Torsades De Pointes

Torsades de pointes is very bad.  It easily degenerates into Ventricular Fibrillation (VF) and that’s sudden cardiac death.  How many cases of torsades have you seen in your career? Are your ready for it when you see it? Let’s see, there’s magnesium…uh, and then I seem to recall that drug isoproterenol (that I’ve never used) …

Mel Herbert and the Mouse Plague

Mel Herbert is arguably the most influential medical educator of our time. He sat down with ERCast to discuss… His early life in the Australian Outback Mouse plagues Immigrating to the United States How EM RAP got started Foolyboo This Won’t Hurt a Bit Supreme Court Briefing Talking Tesla http://traffic.libsyn.com/ercast/Mel_Herbert_This_Wont_Hurt_A_Bit_ERCast.output.mp3 Direct Download

The Problem with Calf Clots

Deep venous thrombosis of the calf causes an undue amount of consternation. What’s the best way to manage these?Anticoagulate, serial ultrasound, do nothing? We break down the evidence to help you decide. http://traffic.libsyn.com/ercast/Calf_Clots_ercast.output.mp3 Direct Download What are we worried about with calf DVT? Will it become a PE? Will the clot propagate proximally? Does treatment …

Neurogenic Shock

A trauma patient with persistent, yet unexplained hypotension may be suffering from neurogenic shock. What’s that? Anand Swaminathan joins the show to help break down the diagnosis and treatment. Register for Essentials of Emergency Medicine and get access to Essentials LA on August 27, 2015 **Correction: the original title of this post was “spinal shock” which, …

Night Shifts

There’s no getting around night shifts in the emergency department. Most of us work nights to some degree or another and find them less than pleasant. Are there ways to mitigate the misery? Haney Mallemat joins ERCast to discuss nightshifts and so much more…. http://traffic.libsyn.com/ercast/Night_Shifts_ercast.output.mp3 Direct Download In this episode Finding your niche and following your passion …

Chronic Pain Part 2: Medication

This is part two of a two part series on chronic pain. Pearls: Set realistic expectations when treating patients with chronic pain. For the vast majority of patients, antidepressants are the first-line pharmacologic choice for the treatment of chronic pain. Patients who present after the acute phase of a painful condition, whether it’s 1 week or 2 …