pain/" title="Episode 39.0 – Killer Back Pain" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/03/podcast_39.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/03/podcast_39.jpg 1000w, https://coreem.net/content/uploads/2016/03/podcast_39-150x150.jpg 150w, https://coreem.net/content/uploads/2016/03/podcast_39-300x300.jpg 300w, https://coreem.net/content/uploads/2016/03/podcast_39-768x768.jpg 768w, https://coreem.net/content/uploads/2016/03/podcast_39-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This podcast reviews highlights from a grand rounds talk given by Michael Bond on Killer back pain. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2796-746" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_39_0_Final_Cut.m4a?_=746" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_39_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_39_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_39_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-39-0-killer-back-pain/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/aaa/" rel="tag">AAA</a>, <a href="https://coreem.net/tag/back-pain/" rel="tag">Back Pain</a>, <a href="https://coreem.net/tag/epidural-abscess/" rel="tag">Epidural Abscess</a>, <a href="https://coreem.net/tag/vertebral-osteomyelitis/" rel="tag">Vertebral Osteomyelitis</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">Edlow JA. Managing Nontraumatic Acute Back Pain. Ann Emerg Med 2015; 66: 148-53. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/25578887"><span class="s2">25578887</span></a></span></p> <p class="p1"><img class="size-full wp-image-2798 aligncenter" src="http://coreem.net/content/uploads/2016/02/Screen-Shot-2016-02-03-at-8.28.41-PM.png" alt="Screen Shot 2016-02-03 at 8.28.41 PM" width="753" height="463" /></p> <p class="p1"><img class="size-full wp-image-2799 aligncenter" src="http://coreem.net/content/uploads/2016/02/Screen-Shot-2016-02-03-at-8.29.13-PM.png" alt="Screen Shot 2016-02-03 at 8.29.13 PM" width="747" height="493" /></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-39-0-killer-back-pain/">Read More</a>
Mar 21, 2016
Episode 38.0 – Sexually Transmitted Infections
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-38-0-sexually-transmitted-infections/" title="Episode 38.0 – Sexually Transmitted Infections" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/03/podcast_38.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/03/podcast_38.jpg 1000w, https://coreem.net/content/uploads/2016/03/podcast_38-150x150.jpg 150w, https://coreem.net/content/uploads/2016/03/podcast_38-300x300.jpg 300w, https://coreem.net/content/uploads/2016/03/podcast_38-768x768.jpg 768w, https://coreem.net/content/uploads/2016/03/podcast_38-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss everyone's favorite infectious diseases: Gonorrhea and Chlamydia </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2784-752" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_38_0_Final_Cut.m4a?_=752" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_38_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_38_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_38_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-38-0-sexually-transmitted-infections/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/chlamydia/" rel="tag">Chlamydia</a>, <a href="https://coreem.net/tag/gonorrhea/" rel="tag">Gonorrhea</a>, <a href="https://coreem.net/tag/pid/" rel="tag">PID</a>, <a href="https://coreem.net/tag/std/" rel="tag">STD</a>, <a href="https://coreem.net/tag/sti/" rel="tag">STI</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">The SGEM: <a href="http://thesgem.com/2015/01/sgem104-lets-talk-about-sex-baby-lets-talk-about-stds/"><span class="s2">SGEM #104: Let’s Talk About Sex Baby, Let’s Talk About STDs</span></a></span></p> <p class="p1"><span class="s1">ALiEM:<a href="http://www.aliem.com/pelvic-exam-emergency-department-useful/"><span class="s2"> Is the Pelvic Exam in the Emergency Department Useful?</span></a></span></p> <p class="p1"><span class="s1">HQMedEd: <a href="http://hqmeded.com/blind-swab-vs-speculum-assisted-endocervical-swab/"><span class="s2">Blind Swab vs Speculum-Assisted Endocervical Swab</span></a></span></p> <p class="p1"><span class="s1">EM Lyceum: <a href="http://emlyceum.com/2011/06/19/55/"><span class="s2">PID Answers</span></a></span></p> <p class="p1"><span class="s1">Exposed: <a href="https://www.stdcheck.com/blog/why-is-gonorrhea-called-the-clap/"><span class="s2">Why is Gonorrhea Called the Clap?</span></a></span></p> <p class="p1"><span class="s1">CDC: <a href="http://www.cdc.gov/std/ept/"><span class="s2">Expedited Partner Therapy</span></a></span></p> <p class="p1"><span class="s1">CDC: <a href="http://www.cdc.gov/std/tg2015/2015-wall-chart.pdf"><span class="s2">Sexually Transmitted Diseases Chart</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-38-0-sexually-transmitted-infections/">Read More</a>
Mar 14, 2016
Episode 37.0 – Ovarian Pathology
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-37-0-ovarian-pathology/" title="Episode 37.0 – Ovarian Pathology" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/03/podcast_37-1.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/03/podcast_37-1.jpg 1000w, https://coreem.net/content/uploads/2016/03/podcast_37-1-150x150.jpg 150w, https://coreem.net/content/uploads/2016/03/podcast_37-1-300x300.jpg 300w, https://coreem.net/content/uploads/2016/03/podcast_37-1-768x768.jpg 768w, https://coreem.net/content/uploads/2016/03/podcast_37-1-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss ovarian pathology focusing on ovarian torsion and tubo-ovarian abscess. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2780-758" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_37_0_Final_Cut.m4a?_=758" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_37_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_37_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_37_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-37-0-ovarian-pathology/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/gynecology/" rel="tag">gynecology</a>, <a href="https://coreem.net/tag/ovarian-torsion/" rel="tag">Ovarian Torsion</a>, <a href="https://coreem.net/tag/toa/" rel="tag">TOA</a>, <a href="https://coreem.net/tag/tubo-ovarian-abscess/" rel="tag">tubo-ovarian abscess</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Pediatric EM Morsels: <a href="http://pedemmorsels.com/ovarian-torsion/">Ovarian Torsion</a> EM Lyceum: <a href="http://emlyceum.com/2012/06/21/ovarian-torsion-answers/">Ovarian Torsion</a> Beigi, R.H. (2015). Epidemiology, clinical manifestations, and diagnosis of tuboovarian abscess. In S.J. Falk (Ed.), <em>UpToDate</em>. Waltham, MA, 2015. Beigi, R.H. (2015). Management and complications of tuboovarian abscess. In S.J. Falk (Ed.), <em>UpToDate</em>. Waltham, MA, 2015. Hart, D, Lipsky, A. Acute Pelvic Pain in Women. In: Marx JA, ed. <em>Rosen's Emergency Medicine: Concepts and Clinical Practice. </em>8th ed. Philadelphia, PA: Elsevier Saunders; 2014. p. 266-272. Lee D, Swaminathan A. Sensitivity of Ultrasound for the Diagnosis of Tubo-Ovarian Abscess: A Case Report and Literature Review. J Emerg Med. 2011 vol 40 (2): 170-5. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/20466506">20466506</a> Tibbles, CD. Selected Gynecologic Disorders. In: Marx JA, ed. <em>Rosen's Emergency Medicine: Concepts and Clinical Practice. </em>8th ed. Philadelphia, PA: Elsevier Saunders; 2014. p. 1355-1362. </div> </div> <br/><a href="https://coreem.net/podcast/episode-37-0-ovarian-pathology/">Read More</a>
Mar 07, 2016
Episode 36.0 – C-Spine Injuries
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-36-0/" title="Episode 36.0 – C-Spine Injuries" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/02/podcast_36.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/02/podcast_36.jpg 1000w, https://coreem.net/content/uploads/2016/02/podcast_36-150x150.jpg 150w, https://coreem.net/content/uploads/2016/02/podcast_36-300x300.jpg 300w, https://coreem.net/content/uploads/2016/02/podcast_36-768x768.jpg 768w, https://coreem.net/content/uploads/2016/02/podcast_36-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week's podcast delves into cervical spine injuries and the findings found on CT imaging of the cervical spine. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2861-764" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_36_0_Final_Cut.m4a?_=764" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_36_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_36_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_36_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-36-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cervical-spine/" rel="tag">Cervical Spine</a>, <a href="https://coreem.net/tag/fracture/" rel="tag">Fracture</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Core EM: <a href="http://coreem.net/core/c-spine-injuries/">C-Spine Injuries + CT Interpretation</a> Schwartz DT. <strong>Section 5. Cervical Spine.</strong> In: Schwartz DT: <em>Emergency Radiology: Case Studies. </em>New York, NY: McGraw-Hill, 2008. <a href="http://accessemergencymedicine.mhmedical.com/">http://accessemergencymedicine.mhmedical.com/</a> (via NYU Health Sciences Library) </div> </div> <br/><a href="https://coreem.net/podcast/episode-36-0/">Read More</a>
Feb 29, 2016
Episode 35.0 – The Problem with Door to Balloon Time
