The Upset Patient Protocol

We’re not trained in conflict resolution, but angry patients are a reality in any practice. Listening and empathy can go a long way in this situation. Dike Drummond, a.k.a. The Happy MD, give a step by step strategy for engaging with upset patients. http://traffic.libsyn.com/ercast/upset_patient_ercast.output.mp3 Direct Download   Links mentioned in this show Link to detailed …

The Stroke Consult

In this episode… Step by step instructions on how to consult a neurologist on patients with acute stroke-like symptoms http://traffic.libsyn.com/ercast/Stroke_Consult.output.mp3 Direct Download When you are calling a consultant, whatever the specialty, what are you really doing? You are presenting an argument, making a case for what you think should be done, or making the best …

Airway Strategery

Scott Weingart from EMCRIT guest stars in this episode to discuss his approach to two challenging airway cases. The common theme is ketamine and semi-awake intubation (or at least maintaining breathing while inserting the laryngoscope). http://traffic.libsyn.com/ercast/2_tough_airway_cases.output.mp3 Direct download   Mentioned in this episode Rapid sequence awake intubation Rapid Sequence Awake Intubation by EMCRIT Use something …

Mastering the storm

Intro: Scott Weingart explains why he meditates and how it’s like ‘kettlebells for the brain’. Main episode: Chris Hicks is a Canadian emergency physician and trauma team leader. In this episode, he gives simple practices to improve your management of an emergency department shift as well as controlling the resuscitation room in a calm, effective …

Angioedema

Does anything work to reverse angioedema? If it’s hereditary, then icatibant may do the trick. Otherwise, there’s not much out there. Fresh frozen plasma (FFP) has it’s place in angioedema lore as something that works, but the evidence in its favor is a series of case reports. Emergency physician and angioedema researcher Gentry Wilkerson gives …

REBOA 101

Are you ready for REBOA? Zaf Qasim (@emeddoc) gives the ins and outs of Resusciataitve Endovascular Balloon Occlusion of the Aorta http://traffic.libsyn.com/ercast/REBOA_101_ERCAST.output.mp3 Direct Download Intro Segment: Mel Herbert and I talk about our favorite podcasts as well as Mel’s new show Shabam! My Top 3: The Tim Ferriss Show, Question of the Day, Men In Blazers …

Sepsis Demystified

What is sepsis? Even the world’s experts can’t agree on what it means.  Is it infection plus organ dysfunction? That’s how surviving sepsis defines it. Is it infection with a whole body inflammatory respoinse? That’s how Wikipedia defines it. Is it two or more SIRS criteria plus infection?  All of these overlap in a Venn diagram …

The Brain on Ketamine

Reuben Strayer from empdates.com is our guest to discuss proper dosing of ketamine. Take home message: At very low dose, you get analgesia with minimal effect on perception and emotion. At a very high dose, you’re going to get dissociation. In between high and low doses, you don’t know what kid of response you’re going to get. …