Can a fever get so high that it causes brain damage? That question was posed to us by a listen with a recent patient whose temperature reached 106.9 Fahrenheit. Andy Sloas from the PEM ED podcast returns to ERCast to gives his take on cooling, workup, and the difference between heat exposure and infectious fever. […]
The way we learn to manage pulseless electrical activity (PEA) from the Advanced Cardiac Life Support course is a mockery wrapped up in a sham. The mnemonic is cumbersome and the treatment (such as CPR for all, empiric epinephrine) is not always appropriate for a patient with normal electrical activity and a pulse. Fear not, […]
Legal analyst Gunnar Schwartzbaum (nom de plume) joins the show to talk about the legal ramifications of quarantine and isolation orders http://traffic.libsyn.com/ercast/Ebola_quarantine_and_the_law.output.mp3 Direct Download In this episode What to do if a patient with suspected Ebola wants to leave the hospital against medical advice. What is the difference between isolation and quarantine? How do you enforce […]
What do lung nodules have to do with emergency medicine? Weʼd like to see ourselves as full time resuscitationists and while thatʼs one of our master skills, much of our job involves taking care of non-critical patients and, even more so, having conversations with patients and their families. But arenʼt pulmonary nodules someone elseʼs problem, […]
In this minicast, The Weingart Strikes Back! Scott Weingart has some issues with our last episode on managing blood pressure in acute ischemic stroke. But the Swami doesn’t take it lying down and has a few things of his own to say. http://traffic.libsyn.com/ercast/HTN_stroke.output.mp3 DIRECT DOWNLOAD Announcement Join Scott, Swami and Rob at the Essentials of […]
It’s a double header of stroke treatment and controversy. Anand Swaminathan from EM Lyceum and Ryan Radecki from EM Literature of Note help tease out: How do you manage blood pressure in acute ischemic stroke? Should you give thrombolytics up to 4.5 hours after symptom onset? When do you decide that a CVA is actually a […]
What is the best way to evaluate a pregnant patient in whom you suspect pulmonary embolism? There is no definitive guideline, but there is no shortage of opinions. Jeff Kline and I work through the evidence and lack thereof. http://traffic.libsyn.com/ercast/PE_Preg_podcast.output.mp3 DIRECT DOWNLOAD What is the fetal radiation exposure from CT pulmonary angiogram and ventilation perfusion […]
There are times when the safety of IV contrast can be a confusing quagmire. We know that iodinated contrast for CT scans can hurt the kidneys. But is it harmful for someone who already has renal failure and is on dialysis? What about the breastfeeding mother? Will IV contrast harm her infant? How should we […]
Video demonstrations of how to place several different types of chest tubes. Techniques: standard tube, pigtail, Seldinger 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.