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-35-0/" title="Episode 35.0 – The Problem with Door to Balloon Time" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/02/podcast_35.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/02/podcast_35.jpg 1000w, https://coreem.net/content/uploads/2016/02/podcast_35-150x150.jpg 150w, https://coreem.net/content/uploads/2016/02/podcast_35-300x300.jpg 300w, https://coreem.net/content/uploads/2016/02/podcast_35-768x768.jpg 768w, https://coreem.net/content/uploads/2016/02/podcast_35-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss an article on door to balloon time and focus on the EPs role in patients who present with ST elevations on their EKG. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2724-770" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_35_0_Final_Cut.m4a?_=770" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_35_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_35_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_35_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-35-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cardiology/" rel="tag">Cardiology</a>, <a href="https://coreem.net/tag/door-to-balloon-time/" rel="tag">Door to Balloon Time</a>, <a href="https://coreem.net/tag/resuscitation/" rel="tag">Resuscitation</a>, <a href="https://coreem.net/tag/stemi/" rel="tag">STEMI</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">Fanari Z et al. Aggressive measures to decrease “door to balloon” time and incidence of unnecessary cardiac catheterization: potential risks and role of quality improvement. Mayo Clin Proc 2015. PMID: </span><span class="s2">26549506</span></p> <p class="p1"><span class="s3">REBEL EM: <a href="http://rebelem.com/december-2015-all-cardiology-rebelcast/"><span class="s4">December 2015: All Cardiology REBELCast</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-35-0/">Read More</a>
Feb 22, 2016
Episode 34.0 – Trauma in Pregnancy
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-34-0-trauma-in-pregnancy/" title="Episode 34.0 – Trauma in Pregnancy" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/02/podcast_34.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/02/podcast_34.0.jpg 1000w, https://coreem.net/content/uploads/2016/02/podcast_34.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/02/podcast_34.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/02/podcast_34.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/02/podcast_34.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week, we cover the physiologic changes in pregnancy and how they affect trauma management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2658-776" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_34_0_Final_Cut.m4a?_=776" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_34_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_34_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_34_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-34-0-trauma-in-pregnancy/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/perimortem-c-section/" rel="tag">Perimortem C-section</a>, <a href="https://coreem.net/tag/pregnancy/" rel="tag">Pregnancy</a>, <a href="https://coreem.net/tag/trauma/" rel="tag">Trauma</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="normal">EMCrit: <a href="http://emcrit.org/wee/peri-mortem-c-section/">Peri-Mortem C-Section</a></p> <p class="normal">emDocs.net: <a href="http://www.emdocs.net/resuscitation-of-the-pregnant-trauma-patient-pearls-pitfalls/">Resuscitation of the Pregnant Trauma Patient – Pearls and Pitfalls</a></p> <p class="normal">Core EM: <a href="http://coreem.net/core/peri-mortem-c-section/">Peri-Mortem C-Secton</a></p> <p class="normal">Core EM: <a href="http://coreem.net/podcast/episode-4-0-perimortem-c-section-procedural-sedation-and-airway-pearls/">Podcast 4.0</a></p> [embed]https://www.youtube.com/watch?v=lW0-2t_CGbk[/embed] [caption id="attachment_2659" align="aligncenter" width="533"]<img class="size-full wp-image-2659" src="http://coreem.net/content/uploads/2016/01/Meds-in-Pregnancy-Table.png" alt="Medications in Pregnancy" width="533" height="398" /> Medications in Pregnancy[/caption] </div> </div> <br/><a href="https://coreem.net/podcast/episode-34-0-trauma-in-pregnancy/">Read More</a>
Feb 15, 2016
Episode 33.0 – Post-partum Hemorrhage
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-33-0/" title="Episode 33.0 – Post-partum Hemorrhage" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/02/podcast_33.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/02/podcast_33.0.jpg 1000w, https://coreem.net/content/uploads/2016/02/podcast_33.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/02/podcast_33.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/02/podcast_33.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/02/podcast_33.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week, we review the management of post-partum hemorrhage focusing on identifying the cause, resuscitation and directed medical therapy. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2668-782" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_33_0_Final_Cut.m4a?_=782" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_33_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_33_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_33_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-33-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/post-partum-hemorrhage/" rel="tag">Post-partum hemorrhage</a>, <a href="https://coreem.net/tag/pregnancy/" rel="tag">Pregnancy</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Core EM: <a href="http://coreem.net/core/shoulder-dystocia/">Shoulder Dystocia</a> Del Portal DA et al. Emergency department management of shoulder dystocia. <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=del%20portal%20shoulder%20dystocia&otool=nynyumlib&myncbishare=nynyumlib">J Emerg Med.</a> 2014 Mar;46(3):378-82. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/24360351">24360351</a> Lew GH, Pulia MS: <strong>Emergency Childbirth</strong>, in Roberts JR, Hedges JR, Custalow CB, et al (eds): Clinical Procedures in Emergency Medicine, ed 6. Philadelphia, Saunders, 2013, Ch 56:p 1155-82. [caption id="attachment_2670" align="alignright" width="1093"]<img class="size-full wp-image-2670" src="http://coreem.net/content/uploads/2016/01/Drugs-for-the-Management-of-Uterine-Atony-Roberts-Hedges.png" alt="Drugs for the Management of Uterine Atony - Roberts + Hedges" width="1093" height="458" /> Drugs for the Management of Uterine Atony - Roberts + Hedges[/caption] </div> </div> <br/><a href="https://coreem.net/podcast/episode-33-0/">Read More</a>
Feb 08, 2016
Episode 32.0 – Reading C-Spine CTs
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-32-0/" title="Episode 32.0 – Reading C-Spine CTs" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/02/podcast_32.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/02/podcast_32.jpg 1000w, https://coreem.net/content/uploads/2016/02/podcast_32-150x150.jpg 150w, https://coreem.net/content/uploads/2016/02/podcast_32-300x300.jpg 300w, https://coreem.net/content/uploads/2016/02/podcast_32-768x768.jpg 768w, https://coreem.net/content/uploads/2016/02/podcast_32-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This is part I of a 2 part series on C-spine CT scans. In part 1, we discuss the basic ins and outs of reading the C-spine CT. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2719-788" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_32_0_Final_Cut.m4a?_=788" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_32_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_32_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_32_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-32-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cervical-spine/" rel="tag">Cervical Spine</a>, <a href="https://coreem.net/tag/ct-scan/" rel="tag">CT Scan</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Core EM: <a href="http://coreem.net/core/the-abcs-of-reading-c-spine-cts/">The ABCs of Reading C-Spine CTs</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-32-0/">Read More</a>
Feb 01, 2016
Episode 31.0 – Rocuronium vs. Succinycholine
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-31-0/" title="Episode 31.0 – Rocuronium vs. Succinycholine" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/01/podcast_31.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/01/podcast_31.0.jpg 1000w, https://coreem.net/content/uploads/2016/01/podcast_31.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/01/podcast_31.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/01/podcast_31.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/01/podcast_31.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This podcast is a recorded lecture from our conference on why Rocuronium should be the go to drug for RSI in the ED. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2581-794" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_31_0_Final_Cut.m4a?_=794" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_31_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_31_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_31_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-31-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/airway/" rel="tag">Airway</a>, <a href="https://coreem.net/tag/rocuronium/" rel="tag">Rocuronium</a>, <a href="https://coreem.net/tag/rsi/" rel="tag">RSI</a>, <a href="https://coreem.net/tag/succinycholine/" rel="tag">Succinycholine</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> [caption id="attachment_2583" align="aligncenter" width="558"]<img class="size-full wp-image-2583" src="http://coreem.net/content/uploads/2015/12/Sydney-Hems-Sux-Contras-Slide.png" alt="Sydney HEMS Sux Contraindications" width="558" height="428" /> Sydney HEMS Sux Contraindications[/caption] <strong>Read More:</strong> Strayer RJ. Rocuronium versus succinylcholine: Cochrane synopsis reconsidered. Ann Emerg Med 2011; 58(2): 217-8 Strayer RJ. Rocuronium vs. succinylcholine revisited. Ann Emerge Med 2010; 39(3): 345-6. Mallon WK et al. Response to Rocuronium vs. succinylcholine revisited. Ann Emerge Med 2010; 39(3): 346-7. Strayer RJ. (2010, January 14). Screencast: Rocuronium vs. Succinylcholine in 8 minutes. Retrieved from <a href="http://emupdates.com/2010/01/14/rocuronium-vs-succinylcholine/">http://emupdates.com/2010/01/14/rocuronium-vs-succinylcholine/</a> <strong>References</strong> <ol> <li>Sluga M, Ummenhofer W, Studer W, Siegemund M, Marsch SC. Rocuronium versus succinylcholine for rapid sequence induction of anesthesia and endotracheal intubation: a prospective, randomized trial in emergent cases. Anesth Analg 2005; 101:1356 – 61.</li> </ol> <ol start="2"> <li>McCourt KC, Salmela L, Mirakhur RK, et al. Comparison of rocuronium and suxamethonium for use during rapid sequence induction of anaesthesia. Anaesthesia 1998;53:867–71.</li> </ol> <ol start="3"> <li>Laurin EG, Sakles JC, Panacek EA, Rantapaa AA, Redd J.
