Emergency medicine podcasts, reviews and curbside consults
Treat a patient with PE as an outpatient? Insanity! But where is the evidence that says we’re doing the right treatment with all of the PEs we diagnose? The original publications that launched our current way of thinking about PEs are not what I would call practice changing, and if published today, would probably be [...]
Electrophysiologist, cyclist, and philosopher Dr. John Mandrola from The Dr. John M blog joins ERcast to discuss the intersection of sports and cardiology. In this podcast, John gives his take on…. Are marathons bad for you? Sudden death in sports How should you counsel patients before they start a fitness program? What are the important [...]
Review of the Annals of Emergency Medicine By Weingart and Levitan: Preoxygenation and Prevention of Desaturation during emergency airway management. One of the main consequences of paralyzing or heavily sedating patients is that they become APNEIC. As we have all witnessed, it is during this apnea period, that hypoxia happens. This talk is going [...]
In this episode we talk with Dr. Scott Weingart about new developments in caring for patients in cardiac arrest including: End tidal CO2 monitoring Therapeutic hypothermia Should all post arrest patients with return of spontaneous circulation go to the cath lab? A logical approach to managing the airway during cardiac arrest resuscitation DIRECT DOWNLOAD Airway [...]
An article published Feb 27, 2012 in the British Medical Journal titled Hypnotics’ association with mortality or cancer: a matched cohort study is something we should know about for a few reasons. First, many of us take some form of sedative hypnotic before night shifts and second, it’s been in the news. Your patients are [...]
What’s the best antibiotic for UTI? Is there a secret sauce for treating V-tach? Your letters, rants and a mystery guest.
Scenario 1 Patient is on narcotics and you want to prevent constipation Choice 1. Polyethylene glycol (PEG) 17g/1 glass per day. Up to 3 doses daily if needed Choice 2. PEG + fecal inotrope/stimulant. Senna first choice Choice 3. Docusate + Senna Docusate alone is probably not sufficient to prevent constipation in a patient on [...]
Baker, Susan, et al. Constipation in Infants and Children: Evaluation and Treatment. Journal of Pediatric Gastroenterology and Nutrition: Volume 29(5) November 1999 pp 612-626 Rajindrajith, Shaman , et al. Constipation in Children: Novel Insight Into Epidemiology, Pathophysiology and Management. J Neurogastroenterol Motil. 2011 January; 17(1): 35–47. Rome III Criteria for Constipation Bassotti G, et al. A practical approach to diagnosis and management of [...]
Conventional wisdom suggests that suppositories should be placed apex (pointy end) first. After all, don’t torpedoes go pointy end first? What about arrows? And don’t forget the fencing sabre. It would seem that the rule of pointy end first is all around us. A universal constant. In Cairo, Egypt, 1991, the dogma was challenged. KH Abd-el-Maeboud et [...]