Haloperidol for Pain

One of the stress points when a patient taking chronic opioids presents with acute pain is that we feel we have little to offer them. Are more opioids the answer? That’s often what happens, but might not be the best next step. In this episode, Reuben Strayer presents the argument in favor of haloperidol for …

Cellulitis

Recorded at Essentials of Emergency Medicine 2017, Greg Moran, MD reviews current thinking on cellulitis diagnosis and management. Greg is a professor of emergency medicine at Olive View-UCLA medical center who, in addition to emergency medicine, is fellowship trained in infectious disease and has over 100 publications in journals including: New England Journal of Medicine, British …

Should I give bicarbonate in DKA?

Should I give bicarbonate to DKA patients with severe acidemia? I’ve certainly been admonished for NOT doing it. The reason for withholding bicarb has been that I’ve heard that it doesn’t help and may actually be a bad idea. I can’t say the action (or inaction) was based on a deep understanding.   http://traffic.libsyn.com/ercast/Bicarb_DKA_ERCast.mp3 Direct …

The White Coat Investor Speaks

  The White Coat Investor (AKA Jim Dahle, MD) talks student loans, debt, investing, philanthropy, investment philosophy, and investment strategies for different stages of your career. http://traffic.libsyn.com/ercast/The_White_Coat_Investor_ERCast.mp3 Direct Download   Key Links from this episode Essentials of Emergency Medicine The White Coat Investor website White Coat Investor book Subscribe to ERcast in iTunes   When …

How to master CPR

EMS director and CPR aficionado Bill Reed gives a primer on High Performance CPR. http://traffic.libsyn.com/ercast/How_you_should_do_CPR.mp3 Direct Download   High Performance CPR core principles Rate = 110 (100-120). Metronome set at 110. Depth = 2.0-2.5 inches. Full recoil (no leaning). Focus on rate & depth. Listen for 15 second countdown warning of upcoming compressor switch. Change …