Jan 25, 2016
Episode 30.0 – Pediatric C-spine Injuries
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-30-0/" title="Episode 30.0 – Pediatric C-spine Injuries" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/01/podcast_30.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/01/podcast_30.0.jpg 1000w, https://coreem.net/content/uploads/2016/01/podcast_30.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/01/podcast_30.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/01/podcast_30.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/01/podcast_30.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This episode delves into pediatric c-spine injuries focusing on the question of who needs imaging? </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2586-800" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_30_0_Final_Cut.m4a?_=800" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_30_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_30_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_30_0_Final_Cut.m4a" title="Download" download>Download</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cervical-spine/" rel="tag">Cervical Spine</a>, <a href="https://coreem.net/tag/nexus-c-spine/" rel="tag">NEXUS C-spine</a>, <a href="https://coreem.net/tag/pediatrics/" rel="tag">Pediatrics</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="normal">Leonard JC et al. Factors associated with cervical spine injury in children after blunt trauma. Ann Emerg Med 2011; 58(2): 145-55. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/21035905">21035905</a></p> <p class="normal">ERCast: <a href="http://blog.ercast.org/pediatric-c-spine-clearance/">Pediatric C-spine Clearnace</a></p> [caption id="attachment_2587" align="aligncenter" width="666"]<img class="size-full wp-image-2587" src="http://coreem.net/content/uploads/2015/12/PECARN-Decision-Rule.png" alt="PECARN Decision Rule" width="666" height="536" /> PECARN Decision Rule[/caption] [caption id="attachment_2588" align="aligncenter" width="743"]<img class="size-full wp-image-2588" src="http://coreem.net/content/uploads/2015/12/PECARN-Paramater-Definitions.png" alt="PECARN Paramater Definitions" width="743" height="528" /> PECARN Paramater Definitions[/caption] [caption id="attachment_2589" align="aligncenter" width="668"]<img class="size-full wp-image-2589" src="http://coreem.net/content/uploads/2015/12/PECARN-ORs.png" alt="PECARN ORs" width="668" height="528" /> PECARN ORs[/caption] </div> </div> <br/><a href="https://coreem.net/podcast/episode-30-0/">Read More</a>
Jan 18, 2016
Episode 29.0 – Dementia, Delirium and Ischemic CVA
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-29-0/" title="Episode 29.0 – Dementia, Delirium and Ischemic CVA" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/01/podcast_29.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/01/podcast_29.0.jpg 1000w, https://coreem.net/content/uploads/2016/01/podcast_29.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/01/podcast_29.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/01/podcast_29.0-768x768.jpg 768w, https://coreem.net/content/uploads/2016/01/podcast_29.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss the work up for dementia and delirium as well as a bit on ischemic CVA management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2522-806" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_29_0_Final_Cut.m4a?_=806" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_29_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_29_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_29_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-29-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cva/" rel="tag">CVA</a>, <a href="https://coreem.net/tag/delirium/" rel="tag">Delirium</a>, <a href="https://coreem.net/tag/dementia/" rel="tag">Dementia</a>, <a href="https://coreem.net/tag/stroke/" rel="tag">Stroke</a>, <a href="https://coreem.net/tag/tpa/" rel="tag">tPA</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> SAEM <a href="http://www.saem.org/docs/default-source/education/geri_ed_guidelines_final.pdf">Geriatric Guidelines</a> (includes screening tools for delirium): GEMCast: <a href="http://gempodcast.com/2015/11/11/diagnosing-and-managing-delirium-in-older-adults/">Diagnosing and Managing Delirium in Older Adults</a> Gioia, LC et al. Blood pressure management in acute intracerebral hemorrhage: current evidence and ongoing controversies. Curr Opin Crit Care. 2015; 21(2):99-106. PMID: <a href="http://www.ncbi.nlm.gov/pubmed/?term=25689125">25689125</a> Miller J et al. Management of hypertension in stroke. Ann Emerg Med. 2014; 64(3): 248-55. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=24731431">24731431</a> EM Nerd: <a href="http://emnerd.com/a-truncated-summation-of-the-adventure-of-the-cardboard-box/">A Truncated Summation of the Adventure of the Cardboard Box</a> Ed in the ED WDYS: <a href="http://edintheed.com/wdys-1-01s/">Talking about tPA – Expert and Community Commentary</a>   </div> </div> <br/><a href="https://coreem.net/podcast/episode-29-0/">Read More</a>
Jan 11, 2016
Episode 28.0 – Suicide Assessment
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-28-0/" title="Episode 28.0 – Suicide Assessment" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2016/01/podcast_28.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2016/01/podcast_28.0.jpg 1000w, https://coreem.net/content/uploads/2016/01/podcast_28.0-150x150.jpg 150w, https://coreem.net/content/uploads/2016/01/podcast_28.0-300x300.jpg 300w, https://coreem.net/content/uploads/2016/01/podcast_28.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review some of the different aspects used in assessment of the suicidal patient who presents to the ED. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2462-812" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_28_0_Final_Cut.m4a?_=812" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_28_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_28_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_28_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-28-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/depression/" rel="tag">Depression</a>, <a href="https://coreem.net/tag/suicide-assessment/" rel="tag">Suicide Assessment</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">ERCast: <a href="http://blog.ercast.org/suicide/"><span class="s2">Suicide Risk</span></a></span></p> <p class="p1"><span class="s1">ERCast: <a href="http://blog.ercast.org/is-my-patient-suicidal/"><span class="s2">Is My Patient Suicidal</span></a></span></p> <p class="p1"><a href="http://coreem.net/content/uploads/2015/11/CSSR-S.pdf">Columbia Suicide Severity Rating Scale</a></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-28-0/">Read More</a>
Jan 04, 2016
Episode 27.0 – Endovascular Therapy for Ischemic CVA
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-27-0/" title="Episode 27.0 – Endovascular Therapy for Ischemic CVA" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/12/podcast_27.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/12/podcast_27.0.jpg 1000w, https://coreem.net/content/uploads/2015/12/podcast_27.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/12/podcast_27.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/12/podcast_27.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Are you ready for endovascular therapy in ischemic CVA? We discuss some of the ins and outs focusing on the MR CLEAN trial. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2416-818" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_27_0_Final_Cut.m4a?_=818" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_27_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_27_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_27_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-27-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cva/" rel="tag">CVA</a>, <a href="https://coreem.net/tag/ischemic-stroke/" rel="tag">Ischemic Stroke</a>, <a href="https://coreem.net/tag/mr-clean/" rel="tag">MR CLEAN</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">Montori VM et al. Randomized trials stopped early for benefit: a systematic review. JAMA 2005; 294(17): 2203-9. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/16264162"><span class="s2">16264162</span></a></span></p> <p class="p1"><span class="s1">EMCrit: <a href="http://emcrit.org/podcasts/tpa-for-ischemic-stroke-debate/"><span class="s2">Podcast 116 - the tPA for Ischemic Stroke Debate</span></a></span></p> <p class="p3"><span class="s1">EM Nerd: <a href="http://emnerd.com/a-truncated-summation-of-the-adventure-of-the-cardboard-box/"><span class="s2">A Truncated Summation of the Adventure of the Cardboard Box</span></a> (Reviews the major endovascular treatment studies)</span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-27-0/">Read More</a>
Dec 28, 2015
Episode 26.0 – Grand Rounds: Dying in the ED (feat. Ashley Shreves)
