Emergency medicine podcasts, reviews and curbside consults
Humerus fractures, shoulder dislocations, broken clavicles, shoulder separations and then some. We cover all the bases of acute shoulder injuries with sports medicine orthopedist Dr. Brett Andres. It’s also ERcast’s third anniversary, so raise a toast and thanks for listening. Direct download podcast Links mentioned in the podcast introduction Splint Like a Pro Cunningham technique [...]
Is it safe to cardiovert a hemodynamically stable patient with recent onset atrial fibrillation? The evidence says yes, but not everyone is a believer.
There is no perfect way to rule out pulmonary embolism. But what if we could change the game and move the d-dimer cutoff higher in the low risk patient? From 500 ng/ML to 1000ng/mL. You’d think that the specificity of the test would improve – fewer false positives. But what would we sacrifice in sensitivity? [...]
How useful is a Utox in clinical management? Not very. But you don’t need an article to tell you that. Sure, there’s always the case where you made a tough diagnosis on a patient with unexplained tachycardia or altered mental status by getting a Utox. But most of the time, it gets ordered pro forma. [...]
Reversing Anticoagulation – A How to Guide (adapted from podcast interview with Tom Deloughery)
Thinking about intubating? Don’t forget to preoxygenate. Fill your toolbelt with apneic oxygenation, NIVPPV, and high flow facemask oxygen.
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 [...]
TO HEAR THE PODCAST, CLICK THE PLAYER BELOW Direct Download Podcast 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 [...]
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 [...]
Is NEXUS dead? Are we admitting too many patients with pneumonia? How useful is the PERC rule? It’s all about decision rules on this episode of ERcast. Ryan Radecki from EM LIterature of Note joins us for a review of four papers: 1. Hospital admission decision for patients with community-acquired pneumonia: variability among physicians in an [...]