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-26-0/" title="Episode 26.0 – Grand Rounds: Dying in the ED (feat. Ashley Shreves)" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/12/podcast_26.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/12/podcast_26.0.jpg 1000w, https://coreem.net/content/uploads/2015/12/podcast_26.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/12/podcast_26.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/12/podcast_26.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week's podcast is a full length recording of Ashley Shreves' Grand Rounds talk at Bellevue Hospital on dying in the ED. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2331-824" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_26_0_Final_Cut.m4a?_=824" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_26_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_26_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_26_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-26-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/palliative-care/" rel="tag">Palliative Care</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> All NYC EM Podcast: <a href="http://www.allnycem.com/podcast/2014/12/28/eiv20y8chhkdi6mbgz7s84vgf67xup"><span class="s2">Ashley Shreves - Pathway to a Peaceful Death</span></a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-26-0/">Read More</a>
Dec 14, 2015
Podcast 25.0 – Temporary Transvenous Pacemakers
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/podcast-25-0/" title="Podcast 25.0 – Temporary Transvenous Pacemakers" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/12/podcast_25.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/12/podcast_25.0.jpg 1000w, https://coreem.net/content/uploads/2015/12/podcast_25.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/12/podcast_25.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/12/podcast_25.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Emergent placement of a temporary TV pacer is a life-saving procedure. We review the procedure along with some pearls along the way. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2311-830" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_25_0_TV_Pacemakers_Final_Cut.m4a?_=830" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_25_0_TV_Pacemakers_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_25_0_TV_Pacemakers_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_25_0_TV_Pacemakers_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/podcast-25-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/transvenous-pacemaker/" rel="tag">Transvenous Pacemaker</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><span class="s1">Bessman ES: Emergency Cardiac Pacing, in Roberts JR, Hedges JR, Custalow CB, et al (eds): Clinical Procedures in Emergency Medicine, ed 6. Philadelphia, Saunders, 2013, Ch 15:p 277-300</span><span class="s2">.</span></p> <p class="p1"><strong><span class="s1">Read More:</span></strong></p> <p class="p2"><span class="s2">EM Updates: <a href="http://emupdates.com/2010/04/03/electromechanical-dissociation/"><span class="s3">Electromechanical Dissociation</span></a></span></p> <p class="p2">LITFL: <a href="http://lifeinthefastlane.com/ccc/temporary-transvenous-cardiac-pacing/"><span class="s3">Temporary Transvenous Cardiac Pacing</span></a></p> [embed]https://www.youtube.com/watch?v=GPAXS7FyQHQ[/embed] [caption id="attachment_2312" align="alignleft" width="480"]<a href="http://coreem.net/content/uploads/2015/10/TV-Pacemaker-Equipment-Roberts-and-Hedges.png"><img class="size-full wp-image-2312" src="http://coreem.net/content/uploads/2015/10/TV-Pacemaker-Equipment-Roberts-and-Hedges.png" alt="Robert's + Hedges - TV Pacemaker Equipment" width="480" height="358" /></a> Robert's + Hedges - TV Pacemaker Equipment[/caption] </div> </div> <br/><a href="https://coreem.net/podcast/podcast-25-0/">Read More</a>
Dec 07, 2015
Episode 24.0 – Hepatic Encephalopathy
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-24-0-hepatic-encephalopathy/" title="Episode 24.0 – Hepatic Encephalopathy" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/11/podcast_24.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/11/podcast_24.0.jpg 1000w, https://coreem.net/content/uploads/2015/11/podcast_24.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/11/podcast_24.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/11/podcast_24.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This podcast is a brief discussion on hepatic encephalopathy: How it presents, the utility of ammonia levels and what else to look out for. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2515-836" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_24_0_Final_Cut.m4a?_=836" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_24_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_24_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_24_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-24-0-hepatic-encephalopathy/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ammonia/" rel="tag">Ammonia</a>, <a href="https://coreem.net/tag/ams/" rel="tag">AMS</a>, <a href="https://coreem.net/tag/hepatic-encephalopathy/" rel="tag">Hepatic Encephalopathy</a> </span> </span> </div> </div> <br/><a href="https://coreem.net/podcast/episode-24-0-hepatic-encephalopathy/">Read More</a>
Nov 30, 2015
Episode 23.0 – SBO
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-23-0-sbo/" title="Episode 23.0 – SBO" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/11/podcast_23.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/11/podcast_23.0.jpg 1000w, https://coreem.net/content/uploads/2015/11/podcast_23.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/11/podcast_23.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/11/podcast_23.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we review small bowel obstruction presentation, diagnosis and management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2364-842" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_19_0_Final_Cut.m4a?_=842" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_19_0_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_19_0_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_19_0_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-23-0-sbo/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/large-bowel-obstruction/" rel="tag">Large Bowel Obstruction</a>, <a href="https://coreem.net/tag/sbo/" rel="tag">SBO</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> 5 Minute Sono: <a href="5minsono.com:sbo">Small Bowel Obstruction</a> EM Lyceum: <a href="http://emlyceum.com/2014/05/07/gi-imaging-answers/">GI Imaging</a> FOAMCast: <a href="http://foamcast.org/2015/01/26/episode-23-sbo-and-mesenteric-ischemia/">Episode 23 – SBO and Mesenteric Ischemia</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-23-0-sbo/">Read More</a>
Nov 23, 2015
Episode 22.0 – Extra-Abdominal Causes of Abdominal Pain
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-22-0/" title="Episode 22.0 – Extra-Abdominal Causes of Abdominal Pain" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/11/podcast_22.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/11/podcast_22.0.jpg 1000w, https://coreem.net/content/uploads/2015/11/podcast_22.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/11/podcast_22.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/11/podcast_22.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we'll discuss some common causes of abdominal pain that originate in extra-abdominal pathology. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2335-848" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_22_0_Abdominal_Pain_Final_Cut.m4a?_=848" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_22_0_Abdominal_Pain_Final_Cut.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_22_0_Abdominal_Pain_Final_Cut.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_22_0_Abdominal_Pain_Final_Cut.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-22-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/abdominal-pain/" rel="tag">Abdominal Pain</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> Life in the Fast Lane: <a href="http://lifeinthefastlane.com/resources/medical-causes-of-abdominal-pain-ddx/">Metabolic Causes of Abdominal Pain</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-22-0/">Read More</a>
Nov 16, 2015
Podcast 21.0 – Esophageal Food Impaction + Peds Appy
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/podcast-21-0/" title="Podcast 21.0 – Esophageal Food Impaction + Peds Appy" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/11/podcast_21.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/11/podcast_21.0.jpg 1000w, https://coreem.net/content/uploads/2015/11/podcast_21.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/11/podcast_21.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/11/podcast_21.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week podcast focuses on esophageal food impaction and pearls + pitfalls in the diagnosis of peds appendicitis. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2279-854" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_21_0_Final.m4a?_=854" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_21_0_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_21_0_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_21_0_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/podcast-21-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/appendicitis/" rel="tag">Appendicitis</a>, <a href="https://coreem.net/tag/food-impaction/" rel="tag">Food Impaction</a>, <a href="https://coreem.net/tag/pediatrics/" rel="tag">Pediatrics</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><a href="http://coreem.net/content/uploads/2015/11/Score_PAS.png"><img class="alignright size-full wp-image-2420" src="http://coreem.net/content/uploads/2015/11/Score_PAS.png" alt="Score_PAS" width="802" height="572" /></a></p> <p class="p1">REBEL Cast: November 2015: <a href="http://rebelem.com/november-2015-rebelcast-all-vascular-access-episode/">All Vascular Access Episode</a></p> <p class="p1"><span class="s1">Tibbling L et al. Effect of spasmolytic drugs on esophageal foreign bodies. Dysphagia 1995; 10(2): 126-7. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/7600855"><span class="s2">7600855</span></a></span></p> <p class="p1"><span class="s1">Samuel M. Pediatric appendicitis score. J Pediatr Surg 2002; 37(6): 877-81. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/12037754"><span class="s2">12037754</span></a></span></p> <p class="p1"><span class="s1">Ross MJ et al. Outcomes of children with suspected appendicitis and incompletely visualized appendix on ultrasound. Acad Emerg Med 2015; 21(5): 538-42. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/24842505"><span class="s2">24842505</span></a></span></p> <p class="p1"><span class="s1">Parienti JJ et al. Intravascular complications of central venous catheterization by insertion site. NEJM 2015. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=26398070"><span class="s2">26398070</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/podcast-21-0/">Read More</a>
Nov 09, 2015
Episode 20.0 – AVNRT
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-20-0-avnrt/" title="Episode 20.0 – AVNRT" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/09/podcast_20.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/09/podcast_20.0.jpg 1000w, https://coreem.net/content/uploads/2015/09/podcast_20.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/09/podcast_20.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/09/podcast_20.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> On this podcast we review some background on AVNRT and focus on Emergency Department management. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2234-860" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_20_0_Final.m4a?_=860" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_20_0_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_20_0_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_20_0_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-20-0-avnrt/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/avnrt/" rel="tag">AVNRT</a>, <a href="https://coreem.net/tag/psvt/" rel="tag">PSVT</a>, <a href="https://coreem.net/tag/revert-trial/" rel="tag">REVERT Trial</a>, <a href="https://coreem.net/tag/tachydysrhythmias/" rel="tag">Tachydysrhythmias</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><b>AVNRT with Aberrancy vs. VT</b></p> <p class="p3"><span class="s1">REBEL EM: <a href="http://rebelem.com/svt-aberrancy-versus-vt/"><span class="s2">SVT with Aberrancy Versus VT</span></a></span></p> <p class="p3"><span class="s1">Amal Mattu’s ECG Case of the Week: <a href="https://www.youtube.com/watch?v=v8rJFpTVFXs"><span class="s2">August 26th, 2013</span></a></span></p> <p class="p3"><span class="s1"><b>Valsalva Maneuver</b></span></p> <p class="p3"><span class="s1">ALiEM: <a href="http://www.aliem.com/tricks-of-the-trade-valsalva-maneuver-by-using-a-10-cc-syringe/"><span class="s2">Tricks of the Trade: Valsalva Maneuver By Using a 10cc Syringe</span></a></span></p> <p class="p3"><span class="s1">St. Emlyn’s: <a href="http://stemlynsblog.org/the-revert-trial/"><span class="s2">JC The REVERT Trial</span></a></span></p> <p class="p3"><span class="s1"><b>Adenosine in AVNRT</b></span></p> <p class="p3"><span class="s1">Larry Mellick: <a href="https://www.youtube.com/watch?v=WBQrddqWhzo"><span class="s2">Treating SVT with Adensoine</span></a></span></p> <p class="p3"><span class="s1">ALiEM: Trick of the Trade: <a href="http://www.aliem.com/trick-of-the-trade-combine-adenosine-with-the-flush/"><span class="s2">Combining Adenosine with the Flush</span></a></span></p> <p class="p3"><span class="s1"><b>Verapamil in AVNRT</b></span></p> <p class="p3"><span class="s1">RAGE Podcast: <a href="http://ragepodcast.com/rage-session-two/"><span class="s2">Rage Session Two</span></a></span></p> <p class="p3"><span class="s1">ERCast Podcast: <a href="http:...
Nov 02, 2015
Episode 19.1 – Numeracy (feat. Brian Freeze)
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-19-1-numeracy/" title="Episode 19.1 – Numeracy (feat. Brian Freeze)" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/10/podcast_19.1.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/10/podcast_19.1.jpg 1000w, https://coreem.net/content/uploads/2015/10/podcast_19.1-150x150.jpg 150w, https://coreem.net/content/uploads/2015/10/podcast_19.1-300x300.jpg 300w, https://coreem.net/content/uploads/2015/10/podcast_19.1-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Bonus Podcast - Grand Rounds from 9/23/15 featuring Brian Freeze MD on Numeracy. Lecture is part of the Chief Resident Incubator Program </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2224-866" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_1_Numeracy_Final.m4a?_=866" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_1_Numeracy_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_1_Numeracy_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_1_Numeracy_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-19-1-numeracy/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/chief-resident-incubator/" rel="tag">Chief Resident Incubator</a>, <a href="https://coreem.net/tag/numeracy/" rel="tag">Numeracy</a>, <a href="https://coreem.net/tag/statistics/" rel="tag">Statistics</a> </span> </span> </div> </div> <br/><a href="https://coreem.net/podcast/episode-19-1-numeracy/">Read More</a>
Oct 30, 2015
Episode 19.0 – More Influenza + Peds FB Aspiration
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-19-0/" title="Episode 19.0 – More Influenza + Peds FB Aspiration" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/10/podcast_19.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/10/podcast_19.0.jpg 1000w, https://coreem.net/content/uploads/2015/10/podcast_19.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/10/podcast_19.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/10/podcast_19.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Pearls and take home messages from our weekly conference. This week, we review talks on influenza and pediatric foreign body aspiration. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2204-872" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_0_Final.m4a?_=872" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_0_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_0_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_19_0_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-19-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/aspiration/" rel="tag">Aspiration</a>, <a href="https://coreem.net/tag/foreign-body/" rel="tag">Foreign Body</a>, <a href="https://coreem.net/tag/influenza/" rel="tag">Influenza</a>, <a href="https://coreem.net/tag/oseltamivir/" rel="tag">Oseltamivir</a>, <a href="https://coreem.net/tag/tamfiflu/" rel="tag">Tamfiflu</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Influenza</strong> [caption id="attachment_2206" align="aligncenter" width="465"]<a href="http://coreem.net/content/uploads/2015/09/Populations-at-High-Risk-for-Severe-Influenza-IDSA.png"><img class="size-full wp-image-2206" src="http://coreem.net/content/uploads/2015/09/Populations-at-High-Risk-for-Severe-Influenza-IDSA.png" alt="Populations at High Risk for Severe Influenza - IDSA" width="465" height="449" /></a> Populations at High Risk for Severe Influenza - IDSA[/caption] <p class="p3">ALiEM: <a href="http://www.aliem.com/neuraminidase-inhibitors-influenza/"><span class="s2">Neuraminidase Inhibitors for Influenza - The Truth, The Whole Truth, and Nothing But the Truth. Finally.</span></a></p> <p class="p4"><span class="s1">EM Lit of Note: <a href="http://www.emlitofnote.com/2013/12/remember-tamiflu-is-still-junk.html"><span class="s2">Remember, Tamflu is Still Junk.</span></a></span></p> <p class="p4"><span class="s1">EM Lit of Note: <a href="http://www.emlitofnote.com/2015/02/which-review-of-tamiflu-data-do-you.html"><span class="s2">Which Review of Tamflu Data do You Believe?</span></a></span></p> <p class="p4"><span class="s1">Jefferson T et al. Oseltamivir for influenza in adults and children: systematic review of clinical study reports and summary of regulatory comments. BMJ 2014. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/24811411"><span class="s2">24811411</span></a>...
Oct 26, 2015
Episode 18.1 – Music in Medicine (feat. Jeremy Faust)
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-18-1/" title="Episode 18.1 – Music in Medicine (feat. Jeremy Faust)" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/10/podcast_18.1.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/10/podcast_18.1.jpg 1000w, https://coreem.net/content/uploads/2015/10/podcast_18.1-150x150.jpg 150w, https://coreem.net/content/uploads/2015/10/podcast_18.1-300x300.jpg 300w, https://coreem.net/content/uploads/2015/10/podcast_18.1-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This bonus podcast is from our Grand Rounds series. Here, Jeremy Faust gives a great talk on the role of Music in Medicine. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2176-878" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_1-Music_in_Medicine_feat_Jeremy_Faust_.m4a?_=878" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_1-Music_in_Medicine_feat_Jeremy_Faust_.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_1-Music_in_Medicine_feat_Jeremy_Faust_.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_1-Music_in_Medicine_feat_Jeremy_Faust_.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-18-1/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/grand-rounds/" rel="tag">Grand Rounds</a>, <a href="https://coreem.net/tag/music/" rel="tag">Music</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> References <div>Platz, F. and Kopiez, R., "When the first impression counts: Music performers, audience, and the evaluation of stage entrance behavior", Musicae Scientiae 17, No. 2 (2013), pp. 167-197</div> <div></div> <div>Acad Emerg Med. 2012 Oct;19(10):1166-72. Epub 2012 Oct 4. Predictors of parent satisfaction in pediatric laceration repair. Lowe DA, Monuteaux MC, Ziniel S, Stack AM.</div> <div></div> <div>Proc Natl Acad Sci U S A. 2013 Sep 3;110(36):14580-5. Epub 2013 Aug 19.</div> <div>Sight over sound in the judgment of music performance. Tsay CJ.</div> <div></div> <div>Med Educ. 2013 Aug;47(8):842-50.  Music lessons: revealing medicine's learning culture through a comparison with that of music. Watling C, Driessen E, van der Vleuten CP, Vanstone M, Lingard L.</div> <div></div> <div>The New Yorker. October 3, 2011. Personal Best. Top athletes and singers have coaches. Should you? Atul Gawande.</div> <div></div> <div>ANZ J Surg. 2013 Jun;83(6):477-80. Epub 2013 Apr 26.</div> <div>Improving the impact of didactic resident training with online spaced education. Gyorki DE, Shaw T, Nicholson J, Baker C, Pitcher M, Skandarajah A, Segelov E, Mann GB.</div> <div></div> <div>Psychol Sci Public Interest. 2013 Jan;14(1):4-58. Improving Students' Learning With Effective Learning Techniques: Promising Directions From Cognitive and Educational Psychology. Dunlosky J, Rawson KA, Marsh EJ, Nathan MJ, Willingham DT.</div> <div></div> <div>Resuscitation. 2010 May;81(5):631. Epub 2010 Feb 26.</div>
Oct 23, 2015
Episode 18.0 – Influenza Testing + Epistaxis
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-18-0/" title="Episode 18.0 – Influenza Testing + Epistaxis" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/10/podcast_18.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/10/podcast_18.0.jpg 1000w, https://coreem.net/content/uploads/2015/10/podcast_18.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/10/podcast_18.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/10/podcast_18.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss some information on influenza testing in the ED and management of epistaxis. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2179-884" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_0_Final_Version.m4a?_=884" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_0_Final_Version.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_0_Final_Version.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_18_0_Final_Version.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-18-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/epistaxis/" rel="tag">Epistaxis</a>, <a href="https://coreem.net/tag/influenza/" rel="tag">Influenza</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Show Notes</span></strong></p> <p class="p2"><span class="s1">EMCrit: Dominating the Vent I <a href="http://emcrit.org/lectures/vent-part-1/"><span class="s2">http://emcrit.org/lectures/vent-part-1/</span></a></span></p> <p class="p2"><span class="s1">EMCrit: Dominating the Vent II <a href="http://emcrit.org/podcasts/vent-part-2/"><span class="s2">http://emcrit.org/podcasts/vent-part-2/</span></a></span></p> <p class="p2"><span class="s1">ALiEM: <a href="http://www.aliem.com/neuraminidase-inhibitors-influenza/"><span class="s2">Neuraminidase Inhibitors for Influenza - The Truth, The Whole Truth, and Nothing But the Truth. Finally.</span></a> </span></p> <p class="p2"><span class="s1">EM Lit of Note: <a href="http://www.emlitofnote.com/2013/12/remember-tamiflu-is-still-junk.html"><span class="s2">Remember, Tamflu is Still Junk.</span></a></span></p> <p class="p2"><span class="s1">EM Lit of Note: <a href="http://www.emlitofnote.com/2015/02/which-review-of-tamiflu-data-do-you.html"><span class="s2">Which Review of Tamflu Data do You Believe?</span></a></span></p> <p class="p2"><span class="s1">Zahed R et al. A new and rapid method for epistaxis treatment using injectable form of tranexamic acid topically: a randomized controlled trial. Am J Emerg Med 2013; 31: 1389-92. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/23911102"><span class="s2">23911102</span></a></span></p> <p class="p4"><span class="s1">Derkay CS et al. Posterior nasal packing. Are Intravenous antibiotics really necessary? Arch Otolaryngol 1989; 115: 439-41. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/2923686"><span class="s3">2923686</span...
Oct 19, 2015
Episode 17.0 – Asthma and COPD
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-17-0-asthma-and-copd/" title="Episode 17.0 – Asthma and COPD" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/10/podcast_17.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/10/podcast_17.0.jpg 1000w, https://coreem.net/content/uploads/2015/10/podcast_17.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/10/podcast_17.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/10/podcast_17.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Pearls from our weekly conference discussing severe asthma and COPD exacerbations. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2125-890" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_17_0_Final.m4a?_=890" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_17_0_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_17_0_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_17_0_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-17-0-asthma-and-copd/#comments">4 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/asthma/" rel="tag">Asthma</a>, <a href="https://coreem.net/tag/bpap/" rel="tag">BPAP</a>, <a href="https://coreem.net/tag/copd/" rel="tag">COPD</a>, <a href="https://coreem.net/tag/nippv/" rel="tag">NIPPV</a>, <a href="https://coreem.net/tag/respiratory/" rel="tag">Respiratory</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Shownotes</span></strong></p> <p class="p1"><span class="s1">EMCrit: <a href="http://emcrit.org/dsi/"><span class="s2">Delayed Sequence Intubation</span></a></span></p> <p class="p1"><span class="s1">REBEL EM: <a href="http://rebelem.com/rebelcast-crashing-asthmatic/"><span class="s2">The Crashing Asthmatic</span></a></span></p> <p class="p1">EM:RAP: <a href="https://www.emrap.org/episode/february2015/theruleof2s">The Rule of 2s</a></p> Abdo WF, Heunks LM. Oxygen-induced hypercapnia in COPD: myths and facts. Critical Care 16(5):323. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/23106947">23106947</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-17-0-asthma-and-copd/">Read More</a>
Oct 12, 2015
Episode 16.0 – ALTE
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-16-alte/" title="Episode 16.0 – ALTE" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/10/podcast_16.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/10/podcast_16.0.jpg 1000w, https://coreem.net/content/uploads/2015/10/podcast_16.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/10/podcast_16.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/10/podcast_16.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Pearls from our conference discussing apparent life-threatening events (ALTE). </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-2104-896" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_16_Final.m4a?_=896" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_16_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_16_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_16_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-16-alte/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/alte/" rel="tag">ALTE</a>, <a href="https://coreem.net/tag/pediatrics/" rel="tag">Pediatrics</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Shownotes</span></strong></p> <p class="p1"><span class="s1">Mittal MK et al. A clinical decision rule to identify infants with apparent life-threatening event who can be safely discharged from the emergency department. Pediatr Emerg Care 2012; 28(7): 599-605. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/22743742"><span class="s2">22743742</span></a></span></p> <p class="p1"><span class="s1">Kaji AH et al. Apparent life-threatening event: multi center prospective cohort study to develop a clinical decision rule for admission to the hospital. Ann Emerg Med 2013; 61(4): 379-87. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/23026786"><span class="s2">23026786</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-16-alte/">Read More</a>
Oct 05, 2015
Episode 15.0 – Adrenal Crises + D-dimer in Aortic Dissection
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-15-0-adrenal-crises-d-dimer-in-aortic-dissection/" title="Episode 15.0 – Adrenal Crises + D-dimer in Aortic Dissection" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/09/podcast_15.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/09/podcast_15.0.jpg 1000w, https://coreem.net/content/uploads/2015/09/podcast_15.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/09/podcast_15.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/09/podcast_15.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Pearls from a core content talk on adrenal emergencies, a journal update looking at D-dimer in aortic dissection and some acid/base cases. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-1987-902" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_15_0_Final.m4a?_=902" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_15_0_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_15_0_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_15_0_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-15-0-adrenal-crises-d-dimer-in-aortic-dissection/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/acid-base/" rel="tag">Acid Base</a>, <a href="https://coreem.net/tag/adrenal-gland/" rel="tag">Adrenal Gland</a>, <a href="https://coreem.net/tag/adrenal-insufficiency/" rel="tag">Adrenal Insufficiency</a>, <a href="https://coreem.net/tag/aortic-dissection/" rel="tag">Aortic Dissection</a>, <a href="https://coreem.net/tag/congenital-adrenal-hyperplasia/" rel="tag">Congenital Adrenal Hyperplasia</a>, <a href="https://coreem.net/tag/d-dimer/" rel="tag">D-dimer</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Shownotes</strong> Asha SE, Miers JW. A systematic review and meta-analysis of D-dimer as a rule-out test for suspected acute aortic dissection. Ann Emerg Med 2015. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/25805111">25805111</a> Dierks DB et al. Clinical policy: critical issues in the evaluation and management of adult patients with suspected acute nontraumatic thoracic aortic dissection. Ann Emerg Med 2015; 65: 32-42. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/25529153">25529153</a> <strong>Acid-Base Cases</strong>   Quick questions & answers: <ol> <li>For acute respiratory acidosis or alkalosis, how much does the pH change for every 10mm change of PCO2?</li> <li>What is the Winter’s formula?</li> <li>For stable chronic respiratory acidosis, for every 10 mm increase in PCO2, how much should the pH decrease by?</li> </ol> For each of the following cases, please analyze the acid-base status (i.e. anion gap metabolic acidosis, respiratory alkalosis, non-AG metabolic acidosis with respiratory acidosis, etc…) for further discussion in the workshop. <hr /> 1) A 25 year old woman is found at home c/o thirst,
Sep 28, 2015
Episode 14.0 – Grand Rounds with Mike Stone – US Guided Nerve Blocks
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-14-0/" title="Episode 14.0 – Grand Rounds with Mike Stone – US Guided Nerve Blocks" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/09/podcast_14.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/09/podcast_14.0.jpg 1000w, https://coreem.net/content/uploads/2015/09/podcast_14.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/09/podcast_14.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/09/podcast_14.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This is a full length recording of Mike Stone's Grand Rounds at Bellevue Hospital on Ultrasound Guided Nerve Blocks for Regional Anesthesia </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-1882-908" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_14_0_Grand_Rounds_Stone_Nerve_Blocks_Final.m4a?_=908" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_14_0_Grand_Rounds_Stone_Nerve_Blocks_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_14_0_Grand_Rounds_Stone_Nerve_Blocks_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_14_0_Grand_Rounds_Stone_Nerve_Blocks_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-14-0/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/nerve-blocks/" rel="tag">Nerve Blocks</a>, <a href="https://coreem.net/tag/ultrasound/" rel="tag">Ultrasound</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Regional Anesthesia Resources</span></strong></p> <p class="p1">The Ultrasound Podcast: <a href="http://www.ultrasoundpodcast.com/tag/nerve-block/">Nerve Blocks Archive</a></p> <p class="p1"><span class="s1">ASAHQ: <a href="http://www.asahq.org/~/media/sites/asahq/files/public/resources/standards-guidelines/standards-for-basic-anesthetic-monitoring.pdf"><span class="s2">Standards for Basic Anesthetic Monitoring</span></a></span></p> <p class="p1"><span class="s1">Cook County Regional: <a href="http://www.cookcountyregional.com/Chapter2.pdf"><span class="s2">Chapter on Local Anesthetics</span></a></span></p> <p class="p1"><span class="s1">Anesthesiology News: <a href="http://www.anesthesiologynews.com/download/NerveInjury_AN0715_WM.pdf"><span class="s2">Nerve Injury After Peripheral Nerve Block</span></a></span></p> [caption id="attachment_1883" align="aligncenter" width="600"]<a href="http://coreem.net/content/uploads/2015/08/Template-for-Peripheral-Nerve-Blocks.jpg"><img class="size-full wp-image-1883" src="http://coreem.net/content/uploads/2015/08/Template-for-Peripheral-Nerve-Blocks.jpg" alt="Template for Peripheral Nerve Blocks" width="600" height="1016" /></a> Template for Peripheral Nerve Blocks[/caption] [caption id="attachment_1884" align="aligncenter" width="599"]<a href="http://coreem.net/content/uploads/2015/08/The-Femur-Fracture-Checklist.jpg"><img class="size-full wp-image-1884" src="http://coreem.
Sep 21, 2015
Episode 13.0 – Diabetic Ketoacidosis: A Case
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-13-0-dka/" title="Episode 13.0 – Diabetic Ketoacidosis: A Case" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/08/podcast_13.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/08/podcast_13.0.jpg 1000w, https://coreem.net/content/uploads/2015/08/podcast_13.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/08/podcast_13.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/08/podcast_13.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Lily Abrukin (Chief Resident) and Swami discuss the care of a critically ill patient with DKA. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-1847-914" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_13_0_Final.m4a?_=914" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_13_0_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_13_0_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_13_0_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-13-0-dka/#comments">5 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/dka/" rel="tag">DKA</a>, <a href="https://coreem.net/tag/hyperkalemia/" rel="tag">Hyperkalemia</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Diabetic Ketoacidosis</span></strong></p> <p class="p1"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/ebm-diabetic-ketoacidosis/"><span class="s2">EBM Diabetic Ketoacidosis</span></a></span></p> <p class="p1"><span class="s1">emDocs: <a href="http://www.emdocs.net/myths-dka-management/"><span class="s2">Myths in DKA Management</span></a></span></p> <p class="p1"><span class="s1">REBEL EM: <a href="http://rebelem.com/benefit-initial-insulin-bolus-diabetic-ketoacidosis/"><span class="s2">Is There Any Benefit to an Initial Insulin Bolus in Diabetic Ketoacidosis?</span></a></span></p> <p class="p1"><strong><span class="s1">Hyperkalemia</span></strong></p> <p class="p1"><span class="s1">LITFL: <a href="http://lifeinthefastlane.com/ecg-library/basics/hyperkalaemia/"><span class="s2">Hyperkalaemia</span></a></span></p> <p class="p1"><span class="s1">Core EM: <a href="http://coreem.net/core/management-of-hyperkalemia/"><span class="s2">Hyperkalemia</span></a></span></p> <p class="p1"><span class="s1">Core EM: <a href="http://coreem.net/podcast/episode-7-0/"><span class="s2">Podcast 7.0</span></a></span></p> <p class="p1"><strong><span class="s1">Intubation in Severe Metabolic Acidosis</span></strong></p> <p class="p1"><span class="s1">EMCrit: Podcast 3 - <a href="http://emcrit.org/podcasts/tube-severe-acidosis/"><span class="s2">Laryngoscope as a Murder Weapon Series - Ventilatory Kills - Intubating the Patient with Severe Metabolic Acidosis</span></a></span></p> <p class="p1"><span class="s1">Core EM: <a href="http://coreem.net/podcast/episode-4-0-perimortem-c-section-procedural-sedation-and-airway-pearls/...
Sep 14, 2015
Episode 12.0 – Transfusions + Procedures
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-12-0-transfusions-procedures/" title="Episode 12.0 – Transfusions + Procedures" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/09/podcast_12.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/09/podcast_12.0.jpg 1000w, https://coreem.net/content/uploads/2015/09/podcast_12.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/09/podcast_12.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/09/podcast_12.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This week we discuss some of the dangers of blood transfusions and pearls from our procedure workshops. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-1840-920" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_12_Final.m4a?_=920" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_12_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_12_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_12_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-12-0-transfusions-procedures/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/blood-transfusions/" rel="tag">Blood Transfusions</a>, <a href="https://coreem.net/tag/cricothyroidotomy/" rel="tag">Cricothyroidotomy</a>, <a href="https://coreem.net/tag/lateral-canthotomy/" rel="tag">Lateral Canthotomy</a>, <a href="https://coreem.net/tag/tube-thoracostomy/" rel="tag">Tube Thoracostomy</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <p class="p1"><strong><span class="s1">Cricothyrotomy Resources</span></strong></p> <p class="p1"><span class="s1">EMCrit: <a href="http://emcrit.org/wee/real-surgical-airway/"><span class="s2">EMCrit Wee - Mind Blowing Cricothyrotomy Video</span></a></span></p> <p class="p2"><span class="s1">ACEP Now: <a href="http://www.acepnow.com/article/tips-tricks-performing-cricothyrotomy/"><span class="s3">Tips and Tricks for Performing Cricothyrotomy</span></a></span></p> <p class="p2"><strong><span class="s1">Tube Thoracostomy</span></strong></p> <p class="p2"><span class="s1">University of Maryland EM: <a href="https://www.youtube.com/watch?v=U618Jte_1Uk"><span class="s3">Tube Thoracostomy</span></a></span></p> <p class="p2"><strong><span class="s1">Lateral Canthotomy Resources</span></strong></p> <p class="p2"><span class="s1">Rowh AD et al. Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome. J Emerg Med 2015. 48(3):325-330. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/25524455"><span class="s3">25524455</span></a></span></p> <p class="p2"><span class="s1">Larry Mellick: <a href="https://www.youtube.com/watch?v=bUAagMd_Q8A"><span class="s3">Emergency Lateral Canthotomy and Cantholysis</span></a></span></p> </div> </div> <br/><a href="https://coreem.net/podcast/episode-12-0-transfusions-procedures/">Read More</a>
Sep 07, 2015
Episode 11.1 – Andy Sloas on Infant Emergencies
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-11-1/" title="Episode 11.1 – Andy Sloas on Infant Emergencies" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/09/podcast_11_1.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/09/podcast_11_1.jpg 1000w, https://coreem.net/content/uploads/2015/09/podcast_11_1-150x150.jpg 150w, https://coreem.net/content/uploads/2015/09/podcast_11_1-300x300.jpg 300w, https://coreem.net/content/uploads/2015/09/podcast_11_1-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> This is a full length talk from our Grand Rounds series featuring Andy Sloas of the PEM ED Podcast on Infant Emergencies. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-1747-926" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_11_1_Final.m4a?_=926" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_11_1_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_11_1_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_11_1_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-11-1/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/pediatric-resuscitation/" rel="tag">Pediatric Resuscitation</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> ACEP: <a href="http://www.acep.org/MobileArticle.aspx?id=46744&parentid=740">THE MISFITS</a> [caption id="attachment_1750" align="aligncenter" width="516"]<a href="http://coreem.net/content/uploads/2015/09/The-MISFITS.jpg"><img class="size-full wp-image-1750" src="http://coreem.net/content/uploads/2015/09/The-MISFITS.jpg" alt="THE MISFITS - Sick Kids Mnemonic" width="516" height="326" /></a> THE MISFITS - Sick Kids Mnemonic[/caption] </div> </div> <br/><a href="https://coreem.net/podcast/episode-11-1/">Read More</a>
Sep 04, 2015
Episode 11.0 – TEE in Cardiac Arrest and PE Risk Stratification
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-11-0-tee-in-cardiac-arrest-and-pe-risk-stratification/" title="Episode 11.0 – TEE in Cardiac Arrest and PE Risk Stratification" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/08/podcast_11_0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/08/podcast_11_0.jpg 1000w, https://coreem.net/content/uploads/2015/08/podcast_11_0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/08/podcast_11_0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/08/podcast_11_0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Pearls from our weekly resident conference - discussion of PE risk stratification and TEE in cardiac arrest </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-1924-932" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_11_0_Final.m4a?_=932" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_11_0_Final.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_11_0_Final.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_11_0_Final.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-11-0-tee-in-cardiac-arrest-and-pe-risk-stratification/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/cardiac-arrest/" rel="tag">Cardiac Arrest</a>, <a href="https://coreem.net/tag/pulmonary-embolism/" rel="tag">Pulmonary Embolism</a>, <a href="https://coreem.net/tag/tee/" rel="tag">TEE</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Ultrasound in Cardiac Arrest</strong> Blaivas M. Transesophageal echocardiography during cardiopulmonary arrest in the emergency department. Resuscitation 2008; 78: 135-40. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/18486300">18486300</a> Ultrasound Podcast: <a href="http://www.ultrasoundpodcast.com/2014/12/ultrasound-guided-cpr-part-1-wrong-foamed/">Ultrasound guided CPR Part 1. How we’re doing it wrong</a>. Ultrasound Podcast: <a href="http://www.ultrasoundpodcast.com/2014/12/us-guided-cpr-part-2-tee-usnew-pulse-check-also-resus-leadership-academy-emcrit-criticalcarenow/">Ultrasound guided CPR Part 2. TEE & US = New pulse check</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-11-0-tee-in-cardiac-arrest-and-pe-risk-stratification/">Read More</a>
Aug 31, 2015
Episode 10.0 – Aortic Dissection + Syncope
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-10-0/" title="Episode 10.0 – Aortic Dissection + Syncope" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/08/podcast_10.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/08/podcast_10.0.jpg 1000w, https://coreem.net/content/uploads/2015/08/podcast_10.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/08/podcast_10.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/08/podcast_10.0-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Pearls from a core content talk on aortic dissection, syncope workshop and journal update on ATLS. </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-1692-938" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_10.m4a?_=938" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_10.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_10.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_10.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-10-0/#comments">2 Comments</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/aortic-dissection/" rel="tag">Aortic Dissection</a>, <a href="https://coreem.net/tag/atls/" rel="tag">ATLS</a>, <a href="https://coreem.net/tag/cardiovascular/" rel="tag">Cardiovascular</a>, <a href="https://coreem.net/tag/syncope/" rel="tag">Syncope</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <strong>Resources</strong> <strong>Aortic Dissection</strong> Hagan PG et al. The international registry of acute aortic dissection (IRAD): New insights into an old disease. JAMA 2000; 283: 897-903. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/10685714">10685714</a> Rosman HS et al. Quality of history taking in patients with aortic dissection. Chest 1998; 114(3): 793-5. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/9743168">9743168</a> All NYC EM Podcast: <a href="http://www.allnycem.com/podcast/2015/3/25/rob-rogers-aortic-dissection">Rob Rogers – Aortic Dissection</a> <strong>Syncope</strong> EM Lyceum: <a href="http://emlyceum.com/2015/06/17/syncope-answers/">Syncope, Answers</a> Amal Mattu: <a href="https://ecgweekly.com/">ECG Weekly</a> Steve Smith: <a href="http://hqmeded-ecg.blogspot.com/">Dr. Smith’s ECG Blog</a> <strong>Journal Update - ATLS</strong> Wiles MD. ATLS: Archaic Trauma Life Support? Anaes 2015; 70: 893-906. PMID: <a href="http://www.ncbi.nlm.nih.gov/pubmed/26152249">26152249</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-10-0/">Read More</a>
Aug 24, 2015
Episode 9.1 – The Evolution of Pain Management with Sergey Motov
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-9-1/" title="Episode 9.1 – The Evolution of Pain Management with Sergey Motov" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/08/podcast_9.1.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/08/podcast_9.1.jpg 1000w, https://coreem.net/content/uploads/2015/08/podcast_9.1-150x150.jpg 150w, https://coreem.net/content/uploads/2015/08/podcast_9.1-300x300.jpg 300w, https://coreem.net/content/uploads/2015/08/podcast_9.1-500x500.jpg 500w" sizes="(max-width: 1000px) 100vw, 1000px" title="image via http://wallpaperest.com/sunset-over-a-field-of-poppies-wallpaper-28190" /> </a> </div> <div class="col-sm-8"> <div class="post-content"> Full length Grand Rounds recording from Sergey Motov's talk - "The Evolution of Pain Management in the ED: From Poppy Seeds to Ketamine </div> <div class="audio-player"> <div class="player"> <audio class="wp-audio-shortcode" id="audio-1619-944" preload="none" style="width: 100%;" controls="controls"><source type="audio/mpeg" src="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_9_1_Final_Version.m4a?_=944" /><a href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_9_1_Final_Version.m4a">https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_9_1_Final_Version.m4a</a></audio> </div> </div> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-download"></span> <a class="download" href="https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_9_1_Final_Version.m4a" title="Download" download>Download</a> </span> <span class="meta-link"> <span class="glyphicon glyphicon-comment"></span> <a href="https://coreem.net/podcast/episode-9-1/#comments">Leave a Comment</a> </span> </span> <span class="meta"> <span class="meta-link"> <span class="glyphicon glyphicon-tags"></span> Tags: <a href="https://coreem.net/tag/ketamine/" rel="tag">Ketamine</a>, <a href="https://coreem.net/tag/opioid-free-ed/" rel="tag">Opioid Free ED</a>, <a href="https://coreem.net/tag/pain-management/" rel="tag">Pain Management</a> </span> </span> </div> </div> <div class="row"> <div class="col-md-12 post-content"> <h2>Show Notes</h2> <a href="http://www.painfree-ed.com/">Pain Free ED Site</a> ACEP Now: <a href="http://www.acepnow.com/article/non-opioid-pain-medications-consider-emergency-department-patients/">Non-Opioid Pain Medications to Consider for Emergency Department Patients</a> EMCrit: <a href="http://emcrit.org/?s=motov">Opiate-Free ED with Sergey Motov</a> </div> </div> <br/><a href="https://coreem.net/podcast/episode-9-1/">Read More</a>
Aug 21, 2015
Episode 9.0 – Peds Cardiology + Pericardial Effusions
<div class="row"> <div class="col-sm-4"> <a href="https://coreem.net/podcast/episode-9-0/" title="Episode 9.0 – Peds Cardiology + Pericardial Effusions" rel="bookmark"> <img width="1000" height="1000" src="https://coreem.net/content/uploads/2015/07/podcast-9.0.jpg" class="img-responsive wp-post-image" alt="" srcset="https://coreem.net/content/uploads/2015/07/podcast-9.0.jpg 1000w, https://coreem.net/content/uploads/2015/07/podcast-9.0-150x150.jpg 150w, https://coreem.net/content/uploads/2015/07/podcast-9.0-300x300.jpg 300w, https://coreem.net/content/uploads/2015/07/podcast-9.0-500x500.jpg 500w&